Resource utilization and outcomes among children risk stratified by pediatric appendicitis risk calculator at a tertiary pediatric center

Objectives Appendicitis is a common pediatric condition requiring surgery. The pediatric appendicitis risk calculator (pARC) was recently developed to guide clinical care. The objective of this study is to describe resource utilization and clinical outcomes among children with appendix ultrasound (U...

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Veröffentlicht in:Academic emergency medicine 2022-04, Vol.29 (4), p.415-422
Hauptverfasser: Becker, Callie R., Bergmann, Kelly R., Vazquez‐Benitez, Gabriela, Bretscher, Brianna M., Kharbanda, Anupam B.
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Sprache:eng
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Zusammenfassung:Objectives Appendicitis is a common pediatric condition requiring surgery. The pediatric appendicitis risk calculator (pARC) was recently developed to guide clinical care. The objective of this study is to describe resource utilization and clinical outcomes among children with appendix ultrasound (US) scans risk stratified by pARC score. Methods Prospective enrolled observational cohort single‐center study of children aged 5–18, who had an US for suspected appendicitis. We estimated the rate of appendicitis, rate of equivocal US scans, and resource utilization by pARC score strata. Total adjusted charges were determined for low‐risk pARC patients compared to discharged emergency department (ED) patients with abdominal pain and complete blood count (CBC) obtained without advanced abdominal imaging. Results Over the 13‐month study period, 407 children were enrolled. The overall rate of appendicitis was 33.4%, and 199 (49%) were male. The observed rate of appendicitis was 3.3% in those with a pARC score of
ISSN:1069-6563
1553-2712
DOI:10.1111/acem.14433