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Appendicitis

Pathway Background and Objectives

Abdominal pain is a common reason for presentation to the Emergency Department, pediatric and surgical offices, and appendicitis is a common surgical etiology for this type of pain. Over the years, the American Pediatric Surgical Association has altered their guidelines for the management of pediatric appendicitis to help decrease the following: number of CT scans used for diagnosis, inappropriate antibiotic choices and duration, need for inpatient management post-operatively.

The Connecticut Children’s clinical pathway was developed to ensure an optimal consistent approach to the surgical management of children who present with appendicitis by:

  • Standardizing care of children with both simple and complicated (perforated) appendicitis
  • Providing evidence-based recommendations for key elements of care for appendicitis
  • Clearly delineating discharge criteria

Algorithm

Download Appendicitis Pathway Algorithm

Quality Metrics:

  • Percentage of eligible patients treated per pathway
  • Percentage of eligible patients with appendicitis order set usage
  • Percentage of patients with appropriate post-op antibiotic selection
  • Average duration of post-op antibiotic course (days) for complicated appendicitis
  • Mean length of stay (simple, complicated stratified)

Educational Module

Download Appendicitis Educational Module

Key References

Pathway Contacts

  • Christine Rader, MD
  • Brendan Campbell, MD, MPH

Disclaimer

The clinical pathways in the above links have been developed specifically for use at Connecticut Children’s and are made available publicly for informational and/or educational purposes only. The clinical pathways are not intended to be, nor are they, a substitute for individualized professional medical judgment, advice, diagnosis, or treatment. Although Connecticut Children’s makes all efforts to ensure the accuracy of the posted content, Connecticut Children’s makes no warranty of any kind as to the accuracy or completeness of the information or its fitness for use at any particular facility or in any individual case.

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