ArticleSurgery research and practice2015
Factors Associated with Perforated Appendicitis in Elderly Patients in a Tertiary Care Hospital.
Article in Surgery research and practice, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06956638 (Predictors of Appendiceal Perforation and the Role of Total Bilirubin at Presentation), which is not on this map. Cited by 16 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Predictors of Appendiceal Perforation and the Role of Total Bilirubin at Presentation: A Single Center Prospective Cross-sectional Study in Nepal
Who cites it
16 citing papers in PubMed, 44 citations in OpenAlex.
- Acute appendicitis in geriatric population: a clinical and prognostic comparison of surgical intervention and conservative management.BMC geriatrics · 2026Article
- RAMA-WeRA Risk Score in Predicting the Ruptured Appendicitis in Emergency Department; a Multicenter Study for External Validation.Archives of academic emergency medicine · 2024Article
- Article
- Study of outcomes of perforated appendicitis in adults: a prospective cohort study.Annals of medicine and surgery (2012) · 2023Article
- Predictors and management outcomes of perforated appendicitis in sub-Saharan African countries: A retrospective cohort study.Annals of medicine and surgery (2012) · 2022Article
- Predictors of complicated appendicitis among patients presented to public referral hospitals in Harari region, Eastern Ethiopia: a case-control study.Surgery in practice and science · 2022Article
- Determination of factors associated with perforation in patients with geriatric acute appendicitis.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2022Article
- Characteristics of Patients Presented with Complicated Appendicitis in Adama, Ethiopia: A Cross-Sectional Study.Open access emergency medicine : OAEM · 2022Article
- Conservative management of acute appendicitis in the era of COVID 19: A multicenter prospective observational study at the United Arab Emirates.International journal of surgery open · 2021Article
- Comparison of acute appendicitis before and within lockdown period in COVID-19 era: A retrospective study from rural Nepal.PloS one · 2021Article
- Clinical Prediction Score for Ruptured Appendicitis in ED.Emergency medicine international · 2021Article
- Clinical prediction of complicated appendicitis: A case-control study utilizing logistic regression.World journal of clinical cases · 2020Article
- Increased risk of perforated appendicitis in patients with schizophrenia and dementia: A population-based case-control study.Medicine · 2020Observational
- Evaluation of the predictive power of laboratory markers in the diagnosis of acute appendicitis in the elderly.Northern clinics of Istanbul · 2019Article
- Risk factors associated with perforated acute appendicitis in geriatric emergency patients.Open access emergency medicine : OAEM · 2018Article
- Acute perforated appendicitis in adults: Management and complications in Lagos, Nigeria.Annals of African medicineArticle
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background. The incidence of perforated appendicitis in elderly patients is high and carries increased morbidity and mortality rates. The aim of this study was to identify risk factors of perforation in elderly patients who presented with clinical of acute appendicitis. Methods. This was a retrospective study, reviewing medical records of patients over the age of 60 years who had a confirmed diagnosis of acute appendicitis. Patients were classified into two groups: those with perforated appendicitis and those with nonperforated appendicitis. Demographic data, clinical presentations, and laboratory analysis were compared. Results. Of the 206 acute appendicitis patients over the age of 60 years, perforated appendicitis was found in 106 (50%) patients. The four factors which predicted appendiceal rupture were as follows: male; duration of pain in preadmission period; fever (>38°C); and anorexia. The overall complication rate was 34% in the perforation group and 12.6% in the nonperforation group. Conclusions. The incidence of perforated appendicitis in elderly patients was higher in males and those who had certain clinical features such as fever and anorexia. Duration of pain in the preadmission period was also an important factor in appendiceal rupture. Early diagnosis may decrease the incidence of perforated appendicitis in elderly patients.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.