Prevalence of Postoperative Unfavorable Outcome and Associated Factors in Patients with Appendicitis: A Cross-Sectional Study

Ayele, Wolde Melese

doi:10.2147/oaem.s305905

Cited by 10 publications

(14 citation statements)

References 28 publications

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“…In the study, higher admissions of patients with acute appendicitis were in rainy months, with a gradual, minimal increment starting in the autumn months of March 8.6% (33), April 8.1% (31), and May 7.3% (28) and peaking in the summer months (32.8% of all, P < 0.05) of June 9.9% (38), July 12.5% (48), and August 10.4% (40). Then it starts with a minimal decline from the spring months of September 6.3% (24), October 6.3% (24), and November 8.1% (31) and the winter period of December 6.3% (24), January 8.1% (31), and February 8.3% (32).…”

Section: Resultsmentioning

confidence: 70%

Seasonal Variations and the Associated Factors of Acute Appendicitis at a Tertiary Hospital: A Case of SPHMMC, Addis Ababa, Ethiopia

Daniel,

Negash

2024

Preprint

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Background: Acute appendicitis, a surgical emergency, is a prevalent pathology with uncertain etiology, influenced by various factors and seasonal variations. Objective: To determine the seasonal variations and the associated factors of Acute Appendicitis. Methods: The study analyzed demographic features, seasonal variation, length of hospital stay, and surgical treatment outcomes in 384 patients from 2021-2022. The patients were presented in four different seasons; December-February as winter, March-May as autumn, June-August as summer, and September-Nov as spring, which were assessed to describe seasonal variation and compare to what are observed in other countries. SPSS version 28 was used for all the statistical assessments and analyses. Results: Out of all 384 patients, 64.3% were males and 35.7% were females. The mean age was 20.8, male: female, 1.8:1. The majority of patients were in their 2nd and 3rd decades of life, and more common in the male 10–19 age group (22.1%). 23.9% of cases were observed in autumn, 22.7% in winter, 20.6% in spring, and 32.8% in summer. 10.1% increase in summer as compared to winter, 8.9% increase as compared to autumn, and 12.2% increase as compared to spring. The highest admissions were in the summer (32.8%). July had the highest number of cases (12.5%), which coincided with heavy rainy months, the rainiest days, and the lowest sunlight hours. The highest rainfall was observed in July (386mm) and August (491 mm), and the lowest sunlight hours were observed in July (6.1 hours) and August (5.9 hours), respectively. Monthly cases correlated positively with rainfall (Pearson’s R =.637, p<.05) and negatively with sunlight hours (Pearson’s R = -.618, p<.05). Complicated cases were slightly more common (50.9%), more in the 10–19 age group. Males had more complicated cases (38.3%) than females (20.8%). Complicated cases tend to present after 48 hours. The commonest postoperative complication was wound infection (5.5%). The mean length of hospital stay was 2.47 days, with no death was reported in the study period. Conclusion: Peak appendicitis in summer is linked to rainfall and sunlight hours, affecting the 11-20 age groups.

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Section: Resultsmentioning

confidence: 70%

Seasonal Variations and the Associated Factors of Acute Appendicitis at a Tertiary Hospital: A Case of SPHMMC, Addis Ababa, Ethiopia

Daniel,

Negash

2024

Preprint

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“…Besides, CRP/albumin ratio was significantly higher in children who presented with complicated appendicitis, a result that was similar to another detected in a previous study. 35 36 37…”

Section: Discussionmentioning

confidence: 99%

“…Besides, CRP/albumin ratio was significantly higher in children who presented with complicated appendicitis, a result that was similar to another detected in a previous study. [35][36][37] Evaluation of the protein and energy nutritional status is a complex and broad topic. A clinically meaningful evaluation of the nutritional status should be capable of identifying and stratifying children with protein energy malnutrition.…”

Section: Discussionmentioning

confidence: 99%

The Pattern of Nutritional and Inflammatory Parameters in Children with Acute Appendicitis

