Same-day discharge after appendectomy for uncomplicated appendicitis in children: Potential barriers to increased utilization. Am J Surg 2022 Jul;224(1 Pt B):629-634
Date
04/14/2022Pubmed ID
35414428DOI
10.1016/j.amjsurg.2022.03.051Scopus ID
2-s2.0-85127907078 (requires institutional sign-in at Scopus site) 1 CitationAbstract
BACKGROUND: Utilization of same-day discharge (SDD) after appendectomy for uncomplicated appendicitis (UA) was closely examined to explore potential barriers to greater use of SDD.
METHODS: Children (≤18 years) who underwent appendectomy for UA between 2015 and 2019 at a tertiary care children's hospital were reviewed. Associations with SDD were evaluated using multivariable regression models.
RESULTS: Among 973 children, SDD was less frequently utilized after appendectomy performed between 12pm and 5pm (aOR 0.14, p < 0.001) and after 5pm (aOR 0.01, p < 0.001) compared to before 12pm. SDD utilization was also less frequent in those from lower resource neighborhoods (adjusted odds ratio [aOR] 0.90 per decile increase in Area Deprivation Index, p = 0.04), females (aOR 0.53, p = 0.005), and patients residing 30-60 min away (aOR 0.56, p = 0.04) compared to <30 min away.
CONCLUSIONS: SDD utilization was primarily impacted by operative timing and socioeconomic and travel factors, focuses for quality improvement efforts to further increase utilization of SDD.
Author List
Buss R, Bodnar CA, Somers KK, Leack KM, Sato TT, Gourlay DM, Van Arendonk KJAuthor
David M. Gourlay MD Chief, Professor in the Surgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AppendectomyAppendicitis
Child
Female
Humans
Length of Stay
Male
Patient Discharge
