Efficacy of Fast-track surgery for uncomplicated appendicitis in children

doi:10.3877/cma.j.issn.1674-3946.2019.02.029

Abstract

Abstract:

Objective

To investigate the effect of Fast-track surgery (FTS) for uncomplicated appendicitis in children.

Methods

102 children with uncomplicated appendicitis and received fast-track surgery were selected as FTS group, and another 102 patients with uncomplicated appendicitis but received traditional surgery were selected as the control group from June 2014 to December 2017 in our hospital. The data were analyzed retrospectively. Statistical analysis was performed using SPSS version 24.0. The t-test was used to compare antibiotic dosage, analgesia usage, the number of analgesic usage between groups , the chi-square test was used to compare complication rates, rates of discharge within 24 h of admission between groups. Statistical significance was regarded as P<0.05.

Results

The length of post-operative stay, total length of stay in FTS group were significantly shorter than the traditional group, and the rate of discharge within 24 hours was significantly higher than the traditional group; the average dose of opioids, oxycodone, tramadol, and ondansetron was significantly lower than in the traditional group, and the difference was statistically significant (P<0.05); The direct-cost in the FTS group was significantly lower than that the traditional group [(8796.69±1276.54) Yuan vs. (9784.66±1517.09) Yuan] (P <0.05).

Conclusion

The application of fast-track surgery for uncomplicated appendicitis in children can shorten the total length of stay, reduce the dosage of analgesics, and accelerate the recovery of patients and save the costs.

Key words: Appendicitis, Rehabilitation, Treatment outcome

Chuang Cao, Jiang Wu, Qingrong Huang, Feipeng Xu, Bo Wang. Efficacy of Fast-track surgery for uncomplicated appendicitis in children[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2019, 13(02): 203-205.

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References 17

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组别	术后住院时间	总住院时间	24 h内出院率(n，%)	术后并发症(n，%)
FTS组	18.7±5.8	27.5±15.6	43(42.2)	4(3.9)
传统组	27.9±18.9	39.7±24.6	12(11.8)	6(5.9)
P值	<0.05	<0.05	<0.05	>0.05

组别	术后住院时间	总住院时间	24 h内出院率(n，%)	术后并发症(n，%)
FTS组	18.7±5.8	27.5±15.6	43(42.2)	4(3.9)
传统组	27.9±18.9	39.7±24.6	12(11.8)	6(5.9)
P值	<0.05	<0.05	<0.05	>0.05

项目	FTS组(n＝102)	传统组(n＝102)	P值
抗生素总计(n)	3.5±1.1	3.6±2.6	>0.05
阿片类药物剂量(mg/kg)	0.08±0.10	0.16±0.16	<0.05
羟考酮(n)	0.9±1.3	1.4±1.3	<0.05
曲马多(n)	0.5±0.8	1.0±1.1	<0.05
联合剂量(n)	0.3±0.5	1.1±1.1	<0.05
住院费用(万元)	0.88±1.28	0.98±1.52	<0.05

项目	FTS组(n＝102)	传统组(n＝102)	P值
抗生素总计(n)	3.5±1.1	3.6±2.6	>0.05
阿片类药物剂量(mg/kg)	0.08±0.10	0.16±0.16	<0.05
羟考酮(n)	0.9±1.3	1.4±1.3	<0.05
曲马多(n)	0.5±0.8	1.0±1.1	<0.05
联合剂量(n)	0.3±0.5	1.1±1.1	<0.05
住院费用(万元)	0.88±1.28	0.98±1.52	<0.05

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