Access to emergency operative care: A comparative study between the Canadian and American health care systems

Krajewski, Susan; Hameed, S. Morad; Smink, Douglas S.; Rogers, Selwyn O.

doi:10.1016/j.surg.2009.04.005

Cited by 30 publications

(32 citation statements)

References 31 publications

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“…Increase in appendiceal perforation rate due to delay to emergency operative access has also been reported in other countries 18 . In a comparative study between all patients diagnosed with acute appendicitis from 2001 to 2005 in Canada and the United States, Krajewski et al demonstrated that odds of appendiceal perforation were significantly higher in the lowest income quartile than in the highest income bracket in the United States, however not in Canada 18 .…”

Section: Discussionsupporting

confidence: 52%

“…In a comparative study between all patients diagnosed with acute appendicitis from 2001 to 2005 in Canada and the United States, Krajewski et al demonstrated that odds of appendiceal perforation were significantly higher in the lowest income quartile than in the highest income bracket in the United States, however not in Canada 18 . The authors suggested that this finding is due to different access to emergency operative care in these two countries.…”

Section: Discussionmentioning

confidence: 99%

“…The authors suggested that this finding is due to different access to emergency operative care in these two countries. In the United States, where 47 million Americans are uninsured, access to emergency care is related to socioeconomic status 18 . United States hospitals are concerned with patients' ability to pay medical bills 18 .…”

Section: Discussionmentioning

confidence: 99%

“…In the United States, where 47 million Americans are uninsured, access to emergency care is related to socioeconomic status 18 . United States hospitals are concerned with patients' ability to pay medical bills 18 . In Canada, all citizens have universal health insurance and all patients have free access to emergency care, independent of the socioeconomic status.…”

Section: Discussionmentioning

confidence: 99%

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Appendectomy: comparative study between a public and a private hospital

Coelho¹,

Fernandes²,

Cortiano³

et al. 2010

Rev. Assoc. Med. Bras.

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Section: Discussionsupporting

confidence: 52%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Appendectomy: comparative study between a public and a private hospital

Coelho¹,

Fernandes²,

Cortiano³

et al. 2010

Rev. Assoc. Med. Bras.

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“…A higher rate of appendix perforation has been noted in children compared to adults [3]. Up to 35% of patients with acute appendicitis have a perforation of the appendix before surgical intervention [4]. Despite being so common, the markers for acute vs. perforated appendicitis remain debatable.…”

Section: Introductionmentioning

confidence: 99%

Predictors of Perforated Appendix among Children

Jha¹,

Singh²,

Trehan³

et al. 2017

Pediatr Ther

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Objective: This study explores whether nominal demographics, symptoms, signs and laboratory predictors can determine a perforated appendix in pediatric population at an urban community hospital.Methods: A retrospective analysis was performed including variables such as demographics, clinical signs, symptoms and laboratory predictors. The patient population consisted of all children between the ages of 0 and 18 years who were treated for acute appendicitis between January 2014-December 2014. Patients with perforated appendicitis were identified using coding data.Results: During the 1-year period, 74 patients were treated for appendicitis. Using correlation and logistic regression, nineteen variables were assessed for any relationship to a ruptured appendix in these patients. No substantial correlations were detected. Conclusions:There have been reports of racial and socioeconomic disparities with regards to perforated appendicitis in children. However, there is not enough evidence in the literature that supports the prediction of perforated appendix based on clinical and laboratory values. This study, at Saint Anthony Hospital, found no correlation between socioeconomic status, clinical presentation, laboratory values and ruptured appendix.

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