Shannon L Cramm, Dionne A Graham, Martin L Blakely, Nicole M Chandler, Robert A Cowles, Shaun M Kunisaki, Robert T Russell, Myron Allukian, Jennifer R DeFazio, Cornelia L Griggs, Matthew T Santore, Stefan Scholz, Danielle I Aronowitz, Brendan T Campbell, Devon T Collins, Sarah J Commander, Abigail Engwall-Gill, Joseph R Esparaz, Christina Feng, Claire Gerall, David N Hanna, Olivia A Keane, Abdulraouf Lamoshi, Aaron M Lipskar, Claudia P Orlas Bolanos, Elizabeth Pace, Maia D Regan, Elisabeth T Tracy, Sacha Williams, Lucy Zhang, Shawn J Rangel
BACKGROUND: The objective was to explore the hospital-level relationship between routine pre-discharge WBC utilization (RPD-WBC) and outcomes in children with complicated appendicitis. METHODS: Multicenter analysis of NSQIP-Pediatric data from 14 consortium hospitals augmented with RPD-WBC data. WBC were considered routine if obtained within one day of discharge in children who did not develop an organ space infection (OSI) or fever during the index admission. Hospital-level observed-to-expected ratios (O/E) for 30-day outcomes (antibiotic days, imaging utilization, healthcare days, and OSI) were calculated after adjusting for appendicitis severity and patient characteristics...
June 2023: Journal of Pediatric Surgery