Clinical Trial for a Outpatient Clinical Management for Complicated Acute Appendicitis (ASI2)
Acute Appendicitis, Appendicitis Perforated, Appendicitis Suppurative
About this trial
This is an interventional treatment trial for Acute Appendicitis
Eligibility Criteria
Inclusion Criteria: patients over 18 years old ASA classification (American Society of Anesthesiologists) less than or equal to 3 patients who live accompanied in a home at a maximum distance of 30 minutes from the hospital and an adequate cognitive capacity. Exclusion Criteria: pregnancy or breastfeeding complicated Acute Appendicitis surgical management performed in more 90 minutes
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Active Comparator
Experimental
hospitalization group
outpatient group
Patients in the hospitalization group, once the surgical intervention was finished, were transferred to the postoperative recovery unit and later they were discharged to the usual hospital ward. Patients received adequate intravenous fluid resuscitation based on their individual hemodynamic parameter and fluid balance, and they received analgesia according to personal requirement. In the hospital ward, the usual patient management protocols were followed until a complete recovery and consequently discharged according to the usual criteria
Patients in the outpatient group , once operated, were transferred to the surgery unit without admission and were later discharged home if they met the ALDRETE criteria in less than 23 hours after the intervention (following the surgery criteria without admission stages). If the patient was operated during the night shift, following the advice of major outpatient surgery where overnight stays are allowed, the patient was admitted to the post-anesthetic recovery unit and discharged the next day, always in less than 23 hours. In case of being discharged after 23 hours or not meeting ALDRETE criteria, it was considered a failure of the outpatient treatment.