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[Appendicitis in the elderly: delay between the first symptoms and surgical procedure]
M J Moro1, R Arboiro, J Morante
1Servicio de Medicina Interna, Fundación Jiménez Díaz, Universidad Autónoma, Madrid.
Anales De Medicina Interna (Madrid, Spain : 1984)
|December 1, 1996
Summary
Acute appendicitis is increasingly common in older adults. Elderly patients face higher complication rates due to delayed diagnosis and treatment, leading to increased morbidity.
Area of Science:
- Gastroenterology
- Geriatric Medicine
- Surgical Pathology
Context:
- Acute appendicitis, a frequent cause of abdominal surgery, is increasingly diagnosed in elderly populations.
- Aging populations and longer life expectancies contribute to a rising incidence of appendicitis in individuals over 60.
- Appendicitis in the elderly presents unique challenges compared to younger demographics.
Purpose:
- To investigate the specific presentation and clinical evolution of acute appendicitis in patients over 60 years old.
- To compare the outcomes of appendicitis in elderly patients with those in a younger patient cohort.
- To identify factors contributing to complications and adverse outcomes in geriatric appendicitis.
Summary:
- A study of 73 patients over 60 with appendicitis revealed typical clinical findings regardless of age.
- Delayed medical assistance, comorbidities, and postponed diagnosis/surgery significantly increase complication risks in elderly patients.
- Older patients experienced a higher incidence of post-operative complications, particularly surgical site infections, leading to greater morbidity and longer hospital stays.
Impact:
- Highlights the need for heightened awareness and prompt management of appendicitis in the elderly.
- Emphasizes the importance of early diagnosis and intervention to mitigate severe outcomes in geriatric appendicitis.
- Informs clinical practice regarding the increased risk of complications and prolonged recovery in older adults with appendicitis.