Key result
Emergency appendicectomy for pediatric appendicular mass is linked to ~50% shorter hospitalization versus conservative management.
Why the study?
The study was conducted to compare conservative treatment followed by interval appendicectomy versus emergency appendicectomy for managing appendicular masses in children.
Does conservative management followed by interval appendicectomy improve outcomes compared to emergency appendicectomy in pediatric patients with appendicular masses?
Population
64 children diagnosed with appendicular masses
Comparison
Conservative treatment followed by interval appendicectomy vs emergency appendicectomy
Design
Retrospective review
Authors
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Emergency appendicectomy was associated with shorter hospitalization in pediatric appendicular mass; hypothesis-generating and requires randomized confirmation before practice change.
Cohort (n=64)
No
Does conservative management followed by interval appendicectomy improve outcomes compared to emergency appendicectomy in pediatric patients with appendicular masses?
Absolute Event Rate: 5% vs 10%
p-value: p=<0.0001
Emergency appendicectomy for pediatric appendicular masses is more cost-effective with a shorter hospital stay and similar complication rates compared to the traditional conservative management followed by interval appendicectomy.
Widatella et al. (2023) conducted a cohort in Appendicular mass in acute appendicitis (n=64). Emergency Appendicectomy vs. Conservative management followed by interval appendicectomy was evaluated on Median duration of hospitalization (days) (p=<0.0001). Emergency appendicectomy for appendicular mass in children significantly reduced the median duration of hospitalization compared to conservative management followed by interval appendicectomy (5 days vs 10 days, p<0.0001).
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