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Complicated appendicitis and associated risk factors among children
Molla Azmeraw1, Biruk Beletew Abate2, Dessie Temesgen2
1Department of nursing, college of health science, Woldia University, Woldia, Ethiopia. molla2ab@gmai.com.
Insights
Complicated appendicitis affects 32.02% of children in Ethiopia. Delays in seeking care (over 24 hours) and high white blood cell counts are key predictors.
Area of Science:
- Pediatric Surgery
- Epidemiology
- Public Health
Background:
- Complicated appendicitis presents a significant challenge in pediatric surgical care, with a wide reported burden.
- Limited research exists on the prevalence of complicated appendicitis among children in Ethiopia.
- This study addresses this gap by investigating the prevalence and associated factors in Ethiopia's Amhara region.
Purpose of the Study:
- To determine the prevalence of complicated appendicitis in children within the Amhara region of Ethiopia.
- To identify factors associated with complicated appendicitis in this pediatric population.
Main Methods:
- A cross-sectional study design was utilized.
- Data were collected from 406 participants using a standardized data extraction tool and simple random sampling.
- Logistic regression analysis was employed to identify significant predictors (P-value < 0.05).
Main Results:
- The prevalence of complicated appendicitis was found to be 32.02% (95% CI: 27.64%–36.74%).
- Symptom duration exceeding 24 hours (aOR = 1.64) and white blood cell count above 12,000 cells/µl (aOR = 2.08) were statistically significant predictors.
Conclusions:
- The prevalence of complicated appendicitis in this Ethiopian cohort is notably high.
- Delayed presentation (symptoms > 24 hours) and elevated white blood cell counts are significantly associated with complicated appendicitis.
- Healthcare providers should be vigilant for these indicators in children presenting with appendicitis symptoms.
Background:
Complicated appendicitis is one of significant pediatric surgical care challenges and its burden varied from 5 to 75%. However, there is limited study about prevalence of complicated appendicitis among children in Ethiopia. Therefore, this study aimed to assess the prevalence and associated factors of complicated appendicitis among children in Amhara region, Ethiopia.
Methodology:
A cross-sectional study design was employed. The data extraction tool was used to collect data from 423 sampled participants. Simple random sampling technique was used. The data was presented using table, and text forms. The data was also summarized by proportion and frequency depends on the data type. The logistic model was fitted. Any statistical test considered significant at P-value < 0.05.
Result:
A total of 406 study participants were included for analysis. The prevalence of complicated appendicitis was 32.02%, 95%CI(27.64%, 36.74%). Duration of symptom greater than 24 h, aOR = 1.64, 95% CI (1.01,2.66)), and white blood cell count greater than 12,000 cells/µl aOR = 2.08, 95% CI (1.15,3.77) were statistically significant predictors of complicated appendicitis in children.
Conclusion And Recommendation:
The prevalence of complicated appendicitis was high as compared to the previous studies. Patient presentation after 24 h of symptom and white blood cell greater than 12000 cells/µl were significantly associated with complicated appendicitis. The surgical teams need to be aware that those children with greater white blood cell count and a chief compliant duration of greater than one day were present with complicated appendicitis.
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