L-E Hansson1, H Laurell, U Gunnarsson. 1. Department of Surgery at Sahlgrenska University Hospital, Gothenburg, Sweden. lars-erik.hansson@vgregion.se
Abstract
BACKGROUND: The aim of this study was to elucidate the natural history of appendicitis. METHODS: Data was collected prospectively from consecutive patients admitted to hospital for acute abdominal pain. The degree of appendiceal inflammation in relation to preoperative duration of pain was analysed. RESULTS: The study comprised 253 patients operated on for acute appendicitis that could recall the onset of abdominal pain. There was a longer duration of pre-hospital pain in patients, irrespective of age, with perforated appendicitis compared to patients with phlegmonous or gangrenous appendicitis (p < 0.001). In the multivariate analysis, patient age and preoperative duration of pain were independent risk factors for perforation. CONCLUSION: Patient delay in presentation is the predominant factor determining the incidence of complicated appendicitis, and this delay is not influenced by age or gender.
BACKGROUND: The aim of this study was to elucidate the natural history of appendicitis. METHODS: Data was collected prospectively from consecutive patients admitted to hospital for acute abdominal pain. The degree of appendiceal inflammation in relation to preoperative duration of pain was analysed. RESULTS: The study comprised 253 patients operated on for acute appendicitis that could recall the onset of abdominal pain. There was a longer duration of pre-hospital pain in patients, irrespective of age, with perforated appendicitis compared to patients with phlegmonous or gangrenous appendicitis (p < 0.001). In the multivariate analysis, patient age and preoperative duration of pain were independent risk factors for perforation. CONCLUSION:Patient delay in presentation is the predominant factor determining the incidence of complicated appendicitis, and this delay is not influenced by age or gender.
Authors: Oscar Vidal; Mauro Valentini; Cesar Ginestà; Josep Martí; Juan J Espert; Guerson Benarroch; Juan C García-Valdecasas Journal: Surg Endosc Date: 2009-08-19 Impact factor: 4.584
Authors: Imre Ilves; Hannu E K Paajanen; Karl-Heinz Herzig; Anne Fagerström; Pekka J Miettinen Journal: World J Surg Date: 2011-04 Impact factor: 3.352