Complicated Appendicitis, Pediatric Disorder
Conditions
Keywords
ERAS, Pediatric surgery, Emergency, Both of systolic and diastolic will be measured
Brief summary
This multicenter, prospective randomized controlled study is designed to applicate perioperative Enhanced recovery after surgery (ERAS) management for children with acute complicated appendicitis, the aim is to promote postoperative recovery, shorten the hospital length of stay, and reduce the incidence of postoperative complications.
Detailed description
The purpose of this study is through multi-center prospective RCT research, to discuss the application of ERAS in children with acute complicated appendicitis, including its preoperative rehydration, postoperative analgesia, preoperative and postoperative antibiotics application, as well as the discharge standards and so on. The major outcome is whether it can reduce the length of stay in hospital (LOS), secondary outcomes are included the incidence of postoperative complications and postoperative readmission rate, etc.
Interventions
COMBINATION_PRODUCTERAS
1. preoperative pain control; 2. avoiding application of ureter; 3. avoiding application of gastric tube; 4. avoiding application of irrigation; 5. avoiding application of drainage; 6. early exercising postoperatively; 7. early oral feeding postoperatively; 8. early discharging.
Sponsors
Feng Jiexiong
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
1 Years to 14 Years
Healthy volunteers
No
Inclusion criteria
* ages\<14; no gender limitation; * Alvarado scores ≥7; * preoperative radiography examination indicated complicated appendicitis; * Patients or their legal representatives have signed informed consent
Exclusion criteria
* complicated life-threatening disease; * perioperative exploration not appendicitis; * Recently participated in other clinical trials within 3 months; * Researchers found not fit to participate in this trial for any condition
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| length of stay | through study completion, an average of 7 days | less hospital length of stay |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| first time for postoperative feeding | up to 72 hours | earlier postoperative feeding |
| first time for postoperative exercising | 1-2 days | earlier postoperative exercising |
| rate of postoperative complication | 1 months | less postoperative complication |
| rate of re-operation | 1 months | less rate of re-operation |
| rate of re-admission | 1 months | less rate of re-admission |
Countries
China
Outcome results
None listed