Outcome of early discharge protocol after appendectomy for pediatric acute appendicitis.
Pediatr Int
; 59(7): 803-806, 2017 Jul.
Article
em En
| MEDLINE
| ID: mdl-28376256
ABSTRACT
BACKGROUND:
The aim of this study was to evaluate the outcome of an early discharge protocol for pediatric acute appendicitis.METHODS:
The present new early discharge protocol for appendicitis consisted of both postoperative early feeding and reduced-port laparoscopic surgery, to reduce surgical stress. The outcome was studied in patients with acute appendicitis treated at the present institution from 2012 to 2013.RESULTS:
Data on 36 acute appendicitis patients (mean age, 10.3 years) were collected. Operation time was 95 ± 27 min. Preoperatively, mean white blood cell (WBC) count was 13 850 ± 3644/µL; mean C-reactive protein (CRP), 2.7 ± 2.9 mg/dL; and mean procalcitonin, 0.25 ± 0.37 ng/mL. After surgery there was a significant decrease in WBC count, which fell to within the normal range; CRP peaked at 4.9 ± 3.2 mg/dL on postoperative day (POD) 1. On POD 7, all of the hematological markers were within the normal range. There were no postoperative complications. Mean hospital stay was 2.1 ± 1.1 days. Mean frequency of oral painkiller use was 3.2 ± 3.3 times per person.CONCLUSIONS:
The present early discharge protocol is safe and effective for the management of acute non-perforated appendicitis.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
11_ODS3_cobertura_universal
Base de dados:
MEDLINE
Assunto principal:
Alta do Paciente
/
Apendicectomia
/
Apendicite
/
Cuidados Pós-Operatórios
Tipo de estudo:
Evaluation_studies
/
Guideline
/
Observational_studies
/
Prognostic_studies
Limite:
Child
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Pediatr Int
Ano de publicação:
2017
Tipo de documento:
Article