Why the study?
Does operation in District General Hospitals increase adverse surgical outcomes in children undergoing emergency appendectomy compared to Specialist Pediatric Surgical Centers?
Does operation in District General Hospitals increase adverse surgical outcomes in children undergoing emergency appendectomy compared to Specialist Pediatric Surgical Centers?
Pediatric emergency appendectomies performed in District General Hospitals are associated with worse 30-day postoperative outcomes compared to those performed in Specialist Pediatric Surgical Centers.
Answers are grounded in this paper and cite their sources.
Supports SPC referral for pediatric appendectomy; leaves open causality after confounder adjustment in this Level 3 cohort.
Major reductions in the number of pediatric emergency appendectomies in England over the past decade were associated with an overall increase in adverse surgical outcomes. Children operated in DGHs have more reinterventions, complications, and negative appendectomy rates than those operated in SPCs.
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Giuliani et al. (2015) studied this question.
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