Fast Track Appendectomy for Suppurative Appendicitis

Not Applicable

Completed

• Conditions: Suppurative Appendicitis
• Interventions: Other: Patients discharged home the same day following appendectomy

• Registration Number: NCT02137603
• Lead Sponsor: Johns Hopkins All Children's Hospital

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 Description

Not available

Study Timeline

• Study Start: 2014-04
• Study First Submitted: 2014-05-07
• Study First Submitted QC: 2014-05-12
• Study First Posted: 2014-05-14
• Primary Completion: 2014-12
• Study Completion: 2014-12
• Results First Submitted: 2015-07-08
• Results First Submitted QC: 2015-08-12
• Results First Posted: 2015-09-15
• Status Verified: 2023-06
• Last Update Submitted: 2023-06-28
• Last Update Posted: 2023-07-03

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 36

Inclusion Criteria

• Pediatric patients aged 5-18
• Diagnosis of appendicitis and scheduled for appendectomy during the hours of 0600-1800.
• Intraoperative findings of suppurative appendicitis

Exclusion Criteria

• Pregnancy
• Complex medical history not appropriate for same day discharge

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Fast track	Patients discharged home the same day following appendectomy	Patients discharged home the same day following appendectomy

Primary Outcome Measures

Name	Time	Method
Post Operative Length of Stay	Post anesthesia care unit arrival to discharge home, an expected average of up to 48 hours

Secondary Outcome Measures

Name	Time	Method
Thirty Day Complication Rate	Thirty days	Superficial wound infection, deep organ space infection, ileus or bowel obstruction requiring hospitalization or re-operation

Trial Locations

Locations (1)

Johns Hopkins All Children's Hospital; 🇺🇸 Saint Petersburg, Florida, United States