Prevalence of Appendicitis and Complaints about Acute Abdominal Pain in Patients Visiting Shahid Mohammadi Hospital in Bandar Abbas from (original) (raw)
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Journal of Zanjan University of Medical Sciences and Health Services
Background and Objective: Acute appendicitis is the most common cause of emergency surgery. Diagnosis is based on history and physical examinations. The aim of this study was to investigate some factors which increase the likelihood of positive appendicitis. Materials and Methods: This descriptive study was conducted on 100 patients (65 males and 35 females) with clinical diagnosis of acute appendicitis in Zanjan in 2010-2011. Pathology report was our Gold Standard for diagnosis. Results: On the basis of pathology reports, 85% of the patients had appendicitis. Male gender and rebound tenderness indicated an increase in the likelihood of positive appendicitis up to 3.8 and 3.08 times, respectively. Sensitivity, specificity, PPV and NPV of sonography in diagnosis were 50, 83.3, 94.7 and 21.7%, respectively. Conclusion: In this study, accuracy of acute appendicitis diagnosis according to pathology results was 85%. Two factors including "male gender" and "rebound tenderness" appeared to have high diagnostic value on positive pathology. It is suggested to consider sonography as a rapid, non-invasive and available method in the diagnosis of suspicious cases of appendicitis. However, negative sonography can not rule out the diagnosis of acute appendicitis.
International Journal of Public Health Science (IJPHS), 2023
Appendicitis is one of the most common abdominal inflammations in daily emergency cases. The diagnosis of appendicitis is often delayed because the symptoms resemble other abdominal emergencies. The present research aimed to describe the clinical and epidemiological profile of acute appendicitis patients. The research design is a cohort retrospective study employing appendicitis patients' medical record data at PKU Muhammadiyah Hospital from January 1, 2016, to December 31, 2020. The variables obtained through the patient records were age, gender, domicile location, vital signs, physical examination, blood laboratory, ultrasound, histopathology, postoperative diagnosis, the incidence of peritonitis, and length of stay. The median age value in patients with appendicitis was 27 years (0-95), and the largest group was young adults (19-44 years). Abdominal pain was found in almost all research subjects. The median of leukocytes was 10.1 (3.32-65.80)×10 6/ ml and the neutrophil-lymphocyte ratio (NLR) was 3.52 (0.47-30.57)/µl. The median percentage of the neutrophil count was 70.7 (27.90-94.81). The final diagnosis of complicated appendicitis was more than uncomplicated appendicitis (51.2% vs. 48.8%). We conclude that several detailed parameters, such as the location of abdominal pain, leukocyte count, and NLR can help the physician diagnose appendicitis and guide surgeons in deciding the type of surgery.
Pakistan Journal of Medical and Health Sciences, 2021
Background: Appendicitis needs immediate surgical intervention based on indication in the pediatric age group. Among high-risk young children, the prevalence of pre-existing perforation ranges from 30% to 75%. Aim: To investigate the prevalence and risk factors for appendicitis in the inpatient surgical department. Place and Duration: Study was conducted at surgical department of Combined Military Hospital, Rawalakot for the period of six months from October 2020 to March 2021. Materials and Methods: A single-center cross-sectional study was conducted on 102 patients with acute appendicitis diagnosed and confirmed by Ultrasonography among the patients admitted to the surgical department during October 2020 to March 2021. Pretested questionnaire were used to collect and record the necessary information. Results: The sample size of 102 patients had 61 (60%) males and 41 (40%) were females. Appendicitis patients were divided into four age groups: 10-19 years 16 (15.7%), 20-29 years 19 ...
