Evidence map›Paper›PMID 39488659›Full record

ArticlePediatric surgery international2024

Trends and outcomes in pediatric laparoscopic appendectomy: a NSQIP-P analysis of same-day discharge and readmission rates.

John M Woodward, Stephanie F Brierley, Krystle Bittner, Katherine Foote, Hector Osei, Carroll M Harmon, P Benson Ham Iii

Abstract read
PubMed Publisher
In one paragraph

Article in Pediatric surgery international, 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
–field-weighted citation impact
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.

  1. Article
  2. Article
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

7 authors.

John M WoodwardUniversity at Buffalo Department of Surgery, Jacobs School of Medicine and Biomedical Sciences, Buffalo, NY, 14215, USA.ORCID http://orcid.org/0000-0002-6730-950X
Stephanie F BrierleyUniversity at Buffalo Department of Surgery, Jacobs School of Medicine and Biomedical Sciences, Buffalo, NY, 14215, USA.
Krystle BittnerUniversity at Buffalo Division of Pediatric Surgery, Jacobs School of Medicine and Biomedical Sciences, 1001 Main St, Buffalo, NY, 14215, USA.
Katherine FooteJacobs School of Medicine and Biomedical Sciences, Buffalo, NY, 14215, USA.
Hector OseiUniversity at Buffalo Division of Pediatric Surgery, Jacobs School of Medicine and Biomedical Sciences, 1001 Main St, Buffalo, NY, 14215, USA.
Carroll M HarmonUniversity at Buffalo Division of Pediatric Surgery, Jacobs School of Medicine and Biomedical Sciences, 1001 Main St, Buffalo, NY, 14215, USA.
P Benson Ham IiiUniversity at Buffalo Division of Pediatric Surgery, Jacobs School of Medicine and Biomedical Sciences, 1001 Main St, Buffalo, NY, 14215, USA. pham1@kaleidahealth.org.ORCID http://orcid.org/0000-0002-7240-1239

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePractice patterns of same-day discharge for pediatric laparoscopic appendectomy for non-perforated appendicitis are not well-analyzed. Our aim is to evaluate current practice patterns and outcomes of same-day discharge for these patients.

methodsNSQIP-P retrospective registry identified patients (2017-2021) who underwent laparoscopic appendectomy for non-perforated appendicitis. Annual same-day discharge (SDD) rate was determined. SDD patients were compared to those discharged postoperative days 1-2 (non-SDD). Sub-group analysis was performed on ICD-10 code K35.30. Regression was performed.

resultsOverall, 67,214 patients were identified. The SDD rate increased from 33.3% (2017) to 52.5% (2021) with decreased 30-day readmissions between SDD and non-SDD (1.3% vs 2.1%, p < 0.001). Sub-group analysis identified 7,330 patients with SDD rates from 50.7% (2019) to 60.4% (2021) with decreased 30-day readmissions (1.3% vs 2.1%, p < 0.001) for SDD versus non-SDD. No increase in adverse events for SDD occurred in either analysis. Regression identified esophageal/gastric/intestinal diseases increased odds of early readmission or reoperation (OR 1.85, p = 0.042).

conclusionSame-day discharge after pediatric laparoscopic appendectomy for non-perforated acute appendicitis continues to increase in frequency without a significant increase in adverse outcomes. SDD rates are 20-30% lower than previously published single-center studies, indicating there is a likely a larger percentage of patients that could discharge same-day. LEVEL OF EVIDENCE (I-V): Level III.

Indexed as

AppendectomyAppendicitisLaparoscopyPatient DischargePatient ReadmissionAdolescentChildChild, PreschoolFemaleHumansMalePostoperative ComplicationsRegistriesRetrospective StudiesTreatment OutcomeAcute appendicitisLaparoscopic appendectomyNSQIPOvernight stayPediatric surgerySame-day discharge

Identifiers

What OpenQuestion holds

Textmetadata
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.