An interventional study of Patients discharged home the same day following appendectomy in Suppurative Appendicitis, sponsored by Johns Hopkins All Children's Hospital. Completed at 1 site in United States. Open to participants aged 5 Years to 18 Years. Per ClinicalTrials.gov, last updated 2023-07-03.
Sponsored by Johns Hopkins All Children's Hospital · Not applicable, Interventional, and Other
The literature has reported that fast track surgery can be safely applied to children undergoing appendectomy for acute appendicitis. There is no current evidence regarding the application of same day discharge protocol in children with intra-operative findings of suppurative appendicitis. The current standard of care for patients who present with intra-operative findings of suppurative appendicitis includes post-operative admission and treatment with intravenous antibiotics. Patients are discharged home once they have met the following discharge criteria: temperature less than 38.5 degrees Celsius, pain control with oral pain medication, and tolerating a liquid diet. Given the evidence in the literature that has shown that same day discharge of patients with acute appendicitis is safe and effective, we propose that fast track surgery protocol can be safely applied to patients with intraoperative findings of suppurative appendicitis. We hypothesize that this will result in a decreased postoperative length of stay, without an increase in 30-day complication rate.
419 studies on the registry are indexed under Appendicitis; 67 are open to participants now.
This study's enrollment of 36 is below the median of 111 across 252 interventional studies indexed under Appendicitis.
Browse Appendicitis studies →Johns Hopkins All Children's Hospital is the lead sponsor of 25 studies on the registry; 6 are open to participants now.
Of its 5 completed or terminated interventional studies of FDA-regulated products, 5 (100%) have results posted.
Counted across the registry records on this site, refreshed daily.
Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.
Exclusion Criteria:
Patients discharged home the same day following appendectomy
Other: Patients discharged home the same day following appendectomy
Patients are admitted to the inpatient unit following appendectomy for suppurative appendicitis and treated per the current standard of care.
Patients are discharged to home on the same day following appendectomy with oral antibiotics.
Post Operative Length of Stay
Time frame: Post anesthesia care unit arrival to discharge home, an expected average of up to 48 hours
Thirty Day Complication Rate
Superficial wound infection, deep organ space infection, ileus or bowel obstruction requiring hospitalization or re-operation
Time frame: Thirty days
| Milestone | Fast Track | Admission |
|---|---|---|
| Started | 18 | 18 |
| Completed | 16 | 18 |
| Not completed | 2 | 0 |
| Hours | Fast Track | Admission |
|---|---|---|
| Post Operative Length of Stay | 8.2 ± 18.7 | 23.4 ± 4.2 |
Superficial wound infection, deep organ space infection, ileus or bowel obstruction requiring hospitalization or re-operation
| participants | Fast Track | Admission |
|---|---|---|
| Thirty Day Complication Rate | 2 | 1 |
Collected over Thirty days. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Fast Track | — | 0/18 (0%) | 0/18 (0%) |
| Admission | — | 0/18 (0%) | 0/18 (0%) |
| Age, Categorical(Participants) | Fast Track | Admission | Total |
|---|---|---|---|
| <=18 years | 18 | 18 | 36 |
| Between 18 and 65 years | 0 | 0 | 0 |
| >=65 years | 0 | 0 | 0 |
| Age, Continuous(years) | Fast Track | Admission | Total |
|---|---|---|---|
| Mean | 10.8 ± 3.4 | 11.6 ± 3.5 | 11.2 ± 3.4 |
| Sex: Female, Male(Participants) | Fast Track | Admission | Total |
|---|---|---|---|
| Female | 8 | 5 | 13 |
| Male | 10 | 13 | 23 |
| Region of Enrollment(participants) | Fast Track | Admission | Total |
|---|---|---|---|
| United States | 18 | 18 | 36 |
The record gives a start of Apr 2014, a primary completion of Dec 2014 and a completion of Dec 2014. It does not say whether these dates are actual or estimated.
Results were first posted in Sep 2015, 9 months after primary completion.
How these figures are worked out, and which studies are left out of them.
This study is completed, as verified in Jun 2023. You cannot join it, but the record below documents what was studied.
Get an email when the registry record changes — status, dates, results — or when someone posts here.
Sign in to followQuestions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.
Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.
Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.
Johns Hopkins All Children's Hospital