Acute appendicitis in the elderly: risk factors for perforation

Acute appendicitis is the most common surgical emergency and becomes serious when it perforates. Perforation is more frequent in the elderly patients. The aim of this study was to identify the risk factors of perforation in elderly patients who presented with acute appendicitis. The medical records...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:World journal of emergency surgery 2014-01, Vol.9 (1), p.6-6, Article 6
Hauptverfasser: Omari, Abdelkarim H, Khammash, Muhammad R, Qasaimeh, Ghazi R, Shammari, Ahmad K, Yaseen, Mohammad K Bani, Hammori, Sahel K
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 6
container_issue 1
container_start_page 6
container_title World journal of emergency surgery
container_volume 9
creator Omari, Abdelkarim H
Khammash, Muhammad R
Qasaimeh, Ghazi R
Shammari, Ahmad K
Yaseen, Mohammad K Bani
Hammori, Sahel K
description Acute appendicitis is the most common surgical emergency and becomes serious when it perforates. Perforation is more frequent in the elderly patients. The aim of this study was to identify the risk factors of perforation in elderly patients who presented with acute appendicitis. The medical records of 214 patients over the age of 60 years who had a pathologically confirmed diagnosis of acute appendicitis over a period of 10 years (2003-2013) were retrospectively reviewed. Patients were grouped into those with perforated and those with nonperforated appendicitis. Comparison was made between both groups in regard to demography, clinical presentation, and time delay to surgery, diagnosis, hospital stay and postoperative complications. Clinical assessment, Ultrasonography and Computerized tomography, in that order, were used for diagnosis. The incidence of perforation was also compared with a previous report from the same region 10 years earlier. During the study period, a total of 214 patients over the age of 60 years had acute appendicitis, 103 males and 111 females. Appendix was found perforated in 87 (41%) patients, 46 (53%) males and 41 (47%) females. Of all patients, 31% were diagnosed by clinical assessment alone, 40% needed US and 29% CT scan. Of all the risk factors studied, the patient's pre-hospital time delay was the most important risk factor for perforation. Perforation rate was not dependent on the presence of comorbid diseases or in-hospital time delay. Post operative complications occurred in 44 (21%) patients and they were three times more common in the perforated group, 33 (75%) patients in the perforated and 11 (25%) in the nonperforated group. There were 6 deaths (3%), 4 in the perforated and 2 in the nonperforated group. Acute appendicitis in elderly patients is a serious disease that requires early diagnosis and treatment. Appendiceal Perforation increases both mortality and morbidity. All elderly patients presented to the hospital with abdominal pain should be admitted and investigated. The early use of CT scan can cut short the way to the appropriate treatment.
doi_str_mv 10.1186/1749-7922-9-6
format Article
fullrecord <record><control><sourceid>gale_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3896723</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A540648929</galeid><sourcerecordid>A540648929</sourcerecordid><originalsourceid>FETCH-LOGICAL-c548t-6943e6a478c032f4475944e7a5e1df6171bfab7dc7bdaca6ec9dae4f922d77613</originalsourceid><addsrcrecordid>eNptkc9PHCEUx0lTU3-0x17NJL30MiswDAw91GyMWpNNvOiZsPBQdBamMNNk_3uZaFdtGg4PHp_35T2-CH0leEFIx0-IYLIWktJa1vwDOtidP77Z76PDnB8wZm1L2Se0TxmjncTyAJ0uzTRCpYcBgvXGjz5XPlTjPVTQW0j99keVfH6snDZjTLlyMVUDpBL06GP4jPac7jN8eYlH6Pbi_ObsV726vrw6W65q07JurLlkDXDNRGdwQx1jopWMgdAtEOs4EWTt9FpYI9ZWG83BSKuBudK7FYKT5gj9fNYdpvUGrIEwJt2rIfmNTlsVtVfvb4K_V3fxj2o6yQVtisD3F4EUf0-QR7Xx2UDf6wBxyoowSXDbCo4L-u0f9CFOKZTxZgp3mHSUvlJ3ugflg4vlXTOLqmXLMGedpLJQi_9QZVnYeBMDOF_y7wrq5wKTYs4J3G5GgtXsuJpdVbOrSipe-OO3H7Oj_1rcPAGxEaUW</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1490801822</pqid></control><display><type>article</type><title>Acute appendicitis in the elderly: risk factors for perforation</title><source>PubMed (Medline)</source><source>Springer Open Access</source><source>DOAJ Directory of Open Access