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Larger Physique as a Risk Factor for Infantile Appendicitis: A Retrospective Study

Katsuhiro Nishimura1, Keita Terui1, Naoko Mise2

  • 1Department of Pediatric Surgery, Graduate School of Medicine, Chiba University, Chiba 260-8677, Japan.

Pediatric Reports
|January 25, 2022
PubMed

Insights

Larger infants with acute appendicitis have a bigger physique but normal proportions. This finding suggests that larger infants presenting with abdominal pain should be screened for appendicitis.

Area of Science:

  • Pediatric Surgery
  • Clinical Pediatrics
  • Medical Research

Background:

  • Acute appendicitis clinical features and risk factors in infants remain unclear.
  • Understanding these factors is crucial for timely diagnosis and treatment in young children.

Purpose of the Study:

  • To evaluate the association between anthropometrics and the occurrence of infantile appendicitis.
  • To compare anthropometric Z-scores between infants and school-age children with appendicitis.

Main Methods:

  • Retrospective study of Asian ethnicity infants (<6 years) and school-age children (6-10 years) hospitalized for appendicitis (2004-2018).
  • Comparison of Z-scores for height, body weight, and body mass index (BMI) between groups and between perforated/non-perforated appendicitis in infants.
  • Data analyzed from 73 infants and 362 school-age children.

Main Results:

  • Infants showed significantly greater Z-scores for height (0.37 vs -0.03, p=0.003) and body weight (0.12 vs -0.36, p=0.023) compared to school-age children.
  • No significant difference in BMI Z-scores between infants and school-age children.
  • No difference in anthropometric Z-scores between perforated and non-perforated appendicitis groups in infants.

Conclusions:

  • Infants with acute appendicitis tend to have a larger physique but normal body proportions, a trend not seen in school-age children.
  • Larger infants presenting with abdominal pain warrant screening for appendicitis.
  • Further research may elucidate specific risk factors and improve diagnostic accuracy in this population.

Keywords:
abdominal painappendicitisbody weightdiagnosispediatric emergency medicine

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