Predictors of early outcome after acute appendicitis: is delaying surgery for acute appendicitis an option? A retrospective study
Purpose This study analysed the clinical and para-clinical criteria that may allow surgeons and emergency physicians to take a decision regarding the surgery of acute appendicitis. Methods A retrospective analysis was conducted on 284 acute appendicitis patients who underwent surgery between January...
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| Veröffentlicht in: | European journal of trauma and emergency surgery (Munich : 2007) 2012-12, Vol.38 (6), p.641-646 |
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| creator | Youatou Towo, P. Ramadan, A. S. E. Ngatchou, W. Djiélé, J. N. Etienne, A. Capelluto, E. Mols, Pr. P. |
| description | Purpose
This study analysed the clinical and para-clinical criteria that may allow surgeons and emergency physicians to take a decision regarding the surgery of acute appendicitis.
Methods
A retrospective analysis was conducted on 284 acute appendicitis patients who underwent surgery between January 2007 and December 2009 in our institution. The registered data were extracted from patient files and statistically analysed. These data included past medical history, clinical, laboratory and imaging data, duration of hospital stay and post-operative complications. Patient delay (time between the appearance of symptoms and patient arrival at the emergency department) and hospital delay (time between hospital arrival and operation) were correctly investigated. Statistical analysis was done by using SPSS software.
Results
The patient delay is significantly increased in relation to the severity of appendicitis: 24 h (10.8–30.8 h) versus 37.4 h (36.8–38 h) (
P
|
| doi_str_mv | 10.1007/s00068-012-0208-8 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1761460369</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1761460369</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-ac95b885960229205a7a2e1ae553e0b78d010b3aff52a5ddeb6ce5f7a95354b13</originalsourceid><addsrcrecordid>eNp1kU1LHTEUhkNR6kf7A7opATfdTD1JbjKZbuQirRUEXdh1yGTOSGTuZEwywiz9583lWpGiqxzIc96cnIeQLwy-M4D6NAGA0hUwXgEHXekP5JBpJaqmWbG9l1qIA3KU0n2BQUn-kRxwpdlKSjgkTzcRO-9yiImGnqKNw0LDnF3YILV9xkitm3OppwnHQvrs0w_qE-1wsIsf72ia4x3GhfbhLZbakYYp-zCe0TWNmGNIE7rsH5GmPHfLJ7Lf2yHh5-fzmPz59fP2_Hd1dX1xeb6-qpyoea6sa2SrtWwUcN5wkLa2HJlFKQVCW-sOGLTC9r3kVnYdtsqh7GvbSCFXLRPH5Nsud4rhYcaUzcYnh8NgRwxzMqxWbKVAqKagJ_-h92GOY5nOMK7KCqVWulBsR7nypRSxN1P0GxsXw8Bs_ZidH1P8mK0fs-35-pw8txvsXjr-CSkA3wGpXI1lr6-efjf1LwaRnK8</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1266525868</pqid></control><display><type>article</type><title>Predictors of early outcome after acute appendicitis: is delaying surgery for acute appendicitis an option? A retrospective study</title><source>SpringerNature Journals</source><creator>Youatou Towo, P. ; Ramadan, A. S. E. ; Ngatchou, W. ; Djiélé, J. N. ; Etienne, A. ; Capelluto, E. ; Mols, Pr. P.</creator><creatorcontrib>Youatou Towo, P. ; Ramadan, A. S. E. ; Ngatchou, W. ; Djiélé, J. N. ; Etienne, A. ; Capelluto, E. ; Mols, Pr. P.</creatorcontrib><description><![CDATA[Purpose
This study analysed the clinical and para-clinical criteria that may allow surgeons and emergency physicians to take a decision regarding the surgery of acute appendicitis.
