Abstract 【Objective】To explore the influential factors affecting readmission within 30 days after laparoscopic appendectomy (LA) in children. 【Methods】The clinical data of 53 children with acute appendicitis who were readmitted within 30 days after LA in Hunan Children's Hospital from January 2019 to March 2024 were selected, and they were divided into the reoperation group (n=7) and non-reoperation group (n=46) according to whether they underwent reoperation or not. Age, sex, appendicitis inflammatory response score (AIR) at first admission, duration of first disease, duration of first hospital stay, pathological type, duration from first onset to admission, and duration of symptoms before readmission were collected. White blood cell (WBC) count, neutrophil lymphocyte ratio (NLR), and C-reactive protein (CRP) at first discharge and readmission, and risk factors associated with readmission within 30 days after LA were analyzed. 【Results】Among the 53 readmitted children, 22 cases (41.51%) were diagnosed with abdominal abscess, 19 cases with intestinal obstruction (35.85%), 6 cases with intestinal obstruction combined with abdominal abscess (11.32%), 5 cases with abdominal abscess combined with wound infection (9.43%), and 1 case with appendicitis (1.89%). At readmission, WBC count and NLR were higher than those at the first discharge (P<0.05), and CRP level was not significantly different from that at the first discharge (P>0.05). The rehospitalization time between the reoperation group and the non-reoperation group was statistically significant (P<0.05). There was no significant difference in AIR at first admission, time from first onset to admission, time of first hospitalization and duration of symptoms before readmission between the two groups (P>0.05). All 53 cases were discharged after treatment. 【Conclusion】The main readmission factors of appendicitis in children are abdominal abscess and intestinal obstruction. Early intervention can reduce the incidence of postoperative complications and the proportion of readmission children.
LIAO Siqi,JI Chunyi,YUAN Miaoxian, et al. Analysis of Influencing Factors of Readmission within 30 Days after Laparoscopic Resection of Acute Appendicitis in Children[J]. JOURNAL OF CLINICAL RESEARCH, 2024, 41(10): 1465-1467.
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2024, Vol. 41 
