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September 5, 2025British journal of surgery

WTP2.02 GIRFT in Pediatric Acute Appendicitis

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Authors

MKMohamed KhattabVMV MahendranAWAbraham Ka Chung Wai

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Overview

Retrospective audit highlights poor pain management and high negative appendicectomy rates in pediatric patients, indicating urgent need for improvement.

Key Points

  • Only 44% of pediatric patients had their pain scored at triage, highlighting inefficiencies in pain management.
  • The negative appendicectomy rate was 22%, significantly exceeding the GIRFT recommendation of ≤2.5%.
  • The median time from diagnosis to surgery was 23 hours, surpassing the established 24-hour benchmark.
  • A lack of consistency was found in antibiotic use and no patient education materials were provided at discharge.

Cite This Study

Khattab et al. (2025) studied this question.

synapsesocial.com/papers/68c2384fb210217d647775d1https://doi.org/10.1093/bjs/znaf166.330
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1SP4.08 Enhancing Pediatric Appendicitis Care in Alignment with GIRFT Guidelines: A Two-Cycle Audit at a District Hospital2025
  2. 2MTP8.11 A Service Review and Retrospective Audit of Diagnostic Imaging and Clinical Outcomes in Acute Appendicitis: Evaluating Service and Adherence to the World Society of Emergency Surgery 2020 Guidelines2025
  3. 3eP25 Rate of Negative Histology of the Appendix in Children (Age 8-16 Years)2025
  4. 4WTP3.04 Assessing Negative Appendicectomy Rates in the Paediatric population: A review of Trends and Implications2025
  5. 5Proactive Clinical Auditing and Continuous Surgical Practice Monitoring in Reducing the Rate of Negative Appendectomy in Children2026