Patient Willingness to Participate in a US Randomized Controlled Trial for Nonoperative Management of Uncomplicated Appendicitis

Abstract

RESULTS: All NE were due to retained foreign bodies and were most common after intra-abdominal (71%) and skin and soft tissue surgery (16%). The incidence of retained foreign body decreased by 37% over the study period. Among HAC after surgery, stages III and IV pressure ulcers were most common (50%), followed by falls (41%), vascular catheter-associated infection (6%), poor glycemic control (3%), catheter-associated urinary tract infection (1%), and air embolism (0.1%). Significant predictors of NE and HAC after surgery included emergency cases, American Society of Anesthesiologists score >3, partial and totally dependent functional status (p<0.01). Never events after surgery lead to significantly increased length of stay (p<0.01) and a trend toward increased need for reoperation. Hospital-acquired conditions after surgery had a significant effect on postoperative outcomes, leading to prolonged length of stay, increased return to operating room, increased morbidity, and increased mortality (p<0.01) (Table).