Association of Intraoperative Findings With Outcomes and Resource Use in Children With Complicated Appendicitis

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Abstract
Appendicitis is the most common abdominal surgical emergency in the pediatric population.1 Complicated appendicitis accounts for approximately 30% of cases and is associated with increased hospital cost, length of stay (LOS), and adverse outcomes.2-8 Although complicated appendicitis presents along a wide spectrum of disease severity in children, little is known of how different presentations affect use of health care resources and the risk of adverse outcomes. A more thorough understanding of this association may have important implications for reimbursement policy and ensuring fair comparative performance reporting among hospitals. These implications may be particularly relevant for hospitals treating underserved or rural populations, where delayed presentation is common.9-11

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