Pediatric appendicitis: The prevalence of systemic inflammatory response syndrome upon presentation and its association with clinical outcomes

Raines, Alexander; Garwe, Tabitha; Wicks, Ryan F; Palmer, Michael L.; Wood, F.; Adeseye, A.; Tuggle, David

doi:10.1016/j.jpedsurg.2013.08.017

Cited by 8 publications

(3 citation statements)

References 17 publications

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“…The performance of the hemogram in the present study was similar to that of other case series [24]. This laboratory test is frequently requested for these patients.…”

Section: Discussionsupporting

confidence: 86%

“…The use of laboratory studies and diagnostic images for these patients is intended to provide a more accurate diagnosis. The recommendation for applying them should be in accordance with the diagnostic impression, the patient's physical examination, the PAS, and the physician's judgment [18,24]. The use of ultrasound for this condition worldwide has revealed that it has a relatively high sensitivity and specificity (90% and 95%, respectively) [25].…”

Section: Discussionmentioning

confidence: 99%

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Outcomes of acute appendicitis in patients younger than age 4: a descriptive study

et al. 2022

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Background Acute appendicitis is an infrequent pathology in children under 4 years of age, and its diagnosis is a clinical challenge that can lead to late detection. The intention of this study is to describe the clinical and surgical findings and to explore factors and outcomes associated with appendiceal perforation in patients under 4 years of age with histologically confirmed acute appendicitis. Cross-sectional study of historical data is on patients with a pathologic diagnosis of appendicitis. Clinical, surgical, and pathological variables were described. The relationship between the presence of perforation and associated factors and outcomes was explored using odds ratios (OR) and 95% confidence intervals. Results Seventy-five patients were found between 2013 and 2019. Seventy-four cases presented with pain on palpation, 56 (75%) with signs of peritoneal irritation, and 70 (93%) with sepsis on admission to the emergency room. An ultrasound was done on 57 patients (76%), and only 26 (45%) were suggestive of appendicitis. Forty-one (55%) cases were operated on by open surgery and 34 (45%) by laparoscopy. In 61 (81%), they were perforated, and 48 (64%) presented peritonitis. Perforation was associated with increased hospital days (OR = 2.54 [1.60−4.03]), days of antibiotics (OR = 4.40 [2.09−9.25]), and admission to intensive care (OR = 9.65 [1.18−78.57]). Conclusions Abdominal pain reported by parents, pain on abdominal palpation, and clinical criteria of sepsis on admission to the emergency room are common features. Acute appendicitis complicated by perforation leads to high morbidity due to longer antibiotic treatment, hospitalization days, admission to PICU, and postoperative ileus.

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“…The performance of the hemogram in the present study was similar to that of other case series [24]. This laboratory test is frequently requested for these patients.…”

Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Outcomes of acute appendicitis in patients younger than age 4: a descriptive study

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Existen múltiples artículos que analizan SRIS en niños como por ejemplo, evolución en apendicitis (21) , cirugía intestinal (22) , etc., qué demuestran que los niños con SIRS, tienen más probabilidades de presentar complicaciones postoperatorias.…”

Section: Síndrome De Respuesta Infl Amatoria Sistémica (Sirs)unclassified

Vias de recuperación mejorada perioperatoria. Adaptación a la cirugía pediátrica

Canclini

Canzani

Luna

et al. 2018

An Facultad Med (Univ Repúb Urug)

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Tachycardia may prognosticate life- or organ-threatening diseases in children with abdominal pain

Hayakawa

Sakakibara

Atsumi

et al. 2017

The American Journal of Emergency Medicine

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Pediatric appendicitis: The prevalence of systemic inflammatory response syndrome upon presentation and its association with clinical outcomes

Cited by 8 publications

References 17 publications

Outcomes of acute appendicitis in patients younger than age 4: a descriptive study

Outcomes of acute appendicitis in patients younger than age 4: a descriptive study

Vias de recuperación mejorada perioperatoria. Adaptación a la cirugía pediátrica

Tachycardia may prognosticate life- or organ-threatening diseases in children with abdominal pain

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