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Unable to adequatly recruit
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To determine the most cost effective way to treat children with perforated appendicitis we will randomize all children presenting with perforated appendicitis to initial operation, with in 24 hours of admission, or to initial antibiotics, with or without percutaneous drainage, and subsequent interval appendectomy after 8 weeks. Our outcomes will include cost, complications, length of stay, and quality of life measures.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Initial appendectomy | Other | children with complicated appendicitis will undergo initial appendectomy |
|
| Interval appendectomy | Other | children with complicated appendicitis will undergo initial antibiotic treatment followed by an interval appendectomy |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Initial appendectomy | Procedure |
| ||
| Interval appendectomy |
| Measure | Description | Time Frame |
|---|---|---|
| cost effectiveness | 3 months post entry into the study |
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Inclusion Criteria:children
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Steven W Bruch, MD, MSc | University of Michigan | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Mott Childrens Hospital | Ann Arbor | Michigan | 48109 | United States |
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| ID | Term |
|---|---|
| D001064 | Appendicitis |
| ID | Term |
|---|---|
| D059413 | Intraabdominal Infections |
| D007239 | Infections |
| D005759 | Gastroenteritis |
| D005767 | Gastrointestinal Diseases |
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| Procedure |
|
| D004066 |
| Digestive System Diseases |
| D002429 | Cecal Diseases |
| D007410 | Intestinal Diseases |