How Long Does it Take to Diagnose Appendicitis? Time Point Process Mapping in the Emergency Department

Pediatric Emergency Care
Paulette I AbbasAndrea T Cruz

Abstract

Appendicitis is the most common surgical emergency encountered in the pediatric emergency department (ED). We analyzed the time course of children evaluated for suspected appendicitis in relation to implementation of a risk-stratified ultrasound scoring system and structured reporting template (Appy-Score). In July 2013, a 6-level ultrasound (US)-based appendicitis scoring system was developed and implemented. The records of children (age ≤18 years) who underwent limited abdominal US exams for suspected appendicitis at a large academic pediatric ED were reviewed retrospectively. Time periods evaluated were from January 1 to April 1, 2013 (before implementation of the US scoring system, "PRE") and July 1 to October 1, 2013 (after implementation of the US scoring system, "POST"). Times are presented as medians with interquartile range. A total of 926 children were included (median age, 9.5 years [range, 0.1-18 years]; 49% female). Four hundred eighty-one patients were evaluated PRE and 445 POST. When comparing the 2 groups, there were no differences in the PRE and POST periods with regard to time from US ordered to first read (102 vs 112 minutes, P = 0.30), US ordered to disposition (215 vs 208 minutes, P = 0.40) and operating ro...Continue Reading

References

Aug 2, 2007·Pediatric Emergency Care·Mark A HostetlerUNKNOWN Subcommittee on Emergency Department Overcrowding and Children, Section of Pediatric Emergency Medicine, American College of
Dec 20, 2007·Pediatric Emergency Care·Kenneth Yen, Marc H Gorelick
Mar 29, 2014·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Inna ElikashviliJames W Tsung
Aug 1, 2014·International Journal of Health Care Quality Assurance·Byungjoon B J KimDawn B Kendrick

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Citations

May 23, 2020·Orthopaedic Nursing·Kristin OʼMara-GardnerJeffrey M Bair
Feb 19, 2017·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Roshanak BenabbasRichard Sinert
Jun 11, 2019·International Journal of Surgery·Thiago Vinicius Villar Barroso, Andy Petroianu

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