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• W1985385983 abstract "Background: There are only a few reports on the influence of ultrasound (US) diagnosis on the outcome of appendectomies in children. The purpose of this study was to define patterns of care and outcomes of appendectomies in children who underwent preoperative US examinations and compare them with children who did not in two consecutive periods of time. Materials and Methods: This study included 347 consecutive pediatric patients with clinically suspected acute appendicitis, of whom 200 subsequently underwent surgery and were proven to have appendicitis. Two pediatric surgeons clinically evaluated 113 patients (group A) without US examinations over 34 months. The other 87 patients (group B), enrolled in the following 24 months, were referred for US examination before surgery. Graded compression US examination was applied using 7.0–10-MHz linear array transducers. A detailed US examination of the right lower abdomen was followed by a general survey of the whole abdomen to decrease the possibility of misdiagnosis. Costs were compared in the two groups. Results: A total of 153 pediatric patients with acute appendicitis and adequate data were included for cost analysis, 91 in group A (mean age, 8.4 years) and 62 in group B (mean age, 8.2 years). Using the reimbursement code for 1998, the total savings per person was NT$2,210 (US$69) with US diagnosis. If this amount was applied to all 165 patients undergoing appendectomy in 1998 (not only children), the total savings for the year could be as high as NT$364,650 (US$11,395). If a special group of patients with more bizarre clinical patterns were included, the savings per patient would be NT$3,382 (US$106). The total length of hospital stay and complication rate in group A was significantly longer and higher, respectively, than in group B (p < 0.05). Conclusion: Routine US study in pediatric patients with suspected acute appendicitis is a worthwhile diagnostic procedure that may save money, shorten hospital stay, decrease the complication rate, and avert unnecessary surgery." @default.
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• W1985385983 date "2011-08-01" @default.
• W1985385983 modified "2023-09-24" @default.
• W1985385983 title "Ultrasound Diagnosis of Acute Appendicitis: Impact on Cost and Outcome in Pediatric Patients" @default.
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• W1985385983 doi "https://doi.org/10.1016/j.ultrasmedbio.2011.05.184" @default.
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