Surgical Outcomes and Quality of Care Among Adult Appendicitis Patients: A Comparative Study of Tertiary Care Hospitals and Regional Hospitals

Background Acute appendicitis is one of the most common abdominal emergencies, with management approaches that vary depending on the available resources and setting. However, there is a lack of studies on the differences of surgical outcomes and quality of care between tertiary care hospitals and re...

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Bibliographic Details
Published in:World journal of surgery 2023-12, Vol.47 (12), p.3149-3158
Main Authors: Hsiao, Ya-Wen, Hsiao, Chih-Yang, Huang, John, Lai, Peng-Sheng, Chen, Po-Yen
Format: Article
Language:English
Subjects:
Abdominal Surgery
Appendicitis
Appendix
Cardiac Surgery
Comparative studies
Complications
Cost analysis
Delay
General Surgery
Hospital costs
Hospitals
Medicine
Medicine & Public Health
Multivariate analysis
Original Scientific Report
Patients
Postoperative
Risk factors
Surgery
Surgical outcomes
Thoracic Surgery
Vascular Surgery
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Summary:Background Acute appendicitis is one of the most common abdominal emergencies, with management approaches that vary depending on the available resources and setting. However, there is a lack of studies on the differences of surgical outcomes and quality of care between tertiary care hospitals and regional hospitals. Methods This multicenter retrospective study included 2158 consecutive adult patients between January 2014 and June 2018 at three hospitals. The patient cohort was divided into regional hospital group ( N  = 1223) and tertiary care hospital group ( N  = 935). Baseline characteristics and perioperative outcomes were compared, and factors associated with surgical delay and postoperative complication were investigated. Results Patients in tertiary care hospital group had longer surgical waiting time (17.3 vs. 12.0 h, p  
ISSN:0364-2313
1432-2323
DOI:10.1007/s00268-023-07219-7