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Nationwide study of appendicitis in children
1Paediatric Surgery, Department of Clinical Sciences Lund, Lund University, Skåne University Hospital, Lund, Sweden.
The British Journal of Surgery
|August 7, 2019
Summary
Distance to the hospital did not increase the risk of complicated appendicitis in children. However, parental unemployment and immigrant background were associated with a higher risk of complicated appendicitis.
Area of Science:
- Pediatric surgery
- Epidemiology
- Public Health
Background:
- Paediatric surgical care centralization may impact outcomes.
- Prehospital delay is a potential risk factor for complicated appendicitis.
- Understanding appendicitis incidence and risk factors in children is crucial.
Purpose of the Study:
- Determine the incidence of paediatric appendicitis in Sweden.
- Assess if hospital distance is a risk factor for complicated appendicitis.
- Investigate socioeconomic determinants of complicated appendicitis.
Main Methods:
- Nationwide cohort study of paediatric appendicitis cases (2001-2014).
- Analysis of incidence, trends, and risk factors.
- Regression methods used to assess travel time and socioeconomic factors.
Main Results:
- 38,939 paediatric appendicitis cases identified; 16.8% had complicated disease.
- Travel time to hospital was not associated with complicated appendicitis.
- Parental unemployment and immigrant background increased the risk of complicated appendicitis.
Conclusions:
- Geographical distance to surgical facilities was not a risk factor for complicated appendicitis.
- Socioeconomic factors, such as parental unemployment and immigrant background, are associated with increased risk.
- Further research into socioeconomic disparities in paediatric appendicitis is warranted.
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