TITLE:
The Effect of Clinical Pathway in Patients with Acute Complicated Appendicitis
AUTHORS:
Can Guo, Zhonghui Zou
KEYWORDS:
Clinical Pathway, Appendicitis, Effect Analysis
JOURNAL NAME:
Surgical Science,
Vol.7 No.7,
July
5,
2016
ABSTRACT: Clinical pathway (CP) is a medical management tool made by a group of
medical specialists and specialized for certain diseases. It has been proved that
CP was an efficient way to optimize the hospitalization management and control
medical cost. In this paper, we focused on the effect of CP in the patients
with acute complicated appendicitis via total duration of hospitalization,
hospitalization time before operation, total cost of hospitalization and drug
expenditure. From March 2014 to March 2015, the patients with conditions of
appendicitis in Three Gorges Central Hospital of Wanzhou, Chongqing, were
divided into CP group and non path control group to analyze the effect of the
application of CP. Our data showed that there were no significant differences
between two groups of patients in total duration of hospitalization,
hospitalization time before operation, total cost of hospitalization and drug
expenditure. The implementation of CP neither decreased the time of patients in
hospital nor the total hospitalization cost. Besides, application of CP for
acute appendicitis patients should distinguish between simple appendicitis and
complicated appendicitis, simple appendectomy patients implement CP is
beneficial, and patients with complicated appendicitis did not come from the
benefit.