Treatment of perforated appendicitis in children: what is the cost?
| Autor: | Sharon Fisher, Gisele Charron, Catherine E. Calvert, Sarah A. Tracy, Catherine Chen, Kate V. Dennett, David Zurakowski |
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| Rok vydání: | 2012 |
| Předmět: |
Adult
Pediatrics medicine.medical_specialty Abdominal Abscess Adolescent symbols.namesake Indirect costs Hospitals Urban Cost of Illness Interquartile range Absenteeism medicine Appendectomy Humans Prospective Studies Hospital Costs Child Prospective cohort study Fisher's exact test medicine.diagnostic_test business.industry Disease Management Interventional radiology General Medicine Length of Stay Appendicitis Hospitals Pediatric medicine.disease Anti-Bacterial Agents Surgery Parenteral nutrition Caregivers Child Preschool Pediatrics Perinatology and Child Health symbols Drainage Health Expenditures business Body mass index Boston |
| Zdroj: | Journal of Pediatric Surgery. 47:1177-1184 |
| ISSN: | 0022-3468 |
| DOI: | 10.1016/j.jpedsurg.2012.03.024 |
| Popis: | Background/Purpose We compared direct hospital costs and indirect costs to the family associated with immediate appendectomy or initial nonoperative management for perforated appendicitis in children. Methods From June 2009 through May 2010, 61 prospectively identified families completed a cost diary, documenting the numbers of missed school days for the child and missed employment days for the adult caregiver(s) over the treatment course. Hospital costs were obtained from hospital financial databases. Mann-Whitney U tests and Fisher exact tests were used to compare outcome measures for each treatment strategy. Results Patients treated by initial nonoperative management had a significantly longer median length of stay (9 days vs 7 days, P = .02) and a significantly greater median total hospital cost per patient ($31,349 vs $21,323, P = .01) when compared with those treated by immediate appendectomy. There was no significant difference in median number of missed school days (9 days vs 10 days, P = .23) or missed employment days for adult caregiver(s) (5 days vs 7 days, P = .18) between treatment strategies. Conclusions Patients with perforated appendicitis treated by initial nonoperative management had a greater length of stay and a significantly greater total hospital cost but were not burdened by significantly greater indirect costs compared with those treated by immediate appendectomy. |
| Databáze: | OpenAIRE |
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