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[Mortality in acute appendicitis in Russia].
A Sh Revishvili1, V E Olovyanny1, D V Kalinin1
1Vishnevsky National Medical Research Center of Surgery, Moscow, Russia.
Khirurgiia
|October 12, 2022
Summary
Mortality from acute appendicitis in Russia is low, comparable to global rates. Delayed treatment and disease complications are primary drivers, though diagnostic and technical errors also significantly impact outcomes.
Area of Science:
- Medical research
- Surgical outcomes
- Public health surveillance
Background:
- Acute appendicitis remains a common surgical emergency globally.
- Understanding mortality patterns is crucial for improving patient care and healthcare system efficiency.
Purpose of the Study:
- To investigate the causes of death in patients diagnosed with acute appendicitis in the Russian Federation during 2020.
- To identify key factors contributing to mortality in acute appendicitis cases.
Main Methods:
- Retrospective analysis of mortality data for acute appendicitis patients in Russia for the year 2020.
- Survey of hospitals reporting mortality through the Ministry of Health's electronic database.
Main Results:
- In-hospital mortality for acute appendicitis was 0.17% (259 deaths out of 150,393 patients).
- Delayed presentation (median 4.9 days) leading to peritonitis and sepsis was the primary cause in complicated appendicitis.
- Cardiovascular diseases were a significant comorbidity, particularly in uncomplicated cases (73.5%).
- Diagnostic, tactical, and technical errors contributed to 54.4% of lethal outcomes.
Conclusions:
- Acute appendicitis mortality in Russia is low and aligns with international figures.
- Delayed treatment and disease complications are the main contributors to mortality.
- The influence of diagnostic and technical errors on appendicitis outcomes is substantial and warrants attention.
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