Management and outcomes of acute appendicitis in children with congenital heart disease
Topic overview
This retrospective study of over 319,000 pediatric appendicitis cases reveals that children with congenital heart disease undergo open appendectomy more frequently than laparoscopic approaches, require ICU admission 8 times more often, and experience significantly longer hospital stays compared to non-CHD patients.
Key takeaways
- Children with CHD are more likely to undergo open appendectomy rather than laparoscopic approach compared to non-CHD patients.
- CHD patients with appendicitis have 8-fold increased odds of ICU admission and 78% longer hospital length of stay.
- Conservative antibiotic-only management is more common in CHD patients (24%) versus general pediatric population (19%).
- Single-ventricle CHD represents 12% of pediatric CHD patients presenting with acute appendicitis.
- Surgical approach decisions in CHD patients may be driven by cardiac complexity rather than appendicitis severity alone.
Keywords
Hashtags
Full article text
Full article text not available for this entry
How to cite: GlobalCastMD. Management and outcomes of acute appendicitis in children with congenital heart disease. GlobalCastMD Medical Library. 2024-10-24. https://dev.library.globalcastmd.com/article/9341?via_space=staycurrentmd
Comments