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The continuing challenge of perforating appendicitis

K S Scher, J A Coil

    Surgery, Gynecology & Obstetrics
    |April 1, 1980
    PubMed
    Summary
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    Perforated appendicitis significantly increases hospital stay, costs, and complications. Delays in seeking medical care and hospital admission contribute to higher perforation rates, especially in children and older adults.

    Area of Science:

    • Medical research
    • Surgical outcomes
    • Public health

    Background:

    • Acute appendicitis is a common surgical emergency.
    • Perforation significantly impacts patient outcomes and healthcare resource utilization.

    Purpose of the Study:

    • To analyze the incidence, outcomes, and risk factors associated with perforated appendicitis.
    • To identify delays in diagnosis and treatment contributing to perforation.

    Main Methods:

    • Retrospective review of 335 consecutive acute appendicitis patients.
    • Analysis of perforation rates, mortality, hospital stay, costs, and complication rates.
    • Investigation of pre-hospital and in-hospital delays, and demographic factors.

    Main Results:

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    • Perforation incidence was 32.2%, with a 0.9% mortality for perforated cases.
    • Perforation doubled hospital stay and tripled costs, with a 47.2% complication rate.
    • Higher perforation incidence in the first decade and after the fifth decade of life; delays in care were significant.

    Conclusions:

    • Perforated appendicitis poses a substantial burden on healthcare systems and patients.
    • Timely medical evaluation and prompt hospital admission are crucial to reduce perforation rates.
    • Geographic access to healthcare influences perforation incidence, unlike insurance or telephone access.