ArticleOpen access emergency medicine : OAEM2018
Risk factors associated with perforated acute appendicitis in geriatric emergency patients.
Article in Open access emergency medicine : OAEM, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 22 citations in OpenAlex.
- Appendicolith appendicitis: should we be operating sooner? A retrospective cohort study.Annals of the Royal College of Surgeons of England · 2024Article
- Study of outcomes of perforated appendicitis in adults: a prospective cohort study.Annals of medicine and surgery (2012) · 2023Article
- A comparative study of the RIPASA and Alvarado scores in geriatric patients diagnosed with acute appendicitis.Revista da Associacao Medica Brasileira (1992) · 2022Article
- Predictors and management outcomes of perforated appendicitis in sub-Saharan African countries: A retrospective cohort study.Annals of medicine and surgery (2012) · 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
- Acute Appendicitis in the Elderly: A Literature Review on an Increasingly Frequent Surgical Problem.Geriatrics (Basel, Switzerland) · 2021Review
- Increased risk of perforated appendicitis in patients with schizophrenia and dementia: A population-based case-control study.Medicine · 2020Observational
- Predictive Factors and Clinical Prediction Score for Serious Intracranial Causes in Acute Nontraumatic Headache at an Emergency Department.Emergency medicine international · 2019Article
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe aim of this study was to identify factors associated with perforated acute appendicitis in geriatric patients at the emergency department (ED). PATIENTS AND
methodsThe medical records of 223 consecutive patients aged >60 years with acute appendicitis between 2006 and 2017 were retrospectively reviewed. Patients were grouped into those with perforated and non-perforated appendicitis. A comparison was made between the two groups in regard to baseline characteristics, clinical presentation, physical examination, time from onset of symptoms to ED arrival, time from ED arrival to operation, postoperative complications, hospital length of stay, and mortality. Significant factors associated with perforated appendicitis were examined using univariate and multivariate analyses by logistic regression.
resultsA total of 78 (35%) patients had perforated appendicitis. Four significant factors associated with perforated appendicitis were as follows: 1) time duration from onset of symptoms to ED arrival >24 hours (OR 2.49, CI 1.33-4.68); 2) heart rate ≥90 beats/minute (OR 1.93, CI 1.04-3.59); 3) respiratory rate ≥20 breaths/minute (OR 2.54, CI 1.33-4.84); and 4) generalized guarding (OR 12.58, CI 1.43-110.85).
conclusionTime duration from onset of symptoms to ED arrival >24 hours, heart rate ≥90 beats/minute, respiratory rate ≥20 breaths/minute, and generalized guarding were the significant factors associated with perforated acute appendicitis in geriatric patients.
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