Journal article
Time to appendectomy for acute appendicitis: A systematic review
Journal of pediatric surgery, Vol.53(3), pp.396-405
03/2018
DOI: 10.1016/j.jpedsurg.2017.11.042
PMID: 29241958
Abstract
The goal of this systematic review by the American Pediatric Surgical Association Outcomes and Evidence-Based Practice Committee was to develop recommendations regarding time to appendectomy for acute appendicitis in children within the context of preventing adverse events, reducing cost, and optimizing patient/parent satisfaction.
The committee selected three questions that were addressed by searching MEDLINE, Embase, and the Cochrane Library databases for English language articles published between January 1, 1970 and November 3, 2016. Consensus recommendations for each question were made based on the best available evidence for both children and adults.
Based on level 3–4 evidence, appendectomy performed within 24h of admission in patients with acute appendicitis does not appear to be associated with increased perforation rates or other adverse events. Based on level 4 evidence, time from admission to appendectomy within 24h does not increase hospital cost or length of stay (LOS). Data are currently limited to determine an association between the timing of appendectomy and parent/patient satisfaction.
There is a paucity of high-quality evidence in the literature regarding timing of appendectomy for patients with acute appendicitis and its association with adverse events or resource utilization. Based on available evidence, appendectomy performed within the first 24h from presentation is not associated with an increased risk of perforation or adverse outcomes.
Systematic Review of Level 1–4 studies
Details
- Title: Subtitle
- Time to appendectomy for acute appendicitis: A systematic review
- Creators
- Danielle B Cameron - Department of Surgery, Boston Children's Hospital, Boston, MARegan Williams - Department of Surgery, Le Bonheur Children's Hospital, University of Tennessee Health Science Center, Memphis, TNYimin Geng - University of Texas, MD Anderson Cancer Center, Houston, TXAnkush Gosain - Department of Surgery, Le Bonheur Children's Hospital, University of Tennessee Health Science Center, Memphis, TNMeghan A Arnold - Department of Surgery, Section of Pediatric Surgery, University of Michigan, CS Mott Children's Hospital, Ann Arbor, MIYigit S Guner - Department of Surgery, University of California Irvine and Division of Pediatric Surgery Children's Hospital of Orange CountyMartin L Blakely - Department of Pediatric Surgery, Monroe Carell Jr. Children's Hospital at Vanderbilt, Vanderbilt University School of Medicine, Nashville, TNCynthia D Downard - Division of Pediatric Surgery, Department of Surgery, University of Louisville, Louisville, KYAdam B Goldin - Division of Pediatric General and Thoracic Surgery, Seattle Children's Hospital, Seattle, WAJulia Grabowski - Division of Pediatric Surgery, Ann and Robert H. Lurie Children's Hospital, Northwestern University, Chicago, ILDave R Lal - Division of Pediatric Surgery, Department of Surgery, Medical College of Wisconsin, Milwaukee, WIRoshni Dasgupta - Division of Pediatric General and Thoracic Surgery, Cincinnati Children's HospitalRobert Baird - Division of Pediatric General and Thoracic Surgery, Montreal Children's Hospital, QC, CanadaRobert L Gates - Division of Pediatric Surgery, Greenville Health System, Greenville, SCJulia Shelton - Division of Pediatric Surgery, University of Iowa Stead Family Children's Hospital, Iowa City, IATim Jancelewicz - Department of Surgery, Le Bonheur Children's Hospital, University of Tennessee Health Science Center, Memphis, TNShawn J Rangel - Department of Surgery, Boston Children's Hospital, Boston, MAMary T Austin - Division of Pediatric Surgery, University of Texas Health Science Center at Houston, Houston, TX
- Resource Type
- Journal article
- Publication Details
- Journal of pediatric surgery, Vol.53(3), pp.396-405
- Publisher
- Elsevier Inc
- DOI
- 10.1016/j.jpedsurg.2017.11.042
- PMID
- 29241958
- ISSN
- 0022-3468
- eISSN
- 1531-5037
- Language
- English
- Date published
- 03/2018
- Academic Unit
- Stead Family Department of Pediatrics; Surgery
- Record Identifier
- 9984051596802771
Metrics
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