Early Discharge After Nonoperative Management of Intussusception is Both Safe and Cost-Effective
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Read the article on jpedsurg.org ↗Article · Oct 2021 · 1 min read
In brief
In brief
This retrospective study demonstrates that early discharge (within 4 hours) after successful enema reduction for pediatric intussusception is safe and cost-effective. Implementation of a quality improvement protocol significantly reduced length of stay and hospital costs without increasing recurrence rates.
Written by the GCMD Library team from the article.
Background/Purpose
We implemented a quality improvement (QI) initiative to safely reduce post-reduction monitoring for pediatric patients with ileocolic intussusception. We hypothesized that there would be decreased length of stay (LOS) and hospital costs, with no change in intussusception recurrence rates.
Methods
A retrospective cohort study was conducted of pediatric ileocolic intussusception patients who underwent successful enema reduction at a tertiary-care pediatric hospital from January 2015 through June 2020. In September 2017, an intussusception management protocol was implemented, which allowed discharge within four hours of reduction. Pre- and post-QI outcomes were compared for index encounters and any additional encounter beginning within 24 hours of discharge. An economic evaluation was performed with hospital costs inflation-adjusted to 2020 United States Dollars ($). Cost differences between groups were assessed using multivariable regression, adjusting for Medicaid and transfer status, P