{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,18]],"date-time":"2026-04-18T01:23:03Z","timestamp":1776475383291,"version":"3.51.2"},"reference-count":13,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2021,3,4]],"date-time":"2021-03-04T00:00:00Z","timestamp":1614816000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Ultrasound Medicine"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>Appendicitis is the most common pediatric surgical emergency. Ultrasonography is recommended as first\u2010line imaging for appendicitis in children; however, this is often followed by more advanced imaging. Our goal was to determine if point\u2010of\u2010care ultrasonography (POCUS) could reduce cost and length\u2010of\u2010stay (LOS) in suspected pediatric appendicitis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We performed a chart review of patients presenting to our pediatric emergency department (ED) from August 1, 2017 to June 30, 2019 who had imaging for appendicitis. We compared cost and LOS for patients who received POCUS to those who had magnetic resonance imaging (MRI) as first\u2010line imaging, which is standard at our institution.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We identified 695 visits of 685 unique patients. Patients who received POCUS (n\u00a0=\u00a0209) had a significantly shorter mean LOS (274\u2009minutes) in the ED compared to patients who did not (317\u2009minutes, <jats:italic>P<\/jats:italic> &lt;.001). This was true regardless of the month of their visit. The POCUS group was younger, less likely to have right lower quadrant pain\/tenderness, less likely to be admitted, and less likely to have appendicitis than the MRI group. Average appendix imaging cost per patient was lower in the POCUS group at $1308 compared to the MRI group at $1371 (<jats:italic>P<\/jats:italic> &lt;.001), although patients who had both POCUS and MRI (n\u00a0=\u00a0102) had the highest average imaging costs ($2010).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>POCUS can reduce LOS and imaging cost in suspected pediatric appendicitis. Further study is warranted to determine which patients benefit the most from POCUS and whether the results are applicable in other settings.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jum.15675","type":"journal-article","created":{"date-parts":[[2021,3,5]],"date-time":"2021-03-05T07:35:56Z","timestamp":1614929756000},"page":"2745-2750","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Emergency Department <scp>Point\u2010of\u2010Care<\/scp> Ultrasonography Can Reduce Length of Stay in Pediatric Appendicitis: A Retrospective Review"],"prefix":"10.1002","volume":"40","author":[{"given":"Kathryn","family":"E. Kasmire","sequence":"first","affiliation":[{"name":"Penn State Milton S. Hershey Medical Center  Hershey Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6096-2856","authenticated-orcid":false,"given":"Joshua","family":"Davis","sequence":"additional","affiliation":[{"name":"Penn State Milton S. Hershey Medical Center  Hershey Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,3,4]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"Centers for Disease Control.National Hospital Ambulatory Medical Care Survey: 2017 Emergency Department Summary Tables.https:\/\/www.cdc.gov\/nchs\/data\/nhamcs\/web_tables\/2017_ed_web_tables-508.pdf.2017"},{"key":"e_1_2_7_3_1","unstructured":"Appendicitis child. In: Simel DL Rennie D. (eds).The Rational Clinical Examination: Evidence\u2010Based Clinical Diagnosis. New York NY: McGraw\u2010Hill; 2009.http:\/\/jamaevidence.mhmedical.com\/content.aspx?bookid=845&sectionid=61357629. Accessed December 10 2019."},{"key":"e_1_2_7_4_1","first-page":"165","article-title":"Epidemiology and etiology of malpractice lawsuits involving children in US emergency departments and urgent care centers","volume":"21","author":"Selbst SM","year":"2005","journal-title":"Pediatr Emerg Care"},{"key":"e_1_2_7_5_1","unstructured":"JohnsonPT BellowJA ChatfieldMB et al.Choosing Wisely: Ten Things Physicians and Patients Should Question. American College of Radiology.http:\/\/www.choosingwisely.org\/societies\/american-college-of-radiology\/. Accessed March 9 2020."},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2009.10.004"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2014.12.012"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00247-016-3557-3"},{"key":"e_1_2_7_9_1","unstructured":"American Board of Emergency Medicine.The Emergency Medicine Milestone Project.https:\/\/www.abem.org\/PUBLIC\/_Rainbow\/Documents\/EMMilestonesMeeting4_Final1092012.pdf."},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/acem.13212"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2014.03.028"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/acem.12319"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00247-012-2412-4"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/PEC.0000000000002236"}],"container-title":["Journal of Ultrasound in Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jum.15675","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jum.15675","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jum.15675","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,28]],"date-time":"2023-08-28T03:05:42Z","timestamp":1693191942000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jum.15675"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3,4]]},"references-count":13,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["10.1002\/jum.15675"],"URL":"https:\/\/doi.org\/10.1002\/jum.15675","archive":["Portico"],"relation":{},"ISSN":["0278-4297","1550-9613"],"issn-type":[{"value":"0278-4297","type":"print"},{"value":"1550-9613","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,3,4]]},"assertion":[{"value":"2020-07-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-01-27","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-03-04","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}