Complicated appendicitis: Analysis of risk factors in children

Singh, Mahavir; Kadian, Yogender Singh; Rattan, Kamal Nain; Jangra, Babita

doi:10.4103/0189-6725.132796

Cited by 55 publications

(68 citation statements)

References 9 publications

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“…Other reasons exist. First of all, delays in the diagnostics due to the additional wait before seeking medical attention by patients and their caretakers, as well as the failure to diagnose appendicitis by the primary care physicians, and lastly the delayed referral to paediatric surgery departments [19][20][21].…”

Section: Discussionmentioning

confidence: 99%

Incidence of complicated acute appendicitis: a single-centre retrospective study

Piotrowska¹,

Osman²,

Wolak³

2017

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Introduction: Abdominal pain has been one of the most common reasons patients seek medical care for centuries. Nowadays, together with laboratory diagnostics and imaging, we are able to make an early diagnosis. This leads to the introduction of early adequate treatment. Aim of the research: To analyse the incidence and causes of complicated acute appendicitis in one medical centre in between 2004 and 2016. Material and methods: A retrospective study covered the period from December 23, 2004 to November 07, 2016. It included 2048 cases of children between 0 and 18 years of age undergoing surgery for suspected acute appendicitis. Demographic and clinical characteristics as well as length of hospitalisation, antibiotics schemes, and intraoperative diagnosis were reviewed. Complicated acute appendicitis cases were distinguished and compared with the incidence in world literature. Results: The percentage of complicated acute appendicitis ranged from 39% to 60%. Complicated acute appendicitis occurs much more often in children under 5 years of age. Conclusions: The delay and failure in diagnosis of acute appendicitis results in higher incidence of complicated acute appendicitis; consequently, there are higher costs of treatment. Improving the awareness of parents and primary care physicians may allow faster diagnosis and treatment of acute appendicitis. It was noted that the reform of the National Emergency Medical Services in Poland contributed to a reduction in the incidence of complicated appendicitis.

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Section: Discussionmentioning

confidence: 99%

Incidence of complicated acute appendicitis: a single-centre retrospective study

Piotrowska¹,

Osman²,

Wolak³

2017

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“…Due to the nonspecific symptoms the presentation and diagnosis may be delayed at times leading to perforation with local or general peritonitis [4]. Perforated appendix has varied presentation depending upon the location of appendix.…”

Section: Discussionmentioning

confidence: 99%

Acute Perforated Appendix Mimicking Umbilical Hernia: A Rare Case Report

2016

J Clin Med Case Rep

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“…[23,24,26,27] Insiden apendisitis perforasi secara signifikan akan meningkat apabila pasien mengalami penundaan memperoleh pelayanan kesehatan lebih dari 24 jam. [26,28,29] …”

Section: Hasilunclassified

Akurasi Total Hitung Leukosit dan Durasi Simtom sebagai Prediktor Perforasi Apendisitis pada Penderita Apendisitis Akut

Widarsa

Padmi²

2018

WMJ

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AbstrakKomplikasi perforasi pada penderita apendisitis akut cukup tinggi, yang ditandai dengan demam yang tinggi dan peningkatan leukosit.Tujuan penelitian ini adalah untuk mengetahui akurasi total leucocyte count (TLC) dan symptom duration(SD) sebagai prediktor perforasi pada penderita apendisitis akut. Penelitian cross-sectional retrospectivedilakukan terhadap 96 pasien apendisitis akut, yang dipilih secara konsekutif dari register rawat inap pasien apendisitis akut di RSUD Sanjiwani Gianyar tahun 2014-2015. Identitas, SD,TLC dikumpulkan dari catatan medis sampel. Penegakan diagnosis perforasi didasarkan kepada hasil pemeriksanan patogi anatomi. Uji chi-square dan regresi Poisson dipakai menganalisis hubungan TLC dan SD dengan kejadian perforasi, sedangkan kemampuan prediksi dinilai dari nilai duga positif (PPV ) dan negatif (NPV ). Dari hasil penelitian didapatkan Risiko Relatif (RR) dari TLC (>18.000/ml:≤18.000/ml)adalah 2,9 (1,2-6,7) dan SD (>24jam:≤24jam) adalah 2,3 (1,1 -4,9). PPV/NPV dari TLC, SD dan kombinasi TLC dan SD adalah 59,4/93,8; 52,9/91,9; dan 82,4/88,4 secara berurutan. Dari penelitian ini disimpulkan bahwa kombinasi TLC dan SD mempunyai tingkat prediksi yang baik sebagai prediktor kejadian perforasi pada penderita apendisitisakut. . PPV/NPV of TLC, SD and TLC and SD combination were59.4/93.8; 52.9/91.9; and 82.4/88.4,respectively. As conclusion, TLC and SD combined has high accuracy as predictor of perforation in acute appendicitis patients. Kata kunci: Apendisitis per for asi, Total Leucocyte Count, Time Dur ation Abstract [The Accuracy of Total Leucocyte Account and Symptom Duration as Predictors of Appendisitis Perforation] Perforation is frequently observed among acute appendicitis patients, which characterized by high fever and increased leucocyte level. The aim of this study is to determine the accuracy of total leucocyte count (TLC) and symptom duration (SD) as predictors of perforation in acute appendicitis

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Complicated appendicitis: Analysis of risk factors in children

Cited by 55 publications

References 9 publications

Incidence of complicated acute appendicitis: a single-centre retrospective study

Incidence of complicated acute appendicitis: a single-centre retrospective study

Acute Perforated Appendix Mimicking Umbilical Hernia: A Rare Case Report

Akurasi Total Hitung Leukosit dan Durasi Simtom sebagai Prediktor Perforasi Apendisitis pada Penderita Apendisitis Akut

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