Weekend vs. weekday appendectomy for complicated appendicitis, effects on outcomes and operative approach

Rebecca S. Lane, Jun Tashiro, Brandon W. Burroway, Eduardo Perez, Juan E Sola

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Purpose: We hypothesized that laparoscopic (LA) or open appendectomy (OA) outcomes in complicated appendicitis are associated with weekend vs. weekday procedure date. Methods: We queried the Kids’ Inpatient Database (1997–2012) for complicated (540.0, 540.1) appendicitis treated with LA or OA. Propensity score (PS)-matched analysis compared outcomes associated with weekend vs. weekday LA and OA. Results: Overall, 103,501 cases of complicated appendicitis were identified. On 1:1 PS-matched analyses of complicated appendicitis, weekday OA had increased wound infection rates (odds ratio: 1.3) vs. weekend OA, p < 0.001. Weekend OA had higher pneumonia rates (1.4) and longer length of stay, but lower home healthcare requirement following discharge vs. weekday OA, p < 0.05. Weekend and weekday LA had no significant outcome differences. Conclusion: On a PS-matched comparison of appendectomies performed for complicated appendicitis on weekends and weekdays, procedure day is associated with different complication rates and resource utilization for OA. For LA, no weekend effect was noted for complicated appendicitis. To ensure the optimal patient care, prospective studies should be sought to identify causes of complications dependent on the day of procedure.

Original languageEnglish (US)
Pages (from-to)1-8
Number of pages8
JournalPediatric Surgery International
DOIs
StateAccepted/In press - Apr 6 2018

Fingerprint

Appendectomy
Appendicitis
Propensity Score
Wound Infection
Inpatients
Length of Stay
Pneumonia
Patient Care
Odds Ratio
Databases
Prospective Studies
Delivery of Health Care

Keywords

  • Appendectomy
  • Laparoscopy

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery

Cite this

Weekend vs. weekday appendectomy for complicated appendicitis, effects on outcomes and operative approach. / Lane, Rebecca S.; Tashiro, Jun; Burroway, Brandon W.; Perez, Eduardo; Sola, Juan E.

In: Pediatric Surgery International, 06.04.2018, p. 1-8.

Research output: Contribution to journalArticle

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