Methods
A retrospective analysis was conducted on 284 acute appendicitis patients who underwent surgery between January 2007 and December 2009 in our institution. The registered data were extracted from patient files and statistically analysed. These data included past medical history, clinical, laboratory and imaging data, duration of hospital stay and post-operative complications. Patient delay (time between the appearance of symptoms and patient arrival at the emergency department) and hospital delay (time between hospital arrival and operation) were correctly investigated. Statistical analysis was done by using SPSS software.
Results
The patient delay is significantly increased in relation to the severity of appendicitis: 24 h (10.8–30.8 h) versus 37.4 h (36.8–38 h) (
P
< 0.05), unlike hospital delay, which remains constant (between simple and severe appendicitis): 7.5 h (5–14.8 h) versus 8 h (5–13 h). In severe appendicitis, the proportion of guarding, rebound tenderness, tachycardia (
P
< 0.05) and fever (
P
< 0.005) were significantly high, and leucocytosis (
P
< 0.05), C-reactive protein (CRP) (
P
< 0.001) and eosinopaenia [37.0 vs. 72.8 (
P
< 0.001)] were significantly different. Concerning computed tomography (CT) and echography, perforation, abscess formation (
P
< 0.05), phlegmon (
P
< 0.005) and peritonitis (
P
< 0.05) were significant signs of complicated cases. The length of hospital stay (
P
< 0.001) and duration of antibiotic therapy (
P
< 0.001) were statistically significant in cases of complicated appendicitis.
Conclusion
Patient delay is a determining factor for the grade of appendicitis. It has an influence on the complications, length of hospital stay and duration of antibiotic treatment, unlike hospital delay.]]></description><identifier>ISSN: 1863-9933</identifier><identifier>EISSN: 1863-9941</identifier><identifier>DOI: 10.1007/s00068-012-0208-8</identifier><identifier>PMID: 26814550</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Appendectomy ; Appendicitis ; Critical Care Medicine ; Emergency medical care ; Emergency Medicine ; Intensive ; Medicine ; Medicine & Public Health ; Original Article ; Sports Medicine ; Surgery ; Surgical Orthopedics ; Surgical outcomes ; Traumatic Surgery</subject><ispartof>European journal of trauma and emergency surgery (Munich : 2007), 2012-12, Vol.38 (6), p.641-646</ispartof><rights>Springer-Verlag 2012</rights><rights>Springer-Verlag Berlin Heidelberg 2012</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-ac95b885960229205a7a2e1ae553e0b78d010b3aff52a5ddeb6ce5f7a95354b13</citedby><cites>FETCH-LOGICAL-c372t-ac95b885960229205a7a2e1ae553e0b78d010b3aff52a5ddeb6ce5f7a95354b13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00068-012-0208-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00068-012-0208-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,781,785,27926,27927,41490,42559,51321</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26814550$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Youatou Towo, P.</creatorcontrib><creatorcontrib>Ramadan, A. S. E.</creatorcontrib><creatorcontrib>Ngatchou, W.</creatorcontrib><creatorcontrib>Djiélé, J. N.</creatorcontrib><creatorcontrib>Etienne, A.</creatorcontrib><creatorcontrib>Capelluto, E.</creatorcontrib><creatorcontrib>Mols, Pr. P.</creatorcontrib><title>Predictors of early outcome after acute appendicitis: is delaying surgery for acute appendicitis an option? A retrospective study</title><title>European journal of trauma and emergency surgery (Munich : 2007)</title><addtitle>Eur J Trauma Emerg Surg</addtitle><addtitle>Eur J Trauma Emerg Surg</addtitle><description><![CDATA[Purpose
This study analysed the clinical and para-clinical criteria that may allow surgeons and emergency physicians to take a decision regarding the surgery of acute appendicitis.
Methods
A retrospective analysis was conducted on 284 acute appendicitis patients who underwent surgery between January 2007 and December 2009 in our institution. The registered data were extracted from patient files and statistically analysed. These data included past medical history, clinical, laboratory and imaging data, duration of hospital stay and post-operative complications. Patient delay (time between the appearance of symptoms and patient arrival at the emergency department) and hospital delay (time between hospital arrival and operation) were correctly investigated. Statistical analysis was done by using SPSS software.
