ArticleLangenbeck's archives of surgery2009
Fast-track concepts in routine pediatric surgery: a prospective study in 436 infants and children.
Article in Langenbeck's archives of surgery, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
20 citing papers in PubMed, 78 citations in OpenAlex.
- Evaluation of open reduction of distal humerus fractures in children after implementation of an enhanced recovery after surgery program.BMC musculoskeletal disorders · 2022Trial
- Advancing enhanced recovery after surgery protocols for pediatric laparoscopic-assisted small intestinal malformation repair.BMC pediatrics · 2026Article
- Enhanced recovery after surgery protocol implementation in pediatric Meckel's diverticulum resection: A clinical outcome study.World journal of gastrointestinal surgery · 2025Article
- Enhanced recovery after surgery in congenital duodenal obstruction.BMC gastroenterology · 2023Article
- Retroperitoneal localized neuroblastoma in children: a comparison of enhanced recovery after surgery versus traditional care.Pediatric surgery international · 2023Article
- Clinical application of enhanced recovery after surgery concept in laparoscopic treatment of pediatric acute appendicitis.Pediatric surgery international · 2023Article
- Enhanced recovery concepts in paediatric patients who underwent appendectomy: a retrospective cohort study at a tertiary university hospital.The Journal of international medical research · 2023Article
- The impact of enhanced recovery after surgery on inflammatory indicators and prognosis related to complex appendicitis in children.Frontiers in pediatrics · 2023Article
- Article
- Enhanced recovery in children: how could we go further?World journal of pediatric surgery · 2021Article
- Anesthetic Implications of Robotic-Assisted Surgery in Pediatric Patients.Robotic surgery (Auckland) · 2021Review
- Embracing change: the era for pediatric ERAS is here.Pediatric surgery international · 2019Review
- Applying Enhanced Recovery Pathways to Unique Patient Populations.Clinics in colon and rectal surgery · 2019Review
- A review of feeding intolerance in critically ill children.European journal of pediatrics · 2018Review
- Enhancing recovery after minimally invasive repair of pectus excavatum.Pediatric surgery international · 2017Article
- What is the role of enhanced recovery after surgery in children? A scoping review.Pediatric surgery international · 2017Article
- Preparing enhanced recovery after surgery for implementation in pediatric populations.Journal of pediatric surgery · 2016Article
- Fast-track surgery: procedure-specific aspects and future direction.Langenbeck's archives of surgery · 2013Review
- Perioperative analgesia strategies in fast-track pediatric surgery of the kidney and renal pelvis: lessons learned.World journal of urology · 2010Article
- [Fast tracking in pediatric surgery].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2009Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
aimsThe aim of this study was to investigate fast-track concepts in routine pediatric surgery in a university clinic over 1 year. PATIENTS/
methodsFast-track concepts were established for procedures requiring hospital admission in patients up to 15 years of age. Patients were studied prospectively from June 2006 to June 2007.
resultsOut of a total of 436 potentially suitable patients, 155 (36%) were finally treated following the protocols. The mean intensity of pain in children younger than 4 years (CHIPPS, 0-10) was 1.3 +/- 1.5 the evening of the operation day and decreased to <1 at all other time points. The initial postoperative mean pain intensity in older children (Smiley/VAS, 1-10) was 3.7 +/- 2.2 and decreased constantly thereafter. The mean hospital stay of fast-track patients was significantly shorter compared with German diagnosis-related group data (4.6 +/- 2.9 versus 9.7 +/- 3.8, p < 0.01). There were four (3%) readmissions for minor complications. At follow-up after 2 weeks, 95% of patients and parents judged fast-track care as excellent.
conclusionFast-track concepts are feasible in one third of pediatric patients undergoing routine in-hospital surgery. Fast-track pediatric surgery achieves accelerated convalescence, minimal hospital stay, and high patient and parent satisfaction.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.