Imperial College London
Alternate

Alex Bottle

Faculty of Medicine, School of Public Health

Professor of Medical Statistics
 
 
 
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Contact

 

+44 (0)20 7594 0913robert.bottle Website

 
 
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Location

 

3 Dorset Rise, London EC4Y 8ENCharing Cross HospitalCharing Cross Campus

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Summary

 

Publications

Citation

BibTex format

@article{Faiz:2008,
author = {Faiz, O and Blackburn, SC and Clark, J and Bottle, A and Curry, JI and Farrands, P and Aylin, P},
journal = {Pediatric surgery international},
pages = {1223--1227},
title = {Laparoscopic and conventional appendicectomy in children: outcomes in English hospitals between 1996 and 2006},
url = {http://www.ncbi.nlm.nih.gov/pubmed/18791723},
volume = {24},
year = {2008}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - BACKGROUND: Laparoscopic appendicectomy is increasingly used in children. This national retrospective study compared outcomes of paediatric open and laparoscopic appendicectomy. METHODS: Length of stay, readmission rates and mortality in children undergoing open and laparoscopic appendicectomy in English NHS Trusts between 1 April 1996 and 31 March 2006 were compared. Procedures coded as emergency excision of appendix (OPCS-4 H01) on the Hospital Episode Statistics (HES) database in patients less than 15 years of age were included. Multivariate analysis was used to identify independent predictors of length of hospital stay and mortality. RESULTS: Eighty-nine thousand, four-hundred and ninety-seven (89,497) appendicectomies were studied; of which, 2,689 (3%) were performed laparoscopically. The percentage of laparoscopic cases rose from 0.6 to 8.4% between 1996 and 2006 (Pearson's r = 0.954, P < 0.001). Length of stay (median 3, interquartile range 2 days, P = 0.068) and 28-day readmission rates were similar (6.3 vs. 7.2%, respectively; P = 0.072) between groups. No independent hospital stay advantage for laparoscopy was observed (P = 0.121). No difference in 30-day mortality (P = 0.986) or 365-day mortality (P = 0.598) was demonstrated. CONCLUSION: Hospital stay, readmission rates and mortality are similar following laparoscopic and open appendicectomy in children.
AU  - Faiz,O
AU  - Blackburn,SC
AU  - Clark,J
AU  - Bottle,A
AU  - Curry,JI
AU  - Farrands,P
AU  - Aylin,P
EP  - 1227
PY  - 2008///
SN  - 0179-0358
SP  - 1223
TI  - Laparoscopic and conventional appendicectomy in children: outcomes in English hospitals between 1996 and 2006
T2  - Pediatric surgery international
UR  - http://www.ncbi.nlm.nih.gov/pubmed/18791723
VL  - 24
ER  -
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