Variation in the Diagnosis and Management of Appendicitis at Canadian Pediatric Hospitals
| Autor: | Jennifer Kilgar, Suzanne Schuh, John Martin, Natalia Liston, Brent E Hagel, Graham C. Thompson, Sarah Reid, Geoffrey K. Blair, Troy W. S. Turner, Maala Bhatt, Jocelyn Gravel, Eleanor Fitzpatrick, Robin Eccles, Darcy Beer, Alberto Nettel-Aguirre, Sarah A. Jones |
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| Rok vydání: | 2015 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Canada Adolescent Perforation (oil well) Logistic regression medicine Appendectomy Humans Prospective Studies Practice Patterns Physicians' Prospective cohort study Child Generalized estimating equation Retrospective Studies Ultrasonography business.industry Medical record Retrospective cohort study General Medicine medicine.disease Appendicitis Hospitals Pediatric Triage Anti-Bacterial Agents Analgesics Opioid Logistic Models Child Preschool Emergency Medicine Female business Emergency Service Hospital Tomography X-Ray Computed Biomarkers |
| Zdroj: | Paediatrics Publications |
| Popis: | Objectives The objective was to characterize the variations in practice in the diagnosis and management of children admitted to hospitals from Canadian pediatric emergency departments (EDs) with suspected appendicitis, specifically the timing of surgical intervention, ED investigations, and management strategies. Methods Twelve sites participated in this retrospective health record review. Children aged 3 to 17 years admitted to the hospital with suspected appendicitis were eligible. Site-specific demographics, investigations, and interventions performed were recorded and compared. Factors associated with after-hours surgery were determined using generalized estimating equations logistic regression. Results Of the 619 children meeting eligibility criteria, surgical intervention was performed in 547 (88%). After-hours surgery occurred in 76 of the 547 children, with significant variation across sites (13.9%, 95% confidence interval = 7.1% to 21.6%, p |
| Databáze: | OpenAIRE |
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