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dc.contributor.authorGardiner, Therese M
dc.contributor.authorGillespie, Brigid M
dc.date.accessioned2017-11-23T01:52:19Z
dc.date.available2017-11-23T01:52:19Z
dc.date.issued2016
dc.identifier.issn0001-2092
dc.identifier.doi10.1016/j.aorn.2015.12.006
dc.identifier.urihttp://hdl.handle.net/10072/99771
dc.description.abstractAcute appendicitis is the most common condition requiring emergency surgery worldwide. Although current guidelines recommend prompt appendectomy as the preferred treatment, no time interval for surgery has been indicated. We used an integrative review methodology to critically evaluate evidence on the relationship between time to surgery and hospital length of stay and to identify the ideal time to surgery for patients undergoing appendectomy. We included 14 studies in our synthesis, most of which (n = 9/14, 64%) indicated that longer time delays to surgical intervention increased hospital length of stay for patients presenting with appendicitis. Researchers report that the optimal time for surgery is 24 to 36 hours after symptom onset, or 10 to 24 hours from admission. The results of our review indicate that patient symptoms on presentation may signify advancing pathology and may be more important than the time delay interval in defining surgical priority.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherElsevier
dc.relation.ispartofpagefrom198
dc.relation.ispartofpageto211
dc.relation.ispartofissue2
dc.relation.ispartofjournalAORN Journal
dc.relation.ispartofvolume103
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchNursing not elsewhere classified
dc.subject.fieldofresearchcode4205
dc.subject.fieldofresearchcode420599
dc.titleOptimal Time to Surgery for Patients Requiring Laparoscopic Appendectomy: An Integrative Review
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.hasfulltextNo Full Text
gro.griffith.authorGillespie, Brigid M.


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