Implementing a Clinical Practice Guideline for the Treatment of Suspected Appendicitis Could Impact the Use of Computed Tomography

Authors

  • Dr. Amit Kumar Gupta Assistant Professor, Department of General Surgery, Mata Gujri Memorial Medical College & Lion Seva Kendra, Kishanganj, Bihar, India
  • Dr. Md. Sarfaraz Nawaz Assistant Professor, Department of General Surgery, Mata Gujri Memorial Medical College & Lion Seva Kendra, Kishanganj, Bihar, India.
  • Dr. Aditya Anand Assistant Professor, Department of General Surgery, Mata Gujri Memorial Medical College & Lion Seva Kendra, Kishanganj, Bihar, India.
  • Dr. Md. Mohtamim Haider Professor & HOD, Department of General Surgery, Mata Gujri Memorial Medical College & Lion Seva Kendra, Kishanganj, Bihar, India.

DOI:

https://doi.org/10.51168/sjhrafrica.v5i3.1137

Abstract

Background: The Royal Adelaide Hospital implemented a clinical practice guideline for the treatment of patients with suspected appendicitis. This recommendation suggests using CT scanning sparingly until more research is done. This study compared the CT usage rate for these patients during the pre- and post-guideline implementation periods.

Methods: The study included patients who came to the emergency room with symptoms and physical results that suggested they might have appendicitis. During the period following the implementation of the guidelines, these individuals were also prospectively identified if they were referred to the on-call surgical registrar. They were identified via hospital and emergency department databases.

Results: A total of 119 individuals were included in the study, 88 of them had undergone appendicectomies due to appendicitis. Analysis was contrasted among four patient cohorts. There was a 31% decrease in CT usage following the implementation of the guidelines. The outcome was statistically significant in two of the groups. The guideline's implementation resulted in a 24 percent decrease in needless procedures; nonetheless, the analysis's statistical power was inadequate.

Conclusion: According to this study, hospitals with high rates of CT use for suspected appendicitis should lower these rates to match the national norm. Clinical practice standards or protocols may help with this effort.

Published

2024-03-31

How to Cite

Dr. Amit Kumar Gupta, Sarfaraz Nawaz, Aditya Anand, & Mohtamim Haider. (2024). Implementing a Clinical Practice Guideline for the Treatment of Suspected Appendicitis Could Impact the Use of Computed Tomography. Student’s Journal of Health Research Africa, 5(3). https://doi.org/10.51168/sjhrafrica.v5i3.1137

Issue

Section

Section of Anesthesia and Surgery Research

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