prikaz prve stranice dokumenta Evaluation of one day discharge after the laparoscopic appendectomy in children operated for uncomplicated appendicitis at Department of pediatric surgery, University hospital of Split
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diplomski rad
Evaluation of one day discharge after the laparoscopic appendectomy in children operated for uncomplicated appendicitis at Department of pediatric surgery, University hospital of Split
2022. urn:nbn:hr:171:124612
Tesch, Alexander
Sveučilište u Splitu
Medicinski fakultet

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Tesch, A. (2022). Evaluation of one day discharge after the laparoscopic appendectomy in children operated for uncomplicated appendicitis at Department of pediatric surgery, University hospital of Split (Diplomski rad). Split: Sveučilište u Splitu, Medicinski fakultet. Preuzeto s https://urn.nsk.hr/urn:nbn:hr:171:124612

Tesch, Alexander. "Evaluation of one day discharge after the laparoscopic appendectomy in children operated for uncomplicated appendicitis at Department of pediatric surgery, University hospital of Split." Diplomski rad, Sveučilište u Splitu, Medicinski fakultet, 2022. https://urn.nsk.hr/urn:nbn:hr:171:124612

Tesch, Alexander. "Evaluation of one day discharge after the laparoscopic appendectomy in children operated for uncomplicated appendicitis at Department of pediatric surgery, University hospital of Split." Diplomski rad, Sveučilište u Splitu, Medicinski fakultet, 2022. https://urn.nsk.hr/urn:nbn:hr:171:124612

Tesch, A. (2022). 'Evaluation of one day discharge after the laparoscopic appendectomy in children operated for uncomplicated appendicitis at Department of pediatric surgery, University hospital of Split', Diplomski rad, Sveučilište u Splitu, Medicinski fakultet, citirano: 25.02.2025., https://urn.nsk.hr/urn:nbn:hr:171:124612

Tesch A. Evaluation of one day discharge after the laparoscopic appendectomy in children operated for uncomplicated appendicitis at Department of pediatric surgery, University hospital of Split [Diplomski rad]. Split: Sveučilište u Splitu, Medicinski fakultet; 2022 [pristupljeno 25.02.2025.] Dostupno na: https://urn.nsk.hr/urn:nbn:hr:171:124612

A. Tesch, "Evaluation of one day discharge after the laparoscopic appendectomy in children operated for uncomplicated appendicitis at Department of pediatric surgery, University hospital of Split", Diplomski rad, Sveučilište u Splitu, Medicinski fakultet, Split, 2022. Dostupno na: https://urn.nsk.hr/urn:nbn:hr:171:124612