Journals</source><source>Springer Nature</source><source>EZB Electronic Journals Library</source><source>PubMed Central Open Access</source><creator>Omari, Abdelkarim H ; Khammash, Muhammad R ; Qasaimeh, Ghazi R ; Shammari, Ahmad K ; Yaseen, Mohammad K Bani ; Hammori, Sahel K</creator><creatorcontrib>Omari, Abdelkarim H ; Khammash, Muhammad R ; Qasaimeh, Ghazi R ; Shammari, Ahmad K ; Yaseen, Mohammad K Bani ; Hammori, Sahel K</creatorcontrib><description>Acute appendicitis is the most common surgical emergency and becomes serious when it perforates. Perforation is more frequent in the elderly patients. The aim of this study was to identify the risk factors of perforation in elderly patients who presented with acute appendicitis. The medical records of 214 patients over the age of 60 years who had a pathologically confirmed diagnosis of acute appendicitis over a period of 10 years (2003-2013) were retrospectively reviewed. Patients were grouped into those with perforated and those with nonperforated appendicitis. Comparison was made between both groups in regard to demography, clinical presentation, and time delay to surgery, diagnosis, hospital stay and postoperative complications. Clinical assessment, Ultrasonography and Computerized tomography, in that order, were used for diagnosis. The incidence of perforation was also compared with a previous report from the same region 10 years earlier. During the study period, a total of 214 patients over the age of 60 years had acute appendicitis, 103 males and 111 females. Appendix was found perforated in 87 (41%) patients, 46 (53%) males and 41 (47%) females. Of all patients, 31% were diagnosed by clinical assessment alone, 40% needed US and 29% CT scan. Of all the risk factors studied, the patient's pre-hospital time delay was the most important risk factor for perforation. Perforation rate was not dependent on the presence of comorbid diseases or in-hospital time delay. Post operative complications occurred in 44 (21%) patients and they were three times more common in the perforated group, 33 (75%) patients in the perforated and 11 (25%) in the nonperforated group. There were 6 deaths (3%), 4 in the perforated and 2 in the nonperforated group. Acute appendicitis in elderly patients is a serious disease that requires early diagnosis and treatment. Appendiceal Perforation increases both mortality and morbidity. All elderly patients presented to the hospital with abdominal pain should be admitted and investigated. The early use of CT scan can cut short the way to the appropriate treatment.</description><identifier>ISSN: 1749-7922</identifier><identifier>EISSN: 1749-7922</identifier><identifier>DOI: 10.1186/1749-7922-9-6</identifier><identifier>PMID: 24428909</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Aged patients ; Health aspects ; Medical research ; Medicine, Experimental</subject><ispartof>World journal of emergency surgery, 2014-01, Vol.9 (1), p.6-6, Article 6</ispartof><rights>COPYRIGHT 2014 BioMed Central Ltd.</rights><rights>2014 Omari et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.</rights><rights>Copyright © 2014 Omari et al.; licensee BioMed Central Ltd. 2014 Omari et al.; licensee BioMed Central Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c548t-6943e6a478c032f4475944e7a5e1df6171bfab7dc7bdaca6ec9dae4f922d77613</citedby><cites>FETCH-LOGICAL-c548t-6943e6a478c032f4475944e7a5e1df6171bfab7dc7bdaca6ec9dae4f922d77613</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3896723/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3896723/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24428909$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Omari, Abdelkarim H</creatorcontrib><creatorcontrib>Khammash, Muhammad R</creatorcontrib><creatorcontrib>Qasaimeh, Ghazi R</creatorcontrib><creatorcontrib>Shammari, Ahmad K</creatorcontrib><creatorcontrib>Yaseen, Mohammad K Bani</creatorcontrib><creatorcontrib>Hammori, Sahel K</creatorcontrib><title>Acute appendicitis in the elderly: risk factors for perforation</title><title>World journal of emergency surgery</title><addtitle>World J Emerg Surg</addtitle><description>Acute appendicitis is the most common surgical emergency and becomes serious when it