Clinical Trial: Fast Track Appendectomy for Suppurative Appendicitis
Study Status: Completed
Recruit Status: Completed
Study Type: Interventional
Official Title: Fast Track Appendectomy in Pediatric Patients With Intraoperative Findings of Suppurative Appendicitis
Brief Summary: 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.
Detailed Summary:
Sponsor: Johns Hopkins All Children's Hospital
Current Primary Outcome: Post Operative Length of Stay [ Time Frame: Post anesthesia care unit arrival to discharge home, an expected average of up to 48 hours ]
Original Primary Outcome: Same as current
Current Secondary Outcome: Thirty Day Complication Rate [ Time Frame: Thirty days ]
Original Secondary Outcome: Same as current
Information By: Johns Hopkins All Children's Hospital
Dates:
Date Received: May 7, 2014
Date Started: April 2014
Date Completion:
Last Updated: March 1, 2017
Last Verified: March 2017
