How Time Affects the Risk of Rupture in Appendicitis

Bickell, Nina A.; Aufses, Arthur H.; Rojas, Mary; Bodian, Carol

doi:10.1016/j.jamcollsurg.2005.11.016

Cited by 315 publications

(273 citation statements)

References 15 publications

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“…[3,4] Generally, costs and length of hospital stay are all significantly longer in patients who experience appendicular rupture. [7] Appendicular rupture is associated with the need for re-laparotomy, temporary abdominal closure and ICU admission. [3] Our previous work demonstrated a significant disparity in outcome between patients in SA and those in the developed world.…”

Section: Discussionmentioning

confidence: 99%

Quantifying the disparity in outcome between urban and rural patients with acute appendicitis in South Africa

et al. 2013

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Section: Discussionmentioning

confidence: 99%

Quantifying the disparity in outcome between urban and rural patients with acute appendicitis in South Africa

et al. 2013

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“…O tempo do início dos sintomas até a admissão, o tempo da admissão hospitalar até a operação e a presença de dor localizada ou difusa não contribuí-ram, isolada ou diretamente, para o aumento dos fatores de risco para as complicações estudadas conforme a análise bivariada (Tabela 5). No entanto estes fatos devem ser analisados em conjunto, porque segundo Bickell 15 , o risco de necrose e perfuração apendicular aumenta progressivamente após 36 horas da instalação da apendicite aguda. Nossos achados demonstraram que a necrose apendicular acarreta um incremento de 4,66 vezes no risco de complicações.…”

Section: Discussionunclassified

Fatores de risco para as complicações após apendicectomias em adultos

Silva¹,

Almeida

Lima³

et al. 2007

Rev bras. colo-proctol.

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“…The use of repeated clinical examination is a widely used diagnostic option in patients with atypical clinical picture and may be used safely in those with time evolution under 24 hours who, according to Bickell et al 11 , present a low risk of perforation, from 0 to 2% every 12 hours. Clinical observation should be exercised with caution in patients with longer evolution time, because the risk of perforation in those with more than 36 hours of evolution is 5% every 12 hours, mainly in the elderly.…”

Section: Results Results Results Resultsmentioning

confidence: 99%

Índices diagnósticos da ultrassonografia abdominal na apendicite aguda: influência do gênero e constituição física, tempo evolutivo da doença e experiência do radiologista

Peixoto

Nunes

Gomes

2011

Rev. Col. Bras. Cir.

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Influence of gender and physical constitution, time evolution of the disease and experience of radiologist evolution of the disease and experience of radiologist evolution of the disease and experience of radiologist evolution of the disease and experience of radiologist evolution of the disease and experience of radiologist Índices diagnósticos da ultrassonografia abdominal na apendicite aguda. Índices diagnósticos da ultrassonografia abdominal na apendicite aguda. Índices diagnósticos da ultrassonografia abdominal na apendicite aguda. Índices diagnósticos da ultrassonografia abdominal na apendicite aguda. Índices diagnósticos da ultrassonografia abdominal na apendicite aguda. Influência do gênero e constituição física, tempo evolutivo da doença e Influência do gênero e constituição física, tempo evolutivo da doença e Influência do gênero e constituição física, tempo evolutivo da doença e Influência do gênero e constituição física, tempo evolutivo da doença e Influência do gênero e constituição física, tempo evolutivo da doença e experiência do radiologista experiência do radiologista experiência do radiologista experiência do radiologista experiência do radiologista We prospectively evaluated 156 patients with clinical diagnosis of acute appendicitis who underwent laparoscopic appendectomy and abdominal ultrasonography, together with pathology of the excised appendices. Patients were allocated in relation to BMI in both groups (below or above 25 kg/m 2 ) and radiologists, in three groups according to their professional experience (less than five years, between five and 10 years and more than 10 years). The survey also assessed the influence of gender and time of disease progression using the median of 36 hours. Results Results ResultsResults Results: The sensitivity and specificity of abdominal ultrasonography for diagnosing appendicitis were 64.9 and 72% respectively. Gender, body mass index, length of experience of the radiologists in the three groups and time of onset of symptoms showed no significant differences in the establishment of sonographic diagnosis of acute appendicitis. Conclusion Conclusion Conclusion Conclusion Conclusion: The abdominal ultrasonography showed low sensitivity and specificity and little contribution to the diagnosis of acute appendicitis. Gender, physical constitution, the experience of the radiologist and time of onset of symptoms did not affect the outcome of the sonography.

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How Time Affects the Risk of Rupture in Appendicitis

Cited by 315 publications

References 15 publications

Quantifying the disparity in outcome between urban and rural patients with acute appendicitis in South Africa

Quantifying the disparity in outcome between urban and rural patients with acute appendicitis in South Africa

Fatores de risco para as complicações após apendicectomias em adultos

Índices diagnósticos da ultrassonografia abdominal na apendicite aguda: influência do gênero e constituição física, tempo evolutivo da doença e experiência do radiologista

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