AB028. SOH25_AB_351. A single centre cross-sectional analysis of time from admission to abscess drainage: comparing paediatric and adult patient cohorts
Paediatric Session

AB028. SOH25_AB_351. A single centre cross-sectional analysis of time from admission to abscess drainage: comparing paediatric and adult patient cohorts

Nicola Cullen, Ahmed Aydrose, Abdelwanis Azza, Seoidín McKittrick, Efthymios Koutroumanos, Tara Connelly

Department of Surgery, University Hospital Limerick, Dooradoyle, Limerick, Ireland

Background: Waiting times for surgical drainage of abscesses vary, influenced by factors including patient age, clinical urgency and service availability. This retrospective cross-sectional study aims to look at local practices comparing time to drainage between paediatric (16 years of age).

Methods: We analysed patients’ medical records, serological investigations and hospital length of stay for those undergoing abscess incision and drainage (I&D) between December 2022 and November 2023. Statistical analysis was performed with SPSS software employing correlation, chi-square analysis, T-test, ANOVA, Kruskal-Wallis and Mann-Whitney-U testing.

Results: Over an eleven-month-period, 126 patients underwent I&D, 84.1% were over 16 years. Of surgeries performed, 51% were out of hours and 34% of patients waited greater than 24 hours. The mean age was 33.6 years. The most common abscesses were perianal (32.5%) and pilonidal (22%). At diagnosis, adults had significantly higher C-reactive protein (CRP) and white cell count. All paediatric patients underwent surgery within 48 hours, compared to 80.2% of adults. Waiting time and hospital length of stay was prolonged for adults.

Conclusions: Paediatric patients received treatment in a shorter time frame from their time of presentation to time of drainage. They subsequently had shorter hospital stay and a more cost-effective use of hospital services than their adult counterparts.

Keywords: Abscess drainage; paediatric abscess drainage; abscess incision and drainage (abscess I&D); surgical abscess drainage; incision and drainage (I&D)

Acknowledgments

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Footnote

Funding: None.

Conflicts of Interest: The authors have no conflicts of interest to declare.

Ethical Statement: The authors are accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0/.

doi: 10.21037/map-25-ab028
Cite this abstract as: Cullen N, Aydrose A, Azza A, McKittrick S, Koutroumanos E, Connelly T. AB028. SOH25_AB_351. A single centre cross-sectional analysis of time from admission to abscess drainage: comparing paediatric and adult patient cohorts. Mesentery Peritoneum 2025;9:AB028.

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