Evidence map›Paper›PMID 38391848›Full record

ArticleHealthcare (Basel, Switzerland)2024

Reducing Post-Operative Hospital Length of Stay following Uncomplicated Appendectomy in Pediatric Patients: A Prospective Clinical Study.

Michelle A Jeski, Jennifer D Stanger, Melissa S Schafer, Andrew W Osten, Gregory P Conners

Open access · goldAbstract read
In one paragraph

Article in Healthcare (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
2.8field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Michelle A JeskiDepartment of Nursing, Upstate Golisano Children's Hospital, Upstate Medical University, Syracuse, NY 13210, USA.
Jennifer D StangerDepartment of Surgery, Norton College of Medicine, Upstate Golisano Children's Hospital, Upstate Medical University, Syracuse, NY 13210, USA.
Melissa S SchaferDepartment of Pediatrics, Norton College of Medicine, Upstate Golisano Children's Hospital, Upstate Medical University, Syracuse, NY 13210, USA.
Andrew W OstenDepartment of Pediatrics, Norton College of Medicine, Upstate Golisano Children's Hospital, Upstate Medical University, Syracuse, NY 13210, USA.ORCID 0000-0003-3179-5902
Gregory P ConnersDepartment of Pediatrics, Norton College of Medicine, Upstate Golisano Children's Hospital, Upstate Medical University, Syracuse, NY 13210, USA.
SUNY Upstate Medical University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

An uncomplicated appendectomy in children is common. Safely minimizing the post-operative length of stay is desirable from hospital, patient, and parent perspectives. In response to an overly long mean length of stay following uncomplicated appendectomies in children of 2.5 days, we developed clinical pathways with the goal of safely reducing this time to 2.0 or fewer days. The project was conducted in an urban, academic children's hospital. The pathways emphasized the use of oral, non-narcotic pain medications; the education of parents and caregivers about expectations regarding pain control, oral food intake, and mobility; and the avoidance of routine post-operative antibiotic use. A convenience sample of 46 patients aged 3-16 years old was included to evaluate the safety and efficacy of the intervention. The mean post-operative length of stay was successfully reduced by 80% to 0.5 days without appreciable complications associated with earlier discharge. The hospital length of stay following an uncomplicated appendectomy in children may be successfully and safely reduced through the use of carefully devised, well-defined, well-disseminated clinical pathways.

Indexed as

appendicitislaparoscopylength of staypediatricspost-operativequality improvement

Identifiers

PMID38391848
PMCPMC10888031
OpenAlexW4391811171

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.