Effect of Modified ERAS Protocol on Clinical Outcomes in Pediatric Patients With Appendectomy

Phase

N/A

Condition

Surgery

Appendicitis

Treatment

Management of fear and stress

Initiation of early mobilization of the patient in the postoperative period

Initiation of oral intake in the early postoperative period

Clinical Study ID

NCT05962320

KaradenizTU

Ages 6-18
All Genders

Study Summary

Acute appendicitis is the most common abdominal emergency with more than 15 million cases reported worldwide. Although appendectomy is considered a safe surgical procedure, the incidence of complications is up to 10%. The Enhanced Recovery After Surgery (ERAS) has developed guidelines to improve postoperative patient outcomes. The protocol, which consists of more than 20 interventions in the preoperative, intraoperative and postoperative periods, shows that early discharge can be possible with multidisciplinary care given to surgical patients without risking patient safety.

Eligibility Criteria

Inclusion

Inclusion Criteria:

Age ≥6 years and ≤18 years, girls or boys
Underwent appendectomy
Written informed consent or requirements of local/national ethical committee

Exclusion

Exclusion Criteria:

ASA (American Society of Anesthesiologists, ASA) score of ≥ 3
Any comorbidity/contraindication that may prevent mobilization and oral feeding

Study Design

Management of fear and stress

August 01, 2023

May 01, 2024

Study Description

Appendicitis is a common clinical condition and often requires emergency treatment. Although appendectomy is a safe surgical procedure, there is a risk of complications. Pain is common, especially in the postoperative period, and the lack of care management leads to delayed mobilization and oral intake, delayed recovery and prolonged length of hospital stay. However, pain, nausea-vomiting, thirst, fear and stress could be managed with perioperative care. In addition, it is reported that the care provided based on the ERAS protocol shortens the length of hospital stay. In this respect, the aim of this study was to investigate the effect of ERAS protocol-based care on the length of hospital stay of children who were planned to undergo appendectomy. Postoperative pain level, stress and fear level, time to first mobilization, flatulence, defecation and oral intake, nausea, thirst were the secondary outcomes of this study.

Connect with a study center

Karadeniz Technical University
Trabzon, 61080
Turkey
Active - Recruiting

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