The literature has reported that fast track surgery can be safely applied to children undergoing appendectomy for acute appendicitis. There is no current evidence regarding the application of same day discharge protocol in children with intra-operative findings of suppurative appendicitis. The current standard of care for patients who present with intra-operative findings of suppurative appendicitis includes post-operative admission and treatment with intravenous antibiotics. Patients are discharged home once they have met the following discharge criteria: temperature less than 38.5 degrees Celsius, pain control with oral pain medication, and tolerating a liquid diet. Given the evidence in the literature that has shown that same day discharge of patients with acute appendicitis is safe and effective, we propose that fast track surgery protocol can be safely applied to patients with intraoperative findings of suppurative appendicitis. We hypothesize that this will result in a decreased postoperative length of stay, without an increase in 30-day complication rate.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
36
Patients are discharged to home on the same day following appendectomy with oral antibiotics.
Johns Hopkins All Children's Hospital
St. Petersburg, Florida, United States
Post Operative Length of Stay
Time frame: Post anesthesia care unit arrival to discharge home, an expected average of up to 48 hours
Thirty Day Complication Rate
Superficial wound infection, deep organ space infection, ileus or bowel obstruction requiring hospitalization or re-operation
Time frame: Thirty days
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