Factors influencing the course of acute appendicitis in adults and children

Tsioplis, C.; Brockschmidt, C.; Sander, Silvia; Henne‐Bruns, Doris; Kornmann, Marko

doi:10.1007/s00423-013-1096-z

Cited by 15 publications

(16 citation statements)

References 34 publications

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“…5 Other complications of anesthesia T88. 6 Anaphylactic shock due to correct drug T88. 7 Unspecified adverse effect of drug or medication T88.…”

Section: Appendixmentioning

confidence: 99%

“…1 Drainage of abscess of appendix H17. 6 Open relief of obstruction of colon NEC S47. 2 Drainage of lesion of skin NEC T30.…”

Section: Appendixmentioning

confidence: 99%

“…5 Foreign body accidentally left in operation wound or body cavity T81. 6 Acute reaction to foreign substance accidentally left during a procedure T81. 8 Subcutaneous emphysema resulting from a procedure T81.…”

Section: Appendixmentioning

confidence: 99%

“…Clinical outcomes are dependent on many factors including timely diagnosis and severity of disease at presentation. 6,7 Later presentations with localized or diffuse peritonitis carry a higher risk of postoperative complications including wound infection, intraabdominal abscess, and adhesional small bowel obstruction of around 15% to 25% and a need for hospital readmission of about 4% to 5%. 8,9 The skill of the operator in knowing when to intervene can influence the rate of negative appendectomy that exposes children to possible iatrogenic harms.…”

mentioning

confidence: 99%

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Pediatric Emergency Appendectomy and 30-Day Postoperative Outcomes in District General Hospitals and Specialist Pediatric Surgical Centers in England, April 2001 to March 2012

et al. 2016

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“…5 Other complications of anesthesia T88. 6 Anaphylactic shock due to correct drug T88. 7 Unspecified adverse effect of drug or medication T88.…”

Section: Appendixmentioning

confidence: 99%

“…1 Drainage of abscess of appendix H17. 6 Open relief of obstruction of colon NEC S47. 2 Drainage of lesion of skin NEC T30.…”

Section: Appendixmentioning

confidence: 99%

Section: Appendixmentioning

confidence: 99%

mentioning

confidence: 99%

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Pediatric Emergency Appendectomy and 30-Day Postoperative Outcomes in District General Hospitals and Specialist Pediatric Surgical Centers in England, April 2001 to March 2012

et al. 2016

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“…The current perception is that appendicectomy is a safe surgical procedure with minimal risks. The mortality of appendicectomy from around the world in the past decade has been reported to be relatively low, with published mortality rates of 0.20% in Sweden, 5 0.07% in Germany, 6 0.24% in UK, 7 0.14% in USA 8 and 0.04% in Taiwan. 9 The mortality of acute appendicitis in Australia between 2009 and 2012 was examined by Wysocki et al in 2015.…”

Section: Introductionmentioning

confidence: 99%

Appendicectomy mortality: an Australian national audit

Young

Stewart

McCulloch

et al. 2019

ANZ Journal of Surgery

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Background Appendicectomy is a safe surgical procedure with minimal risks. Low mortality rates (0.04–0.24%) have been reported from a number of countries. Appendicectomy mortality rates have not been reported in Australia in recent years. The aim of the study was to conduct an appendicectomy mortality audit, to identify clinical management issues and to calculate the mortality rate of appendicectomy in Australia. Methods This study analysed data from a peer review of appendicectomy deaths in Australian hospitals of all states and territories, from 2006 to 2017. Additional procedural data were obtained from the Australian Institute of Health and Welfare for the calculation of mortality rates. Results The final analysis included 82 patients of whom 62 were elderly (age >65 years) with 47 males and 35 females. Two or more comorbidities were present in 68 patients. Open operation was performed in 62 patients, with complicated appendicitis found in 50 cases. The majority of management issues were non‐surgical. Of the 16 surgical management issues identified, 11 issues occurred post‐operatively in the elderly, which were potentially preventable. The overall mortality was 0.02% with 0.01% in the young (age <65 years) and 0.20% in the elderly. Conclusion Australia's appendicectomy mortality rate was very low and comparable to international figures. Surgical management of appendicectomy was satisfactory in general. However, post‐operative care in the elderly was found to be poor at times, with room for improvement. Further research is needed whether improvements in post‐operative care could alter the clinical course to death in the elderly.

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