Navigation Links
Delayed pediatric appendicitis treatment linked to complications, and even death
Date:10/14/2011

BOSTON - An in-hospital delay of appendicitis treatment beyond two days was linked to an increased likelihood of complications, including perforation and abscess formation; longer hospitalization; increased costs; and more rarely, death, according an abstract presented Saturday, Oct. 15 at the American Academy of Pediatrics (AAP) National Conference and Exhibition in Boston.

In "Missed Opportunities in the Treatment of Pediatric Appendicitis," researchers reviewed National Inpatient Sample (NIS) data on nearly 800,000 appendectomies, the most common inpatient surgical procedure in children. The study identified 17,737 children under age 18 who experienced delayed treatment, with a mean time interval from hospital arrival to appendectomy of 4.5 days.

These children had an increased perforated appendicitis (22.6 percent compared to an 18.9 percent rate for children receiving more immediate treatment) and a 20-fold increase in mortality 0.68 percent versus 0.03 percent. Mean hospital stays for the delayed treatment group were more than 10 days compared to 2.89 days; and total cost was $54,172 versus nearly $18,000 for children treated within two days of hospital admission.

"An in-hospital delay of two days was associated with a significant increase in complicated appendicitis requiring more extensive procedures," said Justin Lee, MD, lead author of the study. The increase in procedures included a 13-fold increase in drainage procedures, a 6-fold increase in cecectomies and 14-fold increase in hemicolectomies both surgeries to remove a portion of a child's colon.

The risks are especially acute for children living with other diseases.

"Another very important finding is the higher incidences of co-morbid diseases in the delayed treatment group," said Dr. Lee. Children with acute lymphoblastic leukemia, acute myelogenous leukemia, neutropenia and ovarian cyst without torsion were more likely to receive treatment two days after hospitalization.

"These specific comorbid conditions may suggest that there is a high-risk group of patients who may present with more advanced stages of disease or missed diagnosis during hospitalization," Dr. Lee said. "Future systemic approaches to early identification of those at highest risk may decrease in-hospital delay, while also reducing economic burden of complicated appendicitis and surgical complications."


'/>"/>
Contact: Susan Martin
ssmartin@aap.org
847-434-7131
American Academy of Pediatrics
Source:Eurekalert

Related medicine news :

1. Pain Relief Often Delayed for Cancer Patients
2. Delayed retirement among Americans may bolster future of Social Security and Medicare, study finds
3. $18.5 Million New Jersey Medical Malpractice Birth Injury Verdict Due To Cerebral Palsy Caused By A Delayed C-Section
4. New study confirms positive effects of delayed school start times
5. For HIV-positive patients, delayed treatment a costly decision
6. Denosumab delayed time to first skeletal-related side effect
7. Study shows delayed-enhancement MRI may predict, prevent strokes
8. Common insecticide used in homes associated with delayed mental development of young children
9. Taking Chemo Drug Continuously Delayed Lung Cancers Return
10. Delayed access to tertiary care associated with higher death rate from type of pulmonary fibrosis
11. 40-year follow-up on marshmallow test points to biological basis for delayed gratification
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:12/2/2016)... ... December 02, 2016 , ... On Dec. 2, 2016, CURE® magazine will ... Diego honoring the 2016 MPN Heroes—eight individuals who have made a difference in the ... beyond the standard of care, demonstrating leadership within the MPN community and/or a commitment ...
(Date:12/2/2016)... ... December 02, 2016 , ... More than 100 business, civic, ... to attend the UNCF Dothan-Wiregrass Mayor’s Luncheon Dec. 9, 2016. This inaugural event, ... and operating support to UNCF-member institutions, including Miles College, Oakwood University, Tuskegee University, ...
(Date:12/2/2016)... ... December 02, 2016 , ... ... launch of its 60-day free trial program for all of the company’s desktop ... offer a truly hassle free experience. , FlexiSpot’s unique desktop risers use an ...
(Date:12/2/2016)... ... 2016 , ... The annual time frame to change Medicare health and prescription ... December 7th. Currently-enrolled Medicare beneficiaries who are looking to switch from their current plan ... to make changes during this period order for their new policy to go into ...
(Date:12/2/2016)... ... December 02, 2016 , ... With the number of pain ... an injury, patients must find the one that works for them. When an inventor ... a machine that worked and decided to share it with others. , He developed ...
Breaking Medicine News(10 mins):
(Date:12/2/2016)... In the first ever attempt to include ... from C. sativa, the Hebrew University in Jerusalem, the ... II , the Universita` del Piemonte Orientale and Phytoplant ... and unified inventory of phytocannabinoids of different botanical origin. ... remarkable chemical and structural diversity of phytocannabinoids. As a ...
(Date:12/2/2016)... bioLytical Laboratories, ein Weltführer bei schnellen Tests für Infektionskrankheiten, hat sein ... eingeführt. Continue Reading ... ... , ... ) bioLytical wurde durch die Clinton Health Access ...
(Date:12/2/2016)... N.J. , Dec. 2, 2016   CytoSorbents ... immunotherapy leader commercializing its European Union approved CytoSorb ... and cardiac surgery patients worldwide, announced that Dr. ... the 9th Annual LD Micro Main Event ... , 2016 at the Luxe Sunset Boulevard Hotel in ...
Breaking Medicine Technology: