Parental satisfaction with same-day discharge after laparoscopic appendectomy for uncomplicated appendicitis

Paediatrics & Child Health
Sandra NgoAlana L Beres

Abstract

Recent studies suggest that same-day discharge is safe for the paediatric population after various laparoscopic procedures. Same-day discharge is increasingly common after laparoscopic surgery for uncomplicated appendicitis although it is not standard practice. This prospective study aims to assess parental satisfaction with same-day discharge after laparoscopic appendectomy for uncomplicated appendicitis. At our institution, 849 patients with uncomplicated acute appendicitis underwent laparoscopic appendectomy in 2016; of which, 382 were discharged on the same calendar day. Postdischarge surveys assessing parental satisfaction were administered by telephone at the 2-week follow-up. Approximately 65% of 185 total parental responses reported initial satisfaction with same-day discharge. About 30% were nervous at that time, and 5% did not feel ready to go home yet. Upon reflection, a higher proportion of parents (81.6%) felt same-day discharge was the appropriate course of action, 11.4% were unsure, and 7.0% would not do it again. Some parents cited concerns regarding pain control and incongruous expectations from conversations with staff or surgical experiences of their own. The majority of parents recalled being happy at discha...Continue Reading

References

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Dec 24, 2005·Annals of Surgery·Omer AzizAra Darzi
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Oct 16, 2016·Pediatric Surgery International·Rebecca M RenteaCharles L Snyder
Nov 20, 2016·Journal of the American College of Surgeons·Andrew ScottArmen Aboulian

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