perforates. Perforation is more frequent in the elderly patients. The aim of this study was to identify the risk factors of perforation in elderly patients who presented with acute appendicitis. The medical records of 214 patients over the age of 60 years who had a pathologically confirmed diagnosis of acute appendicitis over a period of 10 years (2003-2013) were retrospectively reviewed. Patients were grouped into those with perforated and those with nonperforated appendicitis. Comparison was made between both groups in regard to demography, clinical presentation, and time delay to surgery, diagnosis, hospital stay and postoperative complications. Clinical assessment, Ultrasonography and Computerized tomography, in that order, were used for diagnosis. The incidence of perforation was also compared with a previous report from the same region 10 years earlier. During the study period, a total of 214 patients over the age of 60 years had acute appendicitis, 103 males and 111 females. Appendix was found perforated in 87 (41%) patients, 46 (53%) males and 41 (47%) females. Of all patients, 31% were diagnosed by clinical assessment alone, 40% needed US and 29% CT scan. Of all the risk factors studied, the patient's pre-hospital time delay was the most important risk factor for perforation. Perforation rate was not dependent on the presence of comorbid diseases or in-hospital time delay. Post operative complications occurred in 44 (21%) patients and they were three times more common in the perforated group, 33 (75%) patients in the perforated and 11 (25%) in the nonperforated group. There were 6 deaths (3%), 4 in the perforated and 2 in the nonperforated group. Acute appendicitis in elderly patients is a serious disease that requires early diagnosis and treatment. Appendiceal Perforation increases both mortality and morbidity. All elderly patients presented to the hospital with abdominal pain should be admitted and investigated. The early use of CT scan can cut short the way to the appropriate treatment.</description><subject>Aged patients</subject><subject>Health aspects</subject><subject>Medical research</subject><subject>Medicine, Experimental</subject><issn>1749-7922</issn><issn>1749-7922</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNptkc9PHCEUx0lTU3-0x17NJL30MiswDAw91GyMWpNNvOiZsPBQdBamMNNk_3uZaFdtGg4PHp_35T2-CH0leEFIx0-IYLIWktJa1vwDOtidP77Z76PDnB8wZm1L2Se0TxmjncTyAJ0uzTRCpYcBgvXGjz5XPlTjPVTQW0j99keVfH6snDZjTLlyMVUDpBL06GP4jPac7jN8eYlH6Pbi_ObsV726vrw6W65q07JurLlkDXDNRGdwQx1jopWMgdAtEOs4EWTt9FpYI9ZWG83BSKuBudK7FYKT5gj9fNYdpvUGrIEwJt2rIfmNTlsVtVfvb4K_V3fxj2o6yQVtisD3F4EUf0-QR7Xx2UDf6wBxyoowSXDbCo4L-u0f9CFOKZTxZgp3mHSUvlJ3ugflg4vlXTOLqmXLMGedpLJQi_9QZVnYeBMDOF_y7wrq5wKTYs4J3G5GgtXsuJpdVbOrSipe-OO3H7Oj_1rcPAGxEaUW</recordid><startdate>20140115</startdate><enddate>20140115</enddate><creator>Omari, Abdelkarim H</creator><creator>Khammash, Muhammad R</creator><creator>Qasaimeh, Ghazi R</creator><creator>Shammari, Ahmad K</creator><creator>Yaseen, Mohammad K Bani</creator><creator>Hammori, Sahel K</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</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>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20140115</creationdate><title>Acute appendicitis in the elderly: risk factors for perforation</title><author>Omari, Abdelkarim H ; Khammash, Muhammad R ; Qasaimeh, Ghazi R ; Shammari, Ahmad K ; Yaseen, Mohammad K Bani ; Hammori, Sahel K</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c548t-6943e6a478c032f4475944e7a5e1df6171bfab7dc7bdaca6ec9dae4f922d77613</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Aged patients</topic><topic>Health aspects</topic><topic>Medical research</topic><topic>Medicine, Experimental</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Omari, Abdelkarim H</creatorcontrib><creatorcontrib>Khammash, Muhammad R</creatorcontrib><creatorcontrib>Qasaimeh, Ghazi R</creatorcontrib><creatorcontrib>Shammari, Ahmad K</creatorcontrib><creatorcontrib>Yaseen, Mohammad K Bani</creatorcontrib><creatorcontrib>Hammori, Sahel K</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Health and Medical</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</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</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Publicly