The American Journal of Surgery
Volume 200, Issue 3 , Pages 357-362 , September 2010

Post-appendectomy visits to the emergency department within the global period: a target for cost containment

  • Francesco A. Aiello, M.D.

      Affiliations

    • Department of Surgery, University of Connecticut School of Medicine, Farmington, CT, USA
    • ,
  • Erica R. Gross, M.D.

      Affiliations

    • Department of Surgery, University of Connecticut School of Medicine, Farmington, CT, USA
    • ,
  • Aleksandra Krajewski, B.S.N.

      Affiliations

    • Department of Surgery, University of Connecticut School of Medicine, Farmington, CT, USA
    • ,
  • Robert Fuller, M.D.

      Affiliations

    • Department of Emergency Medicine, University of Connecticut School of Medicine, Farmington, CT, USA
    • ,
  • Anthony Morgan, M.D.

      Affiliations

    • Department of Surgery, University of Connecticut School of Medicine, Farmington, CT, USA
    • ,
  • Andrew Duffy, M.D.

      Affiliations

    • Department of Surgery, Yale University School of Medicine, New Haven, CT, USA
    • ,
  • Walter Longo, M.D.

      Affiliations

    • Department of Surgery, Yale University School of Medicine, New Haven, CT, USA
    • ,
  • Robert Kozol, M.D.

      Affiliations

    • Department of Surgery, University of Connecticut School of Medicine, Farmington, CT, USA
    • ,
  • Rajiv Chandawarkar, M.D.

      Affiliations

    • Department of Surgery, University of Connecticut School of Medicine, Farmington, CT, USA
    • Corresponding Author InformationCorresponding author. Tel.: +1 860 679 4444; fax: +1 860 679 7905

Received 12 April 2009 ,Revised 21 August 2009

References 

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  2. Flum DR, Koepsell T. The clinical and economic correlates of misdiagnosed appendicitis. Arch Surg. 2002;137:799–804
  3. Flum DR, Morris A, Koepsell T, et al. Has misdiagnosis of appendicitis decreased over Time?. JAMA. 2001;286:1748–1753
  4. Guller U, Jain N, Curtis L, et al. Insurance status and race represent independent predictors of undergoing laparoscopic surgery for appendicitis: secondary data analysis of 145,546 patients. J Am Coll Surg. 2004;199:567–577
  5. Margenthaler JA, Longo WE, Virgo KS, et al. Risk factors for adverse outcomes after the surgical treatment of appendicitis in adults. Ann Surg. 2003;223:59–66
  6. Burt CW, McCaig LF, Rechsteiner EA. Advanced data from vital and health statistics: ambulatory medical care utilization estimates for 2005. No. 388 Atlanta: Centers for Disease Control and Prevention; 2007;
  7. Davies GM, Dasbach EJ, Teutsch S. The burden of appendicitis-related hospitalizations in the United States in 1997. Surg Infect Larchmt. 2004;5:160–165
  8. Sugimoto T, Edwards D. Incidence and costs on incidental appendectomy as a preventive measure. Am J Public Health. 1987;77:471–475
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  10. Arendts G, MacKenzie J, Lee J. Discharge planning and patient satisfaction in an emergency short-stay unit. Emerg Med. 2006;18:7–14
  11. Marang-van de Mheen P, van Duijn-Bakker N, Kievit J. Surgical adverse outcomes and patients' evaluation of quality of care: inherent risk or reduced quality of care?. Qual Saf Health Care. 2007;16:428–433
  12. Clarke C, Friedman S, Shi K, et al. Emergency department discharge instructions comprehension and compliance study. Canadian Journal of Emergency Medicine. 2005;7:5–110
  13. Spandorfer J, Karras D, Hughes L, et al. Comprehension of discharge instructions by patients in an urban emergency department. Ann Emerg Med. 1995;25:71–74
  14. Thomas E, Burstin H, O'Neil A, et al. Patient noncompliance with medical advice after the emergency department visit. Ann Emerg Med. 1996;27:49–55
  15. Rogers J, Perlic M, Madigan E. The effect of frontloading visits on patient outcomes. Home Healthcare Nurse. 2007;25:103–109
  16. Crossen-Sills J, Toomey I, Doherty M. Strategies to reduce unplanned hospitalizations of home healthcare patients: a step-by-step approach. Home Healthcare Nurse. 2006;24:9
  17. Flacker J, Park W, Sims A. Hospital discharge information and older patients: do they get what they need?. J Hosp Med. 2007;2:291–296
  18. Liu CC, Lu CC, Yen DH, et al. Diagnosis of appendicitis in the ED: comparison of surgical and nonsurgical residents. Am J Emerg Med. 2001;19:109–112

PII: S0002-9610(09)00796-X

doi: 10.1016/j.amjsurg.2009.10.010

The American Journal of Surgery
Volume 200, Issue 3 , Pages 357-362 , September 2010

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