Same-day discharge after appendectomy for uncomplicated appendicitis in children: Potential barriers to increased utilization - 20/06/22
Abstract |
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.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Same-day discharge is a safe and effective means to reduce resource utilization. |
• | •Operative timing and socioeconomic/travel factors impact use of same-day discharge. |
• | •Identified factors can serve as targets for future quality improvement efforts. |
Keywords : Appendicitis, Children, Outcomes, Value
Plan
Vol 224 - N° 1PB
P. 629-634 - juillet 2022 Retour au numéro
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