Jennifer Rhode Ward, H David Clarke, Jonathan L Horton
Effects of a research-infused botanical curriculum on undergraduates' content knowledge, STEM competencies, and attitudes toward plant sciences
CBE life sciences education
recent singleinstitutional data point feasibility sameday discharge sdd appendectomy nonperforated appendicitis potential qualityofcare indicator opportunities sdd greatest sooner appendectomy performed admission examine national database assess pattern sdd utilization among children underwent appendectomy day admission potential limitations sdd 2009 kids inpatient database kid queried children diagnosis acute appendicitis appendectomy exclusion criteria included children perforated appendicitis procedure code missing day admission procedure day total length stay los analyzed demographics type procedure laparoscopic versus open childrens hospital designation hospital region stratifying patients undergoing appendectomy day admission two groups los 1 sdd versus 1 nonsdd multivariate analysis performed determine predictors sdd total 38959 records representing weighted estimate 56077 patients diagnosis nonperforated appendicitis met inclusion criteria median age 14 interquartile range 1017 median los 1 interquartile range 12 majority 718 laparoscopic appendectomy adjusted analysis laparoscopic cases 50 less likely nonsdd compared open counterparts odds ratio 050 95 confidence interval ci 047053 compared caucasians significantly hispanics 144 95 ci 136156 african americans 157 95 ci 142173 nonsdd hospitals midwest south likely nonsdd sdd increasingly used children nonperforated appendicitis significant variability utilization sdd different ethnicities hospital regions variations need investigated better delineate potential role qualityofcare indicator