Available Content Database</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>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>World journal of emergency surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Omari, Abdelkarim H</au><au>Khammash, Muhammad R</au><au>Qasaimeh, Ghazi R</au><au>Shammari, Ahmad K</au><au>Yaseen, Mohammad K Bani</au><au>Hammori, Sahel K</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acute appendicitis in the elderly: risk factors for perforation</atitle><jtitle>World journal of emergency surgery</jtitle><addtitle>World J Emerg Surg</addtitle><date>2014-01-15</date><risdate>2014</risdate><volume>9</volume><issue>1</issue><spage>6</spage><epage>6</epage><pages>6-6</pages><artnum>6</artnum><issn>1749-7922</issn><eissn>1749-7922</eissn><abstract>Acute appendicitis is the most common surgical emergency and becomes serious when it perforates. Perforation is more frequent in the elderly patients. The aim of this study was to identify the risk factors of perforation in elderly patients who presented with acute appendicitis. The medical records of 214 patients over the age of 60 years who had a pathologically confirmed diagnosis of acute appendicitis over a period of 10 years (2003-2013) were retrospectively reviewed. Patients were grouped into those with perforated and those with nonperforated appendicitis. Comparison was made between both groups in regard to demography, clinical presentation, and time delay to surgery, diagnosis, hospital stay and postoperative complications. Clinical assessment, Ultrasonography and Computerized tomography, in that order, were used for diagnosis. The incidence of perforation was also compared with a previous report from the same region 10 years earlier. During the study period, a total of 214 patients over the age of 60 years had acute appendicitis, 103 males and 111 females. Appendix was found perforated in 87 (41%) patients, 46 (53%) males and 41 (47%) females. Of all patients, 31% were diagnosed by clinical assessment alone, 40% needed US and 29% CT scan. Of all the risk factors studied, the patient's pre-hospital time delay was the most important risk factor for perforation. Perforation rate was not dependent on the presence of comorbid diseases or in-hospital time delay. Post operative complications occurred in 44 (21%) patients and they were three times more common in the perforated group, 33 (75%) patients in the perforated and 11 (25%) in the nonperforated group. There were 6 deaths (3%), 4 in the perforated and 2 in the nonperforated group. Acute appendicitis in elderly patients is a serious disease that requires early diagnosis and treatment. Appendiceal Perforation increases both mortality and morbidity. All elderly patients presented to the hospital with abdominal pain should be admitted and investigated. The early use of CT scan can cut short the way to the appropriate treatment.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>24428909</pmid><doi>10.1186/1749-7922-9-6</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 1749-7922
ispartof World journal of emergency surgery, 2014-01, Vol.9 (1), p.6-6, Article 6
issn 1749-7922
1749-7922
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3896723
source PubMed (Medline); Springer Open Access; DOAJ Directory of Open Access Journals; Springer Nature; EZB Electronic Journals Library; PubMed Central Open Access
subjects Aged patients
Health aspects
Medical research
Medicine, Experimental
title Acute appendicitis in the elderly: risk factors for perforation
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-25T08%3A08%3A30IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Acute%20appendicitis%20in%20the%20elderly:%20risk%20factors%20for%20perforation&rft.jtitle=World%20journal%20of%20emergency%20surgery&rft.au=Omari,%20Abdelkarim%20H&rft.date=2014-01-15&rft.volume=9&rft.issue=1&rft.spage=6&rft.epage=6&rft.pages=6-6&rft.artnum=6&rft.issn=1749-7922&rft.eissn=1749-7922&rft_id=info:doi/10.1186/1749-7922-9-6&rft_dat=%3Cgale_pubme%3EA540648929%3C/gale_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1490801822&rft_id=info:pmid/24428909&rft_galeid=A540648929&rfr_iscdi=true