ArticleFrontiers in surgery2025
Analysis of risk factors associated with the development and postoperative complications of complicated acute appendicitis in elderly patients.
Article in Frontiers in surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: Based on an analysis of large-scale retrospective case data, this study aimed to identify the risk factors associated with the development and postoperative complications of complicated acute appendicitis (CAA) in elderly patients (>60 years). Methods: A total of 296 elderly patients diagnosed with acute appendicitis (AA) who underwent appendectomies at our hospital between January 2020 and January 2025 were enrolled in this study. These patients were categorized into either the CAA group ( Results: The elderly patients in the CAA group exhibited a higher risk of postoperative complications and intensive care unit (ICU) admission, as well as prolonged hospitalization, compared to those in the UCAA group. Preoperative abdominal pain lasting more than 3 days [odds ratio (OR) = 3.159, Conclusions: Abdominal signs and symptoms, the presence of appendicoliths, body temperature, and the levels of neutrophils and CRP were associated with the occurrence of CAA, while surgical approaches and the levels of WBCs and neutrophils were associated with postoperative complications. This study explored the risk factors associated with CAA and its postoperative complications in elderly patients, thereby offering valuable insights for the clinical management and treatment of AA in this population.
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