Prediction Factors of Perforated Appendix in Acute Appendicitis Adult Patients, Bandung Al-Ihsan Hospital 2013-2014

Yulianto, Fajar Awalia; Sakinah, R.K.; Kamil, M

doi:10.1016/j.cgh.2015.04.082

Cited by 1 publication

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“…Based on a study conducted at the Meuraxa Hospital in Banda Aceh (Grade II), the number of leukocytes in patients with acute appendicitis was 10,741.8 cells/mm 3 (Grade I) and 20,023.6 cells/mm 3 in patients with perforated appendicitis [9]. According to Yulianto et al, leukocyte count >11,500 cells/mm 3 (Grade I) increased the chance of perforation by 12.12 times [13]. Perforation risk is 3.3 times higher when the leukocyte count is >18,000 cells/mm 3 (grade II) [6].…”

Section: Discussionmentioning

confidence: 99%

“…The number of leukocytes produced increases as the severity of the infection increases [11], [12]. In addition, research by Yulianto et al found that the number of leukocytes can accurately distinguish the types of appendicitis which were classified as acute appendicitis and perforated appendicitis [13]. Based on the European Association of Endoscopic Surgery, there are two types of appendicitis include complicated appendicitis and noncomplicated appendicitis.…”

Section: Introductionmentioning

confidence: 99%

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The Correlation between Pre-operative Leukocyte Levels and Length of Stay in Appendicitis Patients after an Appendectomy at Dr. Zainoel Abidin Hospital 2019–2020

Yusuf

Kulsum

Gianty³

2022

Open Access Maced J Med Sci

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BACKGROUND: Appendicitis is an inflammation of the vermiform appendix. The infectious process and the inflammatory response are associated with increased leukocyte levels. Leukocyte levels can be used as the predictor of severity, treatment selection, and outcome of appendicitis patients that affect the length of hospitalization. AIM: The aims of the study are to determine the correlation between pre-operative leukocyte levels and the length of stay in appendicitis patients after an appendectomy at Dr. Zainoel Abidin Hospital 2019–2020. METHODS: The study was an observational analytic study with a cross-sectional design. The sampling technique used is total sampling. The data collected were sourced from medical records and obtained from 47 research subjects. RESULTS: The results showed that both appendicitis patients with leukopenia (<5000 cells/mm3) and normal (5000–10,000 cells/mm3) consist of two subjects which required a short length of hospitalization (<5 days). In the patient with leukocytosis Grade I (≤18,000 cells/mm3), 23 subjects (92%) required a short length of hospitalization and 2 subjects (8%) required a long hospitalization (≥5 days). Meanwhile, patients with leukocytosis Grade II (>18,000 cells/mm3), 8 subjects (40%) required a short length of hospitalization, and 12 subjects (60%) required a long hospitalization . Based on the bivariate analysis using the Chi-square method, obtained p = 0.002 (p < 0.05). CONCLUSION: There was a correlation between preoperative leukocyte levels and the length of stay in appendicitis patients after an appendectomy at dr. Zainoel Abidin Hospital.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%