Post operative pediatric appendicitis nurse-driven discharge: Patient outcomes and nursing perspectives - 12/04/21
, Amber May, MD, MPH b , Mansen Wang, MS, PhD c , Ed Hagen, MD a , Robert Weinsheimer, MD d Abstract |
Background |
Nurse-driven discharge pathways following pediatric appendectomies have proven effective in children’s hospitals; studies in general hospital settings are lacking. Additionally, despite the central role of nursing in such pathways, nursing perspectives aren’t investigated in the literature.
Methods |
Data from all pediatric acute uncomplicated appendicitis patients who underwent laparoscopic appendectomy in the 12 months following institution of a nurse-driven discharge pathway (intervention, n = 67) were compared to those treated in the preceding year (control, n = 64). Surveys on the pathway were distributed to pediatric ward nurses.
Results |
Postoperative length of stay (POLOS) decreased by 37% in the intervention group, about 6 h, (0.44 days ± 0.22 vs 0.7 days ± 0.27, p-value 0.0001), without a significant increase in related readmissions. Same day discharges increased from 10.9% to 46.3%, (P-value 0.0001). Nurse surveys revealed a high approval of the pathway (7–10/10) and yielded valuable feedback.
Conclusion |
A nurse-driven discharge pathway decreased POLOS without increasing readmission following pediatric laparoscopic appendectomy in a general hospital setting. Valuable insight into nursing perspectives on this pathway was acquired.
Le texte complet de cet article est disponible en PDF.Highlights |
• | RN DC path decreases postop length of stay without increased readmits or ED visits |
• | RN approval rating of RN DC pathway after appendectomy was 7–10/10 |
• | RN Perspectives on post appendectomy RN DC pathway were obtained |
Keywords : Pediatric, Surgery, Laparoscopy, Appendicitis, Post-operative recovery
Plan
Vol 221 - N° 4
P. 850-855 - avril 2021 Retour au numéro
Article précédent
- Oncologic outcomes of patients with Merkel Cell Carcinoma (MCC): A multi-institutional cohort study
- Josh Bleicher, Elliot A. Asare, Shadai Flores, Tawnya L. Bowles, Glen M. Bowen, John R. Hyngstrom
- Postoperative delirium is associated with decreased recovery of ambulation one-month after surgery
- Thomas N. Robinson, Alexandra Kovar, Heather Carmichael, Doug M. Overbey, Christina M. Goode, Teresa S. Jones
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?