World Journal of Gastroenterology, 2013
AIM: To assess the reliability and practical applicability of the widely used Alvarado, Eskelinen, Ohhmann and Raja Isteri Pengiran Anak Saleha Appendicitis (RIPASA) scoring systems in patients with suspected acute appendicitis. METHODS: Patients admitted to our tertiary center due to suspected acute appendicitis constituted the study group. Patients were divided into two groups. appendicitis group (Group A) consisted of patients who underwent appendectomy and were histopathologically diagnosed with acute appendicitis, and non-appendicitis group (Group N-A) consisted of patients who underwent negative appendectomy and were diagnosed with pathologies other than appendicitis and patients that were followed non-operatively. The operative findings for the patients, the additional analyses from follow up
A study of surgical profile of patients undergoing appendectomy
International Surgery Journal
Background: The most common cause of acute abdomen in surgical is appendicitis. Among the surgeries of abdomen performed all over the world, appendectomy is the most common operation performed. Many studies have shown variations of age, gender in acute appendicitis as well as the seasonal variations in the occurrence of acute appendicitis, although the cause is not found yet. Objective was to study the surgical profile of patients undergoing appendectomy.Methods: A total of 302 patients who have undergone appendectomy were included in the present study which was hospital based cross sectional study. The study was carried out for two years at Osmania General Hospital, Hyderabad, India. Permission from Institutional Ethics Committee permission was obtained. From each and every patient included in the study, initially Informed individual consent was taken.Results: The incidence of appendicitis is much more in females i.e. 60% compared to only 40% in males. Appendicitis was most common ...
Appendicitis and Appendectomy: A Retrospective Survey in South Indian Population
Appendectomy is the surgical procedure of removal of appendix. The inflamed or diseased condition of appendix also known as appendicitis is a common occurrence and is a surgical emergency. It commonly occurs due to obstruction of its lumen. The comprehensive information about the trends in the clinical profile of the appendicitis and appendectomy and pattern of its variation with respect to age and gender may help in clinical updates. Hence, this study included a review of case records of all appendectomy patients in a South Indian hospital since the last five years. The data was collected and analysed statistically. A total of 2402 appendectomy operations were found since the last five years (2006-2010). Among them, 1114 cases were males (46%) and 1288 were females (54%).Total number of 1961 (81.6%) cases of appendectomies were performed for the removal of an inflamed appendix and in remaining 441 (18.4%) cases, appendectomy was done along with the other procedures such as hysterectomy, and colectomy. The incidence of appendicitis and appendectomy were higher in females. The survey revealed, higher incidence rate among 16-30 year age group followed by 31-45 and 1-15 years.
Journal of Nepal Medical Association, 2023
Introduction: The prevalence of appendicitis is widespread among both adult and pediatric populations. Despite being so common, its diagnosis remains difficult. Initially, acute appendicitis is managed conservatively. To reduce morbidity and mortality, surgery must be performed promptly. The main objective of the study is to find out the prevalence of appendicitis among patients admitted to the department of surgery of a tertiary care centre. Methods: A descriptive cross-sectional study was conducted among patients admitted to the Department of Surgery of a tertiary care centre from 1 July 2021 to 1 July 2022. Ethical approval was obtained from the Institutional Review Committee (Reference number: 202/2079/80). Convenience sampling was done. The patient admitted to the Department of Surgery during the study period was included. Point estimate and 95% Confidence Interval were calculated. Results: Out of 2452 patients, the prevalence of appendicitis was 321 (13.09%) (11.75-14.43, 95% Confidence Interval). The mean age of the patients with appendicitis was 31.57±14.14 years and among them, males were 176 (54.83%). Conclusions: The prevalence of appendicitis among patients admitted to the department of surgery of a tertiary care centre was lower compared to other studies conducted in similar settings.
2020
Introduction: Appendicitis is a challenging condition for emergency specialists and surgeons to diagnose. If it is not treated in time, the inflamed tissue of the appendix ruptures, causing peritonitis and shock. This study evaluated the diagnostic value of clinical and laboratory symptoms in the diagnosis of acute appendicitis. Methods: This descriptive cross-sectional study was carried out on a total of 134 patients with suspected appendicitis referring to the Emergency Department of Imam Reza Hospital in Birjand, Iran, within 2013 and 2015 using convenience sampling. The data collection tool was a questionnaire covering patients’ demographics, clinical signs, and laboratory and pathology test results. Sensitivity and specificity, positive predictive value, negative predictive value, likelihood ratio, area under the receiver operating characteristic (ROC) curve (AUC), and cut-off point of each test (i.e., white blood cell, aspartate transaminase, alanine transaminase, C-reactive p...