Optimizing throughput of babies with infantile hypertrophic pyloric stenosis.
Am J Surg
; 230: 68-72, 2024 Apr.
Article
en En
| MEDLINE
| ID: mdl-38307788
ABSTRACT
BACKGROUND:
Definitive surgical care is often delayed in hypertrophic pyloric stenosis (HPS). Our aim is to evaluate the effect modifiable factors in preoperative HPS management have on efficiency of care.METHODS:
A retrospective review of all patients undergoing pyloromyotomy for HPS at two US children's hospitals between 2008 and 2018 was performed.RESULTS:
406 patients were included in the study. The majority (310, 76 â%) were adequately resuscitated and ready for surgery upon diagnosis in the ER. However, only 133 patients (43 â%) had surgery on the day of admission. Patients diagnosed between 12pm and 6pm were more likely to have surgery the next day than those diagnosed before noon (67 â% vs 33 â%, p â< â.001), which correlated with a longer length of stay (32 vs 47 âh, p â< â.001).CONCLUSION:
The majority of patients presenting with HPS can safely undergo same day surgery. Delaying surgery due to an afternoon diagnosis is common, and leads to a modifiable increased total length of stay.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Estenosis Hipertrófica del Piloro
/
Piloromiotomia
Límite:
Child
/
Humans
/
Infant
Idioma:
En
Revista:
Am J Surg
Año:
2024
Tipo del documento:
Article
País de afiliación:
Estados Unidos