Results
The patient delay is significantly increased in relation to the severity of appendicitis: 24 h (10.8–30.8 h) versus 37.4 h (36.8–38 h) (
P
< 0.05), unlike hospital delay, which remains constant (between simple and severe appendicitis): 7.5 h (5–14.8 h) versus 8 h (5–13 h). In severe appendicitis, the proportion of guarding, rebound tenderness, tachycardia (
P
< 0.05) and fever (
P
< 0.005) were significantly high, and leucocytosis (
P
< 0.05), C-reactive protein (CRP) (
P
< 0.001) and eosinopaenia [37.0 vs. 72.8 (
P
< 0.001)] were significantly different. Concerning computed tomography (CT) and echography, perforation, abscess formation (
P
< 0.05), phlegmon (
P
< 0.005) and peritonitis (
P
< 0.05) were significant signs of complicated cases. The length of hospital stay (
P
< 0.001) and duration of antibiotic therapy (
P
< 0.001) were statistically significant in cases of complicated appendicitis.
Conclusion
Patient delay is a determining factor for the grade of appendicitis. It has an influence on the complications, length of hospital stay and duration of antibiotic treatment, unlike hospital delay.]]></description><subject>Appendectomy</subject><subject>Appendicitis</subject><subject>Critical Care Medicine</subject><subject>Emergency medical care</subject><subject>Emergency Medicine</subject><subject>Intensive</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Sports Medicine</subject><subject>Surgery</subject><subject>Surgical Orthopedics</subject><subject>Surgical outcomes</subject><subject>Traumatic Surgery</subject><issn>1863-9933</issn><issn>1863-9941</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kU1LHTEUhkNR6kf7A7opATfdTD1JbjKZbuQirRUEXdh1yGTOSGTuZEwywiz9583lWpGiqxzIc96cnIeQLwy-M4D6NAGA0hUwXgEHXekP5JBpJaqmWbG9l1qIA3KU0n2BQUn-kRxwpdlKSjgkTzcRO-9yiImGnqKNw0LDnF3YILV9xkitm3OppwnHQvrs0w_qE-1wsIsf72ia4x3GhfbhLZbakYYp-zCe0TWNmGNIE7rsH5GmPHfLJ7Lf2yHh5-fzmPz59fP2_Hd1dX1xeb6-qpyoea6sa2SrtWwUcN5wkLa2HJlFKQVCW-sOGLTC9r3kVnYdtsqh7GvbSCFXLRPH5Nsud4rhYcaUzcYnh8NgRwxzMqxWbKVAqKagJ_-h92GOY5nOMK7KCqVWulBsR7nypRSxN1P0GxsXw8Bs_ZidH1P8mK0fs-35-pw8txvsXjr-CSkA3wGpXI1lr6-efjf1LwaRnK8</recordid><startdate>20121201</startdate><enddate>20121201</enddate><creator>Youatou Towo, P.</creator><creator>Ramadan, A. S. E.</creator><creator>Ngatchou, W.</creator><creator>Djiélé, J. N.</creator><creator>Etienne, A.</creator><creator>Capelluto, E.</creator><creator>Mols, Pr. P.</creator><general>Springer-Verlag</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20121201</creationdate><title>Predictors of early outcome after acute appendicitis: is delaying surgery for acute appendicitis an option? A retrospective study</title><author>Youatou Towo, P. ; Ramadan, A. S. E. ; Ngatchou, W. ; Djiélé, J. N. ; Etienne, A. ; Capelluto, E. ; Mols, Pr. P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-ac95b885960229205a7a2e1ae553e0b78d010b3aff52a5ddeb6ce5f7a95354b13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Appendectomy</topic><topic>Appendicitis</topic><topic>Critical Care Medicine</topic><topic>Emergency medical care</topic><topic>Emergency Medicine</topic><topic>Intensive</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Sports Medicine</topic><topic>Surgery</topic><topic>Surgical Orthopedics</topic><topic>Surgical outcomes</topic><topic>Traumatic Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Youatou Towo, P.</creatorcontrib><creatorcontrib>Ramadan, A. S. E.</creatorcontrib><creatorcontrib>Ngatchou, W.</creatorcontrib><creatorcontrib>Djiélé, J. N.</creatorcontrib><creatorcontrib>Etienne, A.</creatorcontrib><creatorcontrib>Capelluto, E.</creatorcontrib><creatorcontrib>Mols, Pr. P.