Transfer practices and outcomes for suspected appendicitis from community hospitals to a paediatric tertiary emergency department

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Discussion

Retrospective analysis reveals transfer practices and appendicitis diagnosis rates in pediatric patients, suggesting improvements in ultrasound use.

Of 282 children transferred, 58% were diagnosed with appendicitis, indicating frequent misdiagnosis.
Community ultrasounds for suspected appendicitis were frequently repeated post-transfer, particularly for misdiagnosed patients.
Surgical consultation occurred for all children diagnosed with appendicitis, but only 22% without it received similar care.
Optimizing transfer pathways may enhance outcomes and resource use in pediatric emergency care.

Rizakos et al. (2025) studied this question.

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Retrospective analysis reveals transfer practices and appendicitis diagnosis rates in pediatric patients, suggesting improvements in ultrasound use.