Optimal Time to Surgery for Patients Requiring Laparoscopic Appendectomy: An Integrative Review

Gardiner, Therese; Gillespie, Brigid M.

doi:10.1016/j.aorn.2015.12.006

Cited by 7 publications

(3 citation statements)

References 39 publications

(223 reference statements)

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“…Mean hospital stay was higher in rural patients than urban patients (8.41 ± 2.44 days vs. 4.37 ± 1.69 days). This might have significantly reduced hospital stayassociated costs in urban patients (Gardiner & Gillespie, 2016). The scenario is quite similar in rural South Africa, with significant morbidity due to prolonged delays before definitive surgical care (Kong et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

“…Enteric infectious diseases that mimic acute appendicitis presentation, such as typhoid fever, amoebic dysentery, gastroenteritis, and helminths infestation, are endemic in this subregion, further complicating diagnosis and decision-making (Gardiner & Gillespie, 2016). Significant positive correlations were observed with the rural population and higher primary appendectomy rates, negative appendectomy, and perforated appendicitis, explaining the geospatial linkage (Johnson, 2019;To & Langer, 2010).…”

Section: Diagnostic Dilemma Of Acute Appendicitismentioning

confidence: 99%

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An analysis of the consequences of acute appendicitis between urban and rural patients in Bangladesh

Iqbal¹,

Azad²,

Alam³

et al. 2021

J Appl Pharm Sci

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In acute appendicitis, timely diagnosis and rapid intervention are critical for effective management. However, geographic location and socioeconomic context can play an important role in developing countries' clinical course and outcome. The aim of this study is to observe the consequences of acute appendicitis between urban and rural patients. A prospective analytical study was conducted from April 25 to October 25, 2016, in Chittagong Medical College Hospital, Chattogram, Bangladesh. A total of 200 patients, 100 patients in each arm with a clinical diagnosis of acute appendicitis, were enrolled. 33.5% were in the age group of 21-30 years. The male:female ratio was 1.94:1. 45% of the urban patients came from the middle class, while 47% of the rural patients were from poor socioeconomic backgrounds. The mean duration of the presentation was 2.96 ± 1.88 days in urban and 5.28 ± 2.8 days in rural patients. 87% of urban and 33% of rural patients received conservative treatment before hospitalization. 74.11% of rural and 30% of urban patients delayed consenting to surgery. Perforation was found in 17.78% of urban and 33.33% of rural patients and gangrenous appendicitis in 12.22% of urban and 66.67% of rural patients. Rural patients suffered more complications like wound infection (34.4% and 68.4%, resp.), septic shock (0% and 7.9%, resp.), burst abdomen (0% and 5.3%, resp.), and death in two rural patients. Mean hospital stay was 4.37 ± 1.69 days in urban and 8.41 ± 2.44 days in rural patients. The rural population has higher morbidity and mortality when compared to the urban population of Bangladesh.

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Section: Discussionmentioning

confidence: 99%

Section: Diagnostic Dilemma Of Acute Appendicitismentioning

confidence: 99%

An analysis of the consequences of acute appendicitis between urban and rural patients in Bangladesh

Iqbal¹,

Azad²,

Alam³

et al. 2021

J Appl Pharm Sci

View full text Add to dashboard Cite

show abstract

“…The optimal time of appendicitis for surgery is recommended 24 to 36 hours after symptom onset, or 10 to 24 hours from admission. Delayed surgery usually prolonged the hospital length of stay [10]. There was a 2-fold increase in complication rate for patients delayed longer than 48 hours [11] or greater inpatient delay is associated with increased perforation rates [12].…”

Section: Discussionmentioning

confidence: 99%