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.
Il testo completo di questo articolo è disponibile in 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
Mappa
Vol 224 - N° 1PB
P. 629-634 - luglio 2022 Ritorno al numero
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