Optimizing throughput of babies with infantile hypertrophic pyloric stenosis.

Document Type

Article

Publication Date

4-1-2024

Publication Title

American journal of surgery

Abstract

BACKGROUND: Definitive surgical care is often delayed in hypertrophic pyloric stenosis (HPS). Our aim is to evaluate the effect modifiable factors in preoperative HPS management have on efficiency of care.

METHODS: A retrospective review of all patients undergoing pyloromyotomy for HPS at two US children's hospitals between 2008 and 2018 was performed.

RESULTS: 406 patients were included in the study. The majority (310, 76 %) were adequately resuscitated and ready for surgery upon diagnosis in the ER. However, only 133 patients (43 %) had surgery on the day of admission. Patients diagnosed between 12pm and 6pm were more likely to have surgery the next day than those diagnosed before noon (67 % vs 33 %, p < .001), which correlated with a longer length of stay (32 vs 47 h, p < .001).

CONCLUSION: The majority of patients presenting with HPS can safely undergo same day surgery. Delaying surgery due to an afternoon diagnosis is common, and leads to a modifiable increased total length of stay.

Volume

230

First Page

68

Last Page

72

DOI

10.1016/j.amjsurg.2024.01.013

ISSN

1879-1883

PubMed ID

38307788

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