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Criteria‐led discharge for simple appendicitis in children: A pilot study
AIM: Criteria‐led discharge (CLD) protocols have been suggested to increase efficiency of discharge from hospital following surgical interventions. Our aim was to assess the feasibility, clinical outcomes and parental satisfaction following the introduction of a pilot CLD for simple appendicitis (SA...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley & Sons Australia, Ltd.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9324928/ https://www.ncbi.nlm.nih.gov/pubmed/35397127 http://dx.doi.org/10.1111/jpc.15966 |
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author | Roddis, Bridget Ensor, Nicholas Williamson, Shona Funnell, Hannah Murthi, Sangeetha Pacilli, Maurizio Nataraja, Ramesh M |
author_facet | Roddis, Bridget Ensor, Nicholas Williamson, Shona Funnell, Hannah Murthi, Sangeetha Pacilli, Maurizio Nataraja, Ramesh M |
author_sort | Roddis, Bridget |
collection | PubMed |
description | AIM: Criteria‐led discharge (CLD) protocols have been suggested to increase efficiency of discharge from hospital following surgical interventions. Our aim was to assess the feasibility, clinical outcomes and parental satisfaction following the introduction of a pilot CLD for simple appendicitis (SA) in children. METHODS: A prospective pilot cohort study was conducted including paediatric patients with SA who were managed with CLD and a control group who were managed with standard discharge procedures. A CLD pro forma was developed, standardising care guidelines and clinical criteria indicators to be met for children to be discharged post‐operatively. A post‐discharge parent survey was also utilised. The primary outcome measure was post‐operative length of stay (pLOS), with secondary outcomes of post‐operative complication rates and parental satisfaction. RESULTS: The control group consisted of 31 patients and CLD group 35 patients. There was no difference in the median pLOS (24 [16.7–44.6] vs. 25.3 [19.1–50.1] h, P = 0.3). Furthermore, there were no significant differences on any of the secondary outcomes. Parental confidence with time of discharge was very high in both control (85.7%) and CLD (88.2%) groups (P = 1.0). CONCLUSION: The introduction of CLD is safe and feasible. Whilst this pilot has not demonstrated a reduction in pLOS, our data suggest that it is well accepted by the parents. |
format | Online Article Text |
id | pubmed-9324928 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | John Wiley & Sons Australia, Ltd. |
record_format | MEDLINE/PubMed |
spelling | pubmed-93249282022-07-30 Criteria‐led discharge for simple appendicitis in children: A pilot study Roddis, Bridget Ensor, Nicholas Williamson, Shona Funnell, Hannah Murthi, Sangeetha Pacilli, Maurizio Nataraja, Ramesh M J Paediatr Child Health Original Articles AIM: Criteria‐led discharge (CLD) protocols have been suggested to increase efficiency of discharge from hospital following surgical interventions. Our aim was to assess the feasibility, clinical outcomes and parental satisfaction following the introduction of a pilot CLD for simple appendicitis (SA) in children. METHODS: A prospective pilot cohort study was conducted including paediatric patients with SA who were managed with CLD and a control group who were managed with standard discharge procedures. A CLD pro forma was developed, standardising care guidelines and clinical criteria indicators to be met for children to be discharged post‐operatively. A post‐discharge parent survey was also utilised. The primary outcome measure was post‐operative length of stay (pLOS), with secondary outcomes of post‐operative complication rates and parental satisfaction. RESULTS: The control group consisted of 31 patients and CLD group 35 patients. There was no difference in the median pLOS (24 [16.7–44.6] vs. 25.3 [19.1–50.1] h, P = 0.3). Furthermore, there were no significant differences on any of the secondary outcomes. Parental confidence with time of discharge was very high in both control (85.7%) and CLD (88.2%) groups (P = 1.0). CONCLUSION: The introduction of CLD is safe and feasible. Whilst this pilot has not demonstrated a reduction in pLOS, our data suggest that it is well accepted by the parents. John Wiley & Sons Australia, Ltd. 2022-04-09 2022-07 /pmc/articles/PMC9324928/ /pubmed/35397127 http://dx.doi.org/10.1111/jpc.15966 Text en © 2022 The Authors. Journal of Paediatrics and Child Health published by John Wiley & Sons Australia, Ltd on behalf of Paediatrics and Child Health Division (The Royal Australasian College of Physicians). https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Original Articles Roddis, Bridget Ensor, Nicholas Williamson, Shona Funnell, Hannah Murthi, Sangeetha Pacilli, Maurizio Nataraja, Ramesh M Criteria‐led discharge for simple appendicitis in children: A pilot study |
title | Criteria‐led discharge for simple appendicitis in children: A pilot study |
title_full | Criteria‐led discharge for simple appendicitis in children: A pilot study |
title_fullStr | Criteria‐led discharge for simple appendicitis in children: A pilot study |
title_full_unstemmed | Criteria‐led discharge for simple appendicitis in children: A pilot study |
title_short | Criteria‐led discharge for simple appendicitis in children: A pilot study |
title_sort | criteria‐led discharge for simple appendicitis in children: a pilot study |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9324928/ https://www.ncbi.nlm.nih.gov/pubmed/35397127 http://dx.doi.org/10.1111/jpc.15966 |
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