"Characterization of Patients with Acute Appendicitis in the Elderly"

Abstract

In recent years, acute appendicitis is presented more frequently in geriatric age due to increased life expectancy and is associated with a higher incidence of perforation and high mortality.Objective: To characterize the behavior of acute appendicitis in the elderly at "Enrique Cabrera" Hospital over a period of ten years. Methods: a retrospective descriptive study was carried out by reviewing 114 medical records of patients over 60 years of age treated at "Enrique Cabrera" Hospital, who underwent an urgent surgical intervention for acute appendicitis, during the period from January 2011 and December 2020. The most important variables analyzed were age, sex, clinical picture, operative finding, complications and biopsy reports. Results:The age group between 60 and 69 years, male sex, predominated. Typical abdominal pain prevailed over atypical. The most frequent operative finding was uncomplicated acute appendicitis. Surgical site infection was the most common complication. There was a satisfactory response in all the operated patients.Conclusions: Patients older than 60 years operated by Acute appendicitis were predominant in males between 60 and 69 years of age, with typical abdominal pain and classic signs of appendicitis. illness. The suppuration phase of the appendix. A favorable evolution of the patients was observed operated. and 21.3% in 2020. In 2025, Cuba will be the oldest country in