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of trauma and emergency surgery (Munich : 2007)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Youatou Towo, P.</au><au>Ramadan, A. S. E.</au><au>Ngatchou, W.</au><au>Djiélé, J. N.</au><au>Etienne, A.</au><au>Capelluto, E.</au><au>Mols, Pr. P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Predictors of early outcome after acute appendicitis: is delaying surgery for acute appendicitis an option? A retrospective study</atitle><jtitle>European journal of trauma and emergency surgery (Munich : 2007)</jtitle><stitle>Eur J Trauma Emerg Surg</stitle><addtitle>Eur J Trauma Emerg Surg</addtitle><date>2012-12-01</date><risdate>2012</risdate><volume>38</volume><issue>6</issue><spage>641</spage><epage>646</epage><pages>641-646</pages><issn>1863-9933</issn><eissn>1863-9941</eissn><abstract><![CDATA[Purpose
This study analysed the clinical and para-clinical criteria that may allow surgeons and emergency physicians to take a decision regarding the surgery of acute appendicitis.
Methods
A retrospective analysis was conducted on 284 acute appendicitis patients who underwent surgery between January 2007 and December 2009 in our institution. The registered data were extracted from patient files and statistically analysed. These data included past medical history, clinical, laboratory and imaging data, duration of hospital stay and post-operative complications. Patient delay (time between the appearance of symptoms and patient arrival at the emergency department) and hospital delay (time between hospital arrival and operation) were correctly investigated. Statistical analysis was done by using SPSS software.
Results
The patient delay is significantly increased in relation to the severity of appendicitis: 24 h (10.8–30.8 h) versus 37.4 h (36.8–38 h) (
P
< 0.05), unlike hospital delay, which remains constant (between simple and severe appendicitis): 7.5 h (5–14.8 h) versus 8 h (5–13 h). In severe appendicitis, the proportion of guarding, rebound tenderness, tachycardia (
P
< 0.05) and fever (
P
< 0.005) were significantly high, and leucocytosis (
P
< 0.05), C-reactive protein (CRP) (
P
< 0.001) and eosinopaenia [37.0 vs. 72.8 (
P
< 0.001)] were significantly different. Concerning computed tomography (CT) and echography, perforation, abscess formation (
P
< 0.05), phlegmon (
P
< 0.005) and peritonitis (
P
< 0.05) were significant signs of complicated cases. The length of hospital stay (
P
< 0.001) and duration of antibiotic therapy (
P
< 0.001) were statistically significant in cases of complicated appendicitis.
Conclusion
Patient delay is a determining factor for the grade of appendicitis. It has an influence on the complications, length of hospital stay and duration of antibiotic treatment, unlike hospital delay.]]></abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>26814550</pmid><doi>10.1007/s00068-012-0208-8</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1863-9933 |
| ispartof | European journal of trauma and emergency surgery (Munich : 2007), 2012-12, Vol.38 (6), p.641-646 |
| issn | 1863-9933 1863-9941 |
| language | eng |
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| source | SpringerNature Journals |
| subjects | Appendectomy Appendicitis Critical Care Medicine Emergency medical care Emergency Medicine Intensive Medicine Medicine & Public Health Original Article Sports Medicine Surgery Surgical Orthopedics Surgical outcomes Traumatic Surgery |
| title | Predictors of early outcome after acute appendicitis: is delaying surgery for acute appendicitis an option? A retrospective study |
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