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NaslovEvaluation of one day discharge after the laparoscopic appendectomy in children operated for uncomplicated appendicitis at Department of pediatric surgery, University hospital of Split
Naslov (hrvatski)Evaluacija otpusta djece, operirane laparoskopskim putem zbog nekompliciranog akutnog apendicitisa, s bolničkog liječenja na kućnu njegu, unutar jednog dana od zahvata
AutorAlexander Tesch
MentorMiro Jukić (mentor)
Član povjerenstvaZenon Pogorelić (predsjednik povjerenstva)
Član povjerenstvaDavor Todorić (član povjerenstva)
Član povjerenstvaJasenka Kraljević (član povjerenstva)
Ustanova koja je dodijelila
akademski / stručni stupanj		Sveučilište u Splitu
Medicinski fakultet
Split
Datum i država obrane2022, Hrvatska
Znanstveno / umjetničko
područje, polje i grana		BIOMEDICINA I ZDRAVSTVO
Kliničke medicinske znanosti
Kirurgija
Sažetak
Objectives: The aim of this study was to determine the safety and parental satisfaction of discharge home within 24 hours after laparoscopic appendectomy for uncomplicated acute appendicitis (AA). Patients and Methods: From March 1st, 2021, to May 1st, 2022, a total of 180 patients were included in the study. All patients, ages 6 to 17, who underwent laparoscopic appendectomy for uncomplicated AA and were discharged to home care within 24 hours of the procedure, performed by three... Više pediatric surgeons, were included in this prospective non-randomized cohort study. Demographic data, input characteristics, duration of surgery, intraoperative and postoperative complications, treatment outcomes as well as parental satisfaction and pain levels were recorded. Results: The median age was 11 years (IQR 10, 14). Slightly male predominance 63.8% (n = 115) was recorded. The median postoperative hospital stay was 15 hours (IQR 12, 19). The majority of parents (n = 155, 86.1%) expressed the highest satisfaction at the day of discharge, while the remaining 25 (13.8%) expressed moderate satisfaction. Median pain levels according to VAS for all postoperative days were low, counting: 4 (IQR 4, 6), 2 (IQR 2, 5), 2 (IQR 0, 4), 1 (IQR 0, 2), 0 (IQR 0, 2) and 0 (IQR 0, 0) for 1st, 2nd, 3rd, 4th, 5th, and 6th-7th postoperative day, respectively. Four patients (2.2%) had an unplanned readmission to hospital treatment before the 7th postoperative day because of postoperative abscess and were treated conservatively. Almost all parents (n = 175, 97.2%) expressed the highest level of satisfaction during the outpatient follow-up examination on day 7. Conclusion: Discharge, for home care, within 24 hours after laparoscopic appendectomy due to uncomplicated AA in children is safe and feasible, and parental satisfaction is high. With the right algorithm and parent education, especially in the days of the COVID-19 pandemic, uncomplicated AA may be treated in this way. Sakrij dio sažetka
Sažetak (hrvatski)
Ciljevi: Cilj ovog istraživanja bio je utvrditi sigurnost i zadovoljstvo roditelja otpustom kući unutar 24 sata nakon laparoskopske apendektomije zbog nekomplicirane akutne upale crvuljka. Materijali i metode: Od 1. ožujka 2021. do 1. svibnja 2022., u studiju uključeno je ukupno 180 bolesnika. Svi bolesnici, od 6 do 17 godina, kojima je učinjena laparoskopska apendektomija, izvedena od strane tri dječja kirurga, zbog nekompliciranog AA, a koji su otpušteni na kućnu njegu unutar... Više 24 sata od zahvata, uključeni su u ovo prospektivno nerandomizirano kohortno istraživanje. Demografski podatci, ulazne karakteristike, duljina trajanja operacijskog zahvata, intraoperacijske i poslijeoperacijske komplikacije, ishodi liječenja te zadovoljstvo roditelja i razina boli su zabilježene. Rezultati: Medijan dobi iznosio je 11 godina (IQR 10, 14). Zabilježena je blaga predominacija 63,8% (n=115) muškog spola. Medijan poslijeoperacijskog boravka u bolnici iznosio je 15 sati (IQR 12, 19). Većina roditelja (n=155, 86,1%) iskazala je najviše zadovoljstvo danom otpusta, dok je ostatak 25 (13,8%) iskazalo osrednje zadovoljstvo. Medijani razine boli prema VAS-u za sve poslijeoperacijske dane bili su niski, brojeći: 4 (IQR 4, 6), 2 (IQR 2, 5), 2 (IQR 0, 4), 1 (IQR 0, 2), 0 (IQR 0, 2) i 0 (IQR 0, 0) za 1., 2., 3., 4., 5. i 6.-7. poslijeoperacijski dan. Četiri bolesnika (2,2 %) su neplanirano ponovno primljena na bolničko liječenje zbog poslijeoperacijskog apscesa, prije 7. poslijeoperacijskog dana te su liječeni konzervativno. Gotovo svi roditelji (n=175, 97,2%) iskazali su najvišu razinu zadovoljstva prilikom ambulantnog kontrolnog pregleda (7. dan). Zaključci: Otpust, na kućnu njegu, unutar 24 sata nakon laparoskopske apendektomije zbog nekompliciranog AA u djece je siguran i izvediv, a zadovoljstvo roditelja je visoko. Uz odgovarajući algoritam i edukaciju roditelja, posebno u vrijeme pandemije COVID-19, preporuča se otpust unutar 24 sata za djecu s nekompliciranim apendicitisom. Sakrij dio sažetka
Ključne riječi
Ključne riječi (hrvatski)
Jezikengleski
URN:NBNurn:nbn:hr:171:124612
Studijski programNaziv: Medicina na engleskom jeziku
Vrsta studija: sveučilišni
Stupanj studija: integrirani preddiplomski i diplomski
Akademski / stručni naziv: doktor/doktorica medicine (dr. med.)
Vrsta resursaTekst
Način izrade datotekeIzvorno digitalna
Prava pristupaOtvoreni pristup
Datum isteka embarga: 2023-04-08
Uvjeti korištenjaIkona licence Zaštićeno autorskim pravom.
Datum i vrijeme pohrane2022-07-08 11:14:13
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