Ibrahim

Kaddah

El-Asheer

et al. 2023

Journal of Child Science

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Background Surgical procedures in children with overweight and obesity have many difficulties due to the high incidence of postoperative complications. This impact on comorbidity has a great interest in various surgical pathologies, such as acute appendicitis, since it is the most frequent surgical emergency in all age and sex groups. However, there are few studies assessing the effect of body mass index (BMI) and other parameters like the Glasgow Prognostic Score (GPS) and C-reactive protein (CRP)/albumin ratio on the course of acute appendicitis in children. Objectives Identify the impact of BMI and other biomarkers like CRP/albumin ratio and GPS on the clinical course of acute appendicitis in children. Patients (Materials) and Methods This is a prospective study conducted on 90 pediatric patients of acute appendicitis (30 high BMI and 60 non-high BMI) admitted at Pediatric Surgery Department, Children Hospital Cairo University (CHCU) during the period from March 2022 to September 2022. All patients had preoperative laboratory tests, intraoperative assessment regarding the type of surgery, duration of surgery, and type of appendicitis, then the postoperative assessment. Results Among the 90 patients, the mean age of participants was 8.74 (2.23) years and there was a male predominance. Frequencies of open surgeries were higher in overweight and obese children (children with high BMI). There was a significant positive correlation between the preoperative CRP/albumin ratio and GPS, and an inverse significant correlation of preoperative albumin with the postoperative hospital length of stay, duration of surgery (operation time), and duration of postoperative fever. Conclusion There is a significant relationship between the preoperative inflammatory and nutritional markers and postoperative hospital length of stay, duration of surgery (operation time), and duration of postoperative fever.

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“…The authors reported that living outside of the hospital setting area, long duration of illness before arrival at the hospital, more than three days of hospital stay, and mass in the right lower quadrant were risk factors for unfavorable outcomes. The time spent in the hospital was as follows: 67.3% stayed less than three days, 31.3% stayed for three to seven days, and 1.3% stayed more than seven days [ 26 ]. In some agreement with previous reports, we reported that age less than 30 years, male gender, living in a rural area, and lower educational level are associated with a high incidence of delayed prehospital presentation of appendicitis.…”

Section: Discussionmentioning

confidence: 99%

Prehospital Delay and Its Associated Factors in Sudanese Patients Presenting With Acute Appendicitis at a Teaching Hospital

Alyhari¹,

Ahmed²,

Nasreldin³

et al. 2022

Cureus

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BackgroundDelayed prehospital presentation of acute appendicitis may increase the risk of perforation and other complications. This study investigated the prevalence of prehospital delay in the presentation of acute appendicitis, clinical features, and outcomes in Sudanese patients. MethodA retrospective study conducted from January 2017 to December 2020 in a teaching hospital affiliated with Gezira University enrolled 191 patients with prehospital delay presentation of acute appendicitis (at least 48 hours from symptom onset). Patient characteristics, causative factors, primary treatment, and complication rate were gathered and analyzed. ResultThe mean age of the patients was 36.55 ± 16.3 years (range: 15-78 years), with 122 (64%) males and 69 (36%) females. Most cases of prehospital delay were misdiagnosed firstly as other diseases (n = 124, 65%). The physicians made misdiagnosis of acute appendicitis in 65 (53%) patients. Age less than 30 years, male gender, living in rural areas, and lower educational level are associated with a high incidence of prehospital delay presentation of acute appendicitis (p < 0.05). Most cases have appendicular mass (46%, p < 0.001). Wound infection was the most common postoperative complication (7.85%, p < 0.001). ConclusionThe high incidence rate of prehospital delay presentation of acute appendicitis is associated with patients' age of less than 30 years, male gender, living in a rural area, and lower educational level. With the high rate of misdiagnosed acute appendicitis, it is essential to increase the knowledge about the signs and symptoms of appendicitis among our physicians and health practitioners.

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Prevalence of Postoperative Unfavorable Outcome and Associated Factors in Patients with Appendicitis: A Cross-Sectional Study

Cited by 10 publications

References 28 publications

Seasonal Variations and the Associated Factors of Acute Appendicitis at a Tertiary Hospital: A Case of SPHMMC, Addis Ababa, Ethiopia

Seasonal Variations and the Associated Factors of Acute Appendicitis at a Tertiary Hospital: A Case of SPHMMC, Addis Ababa, Ethiopia

The Pattern of Nutritional and Inflammatory Parameters in Children with Acute Appendicitis

Prehospital Delay and Its Associated Factors in Sudanese Patients Presenting With Acute Appendicitis at a Teaching Hospital

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