Appendicitis in children--impact of US and CT on the negative appendectomy rate

European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie
Sylvie KaiserBjörn Frenckner

Abstract

Ultrasonography (US) and computed tomography (CT) have proved useful for the evaluation of suspected appendicitis and were introduced as diagnostic tools at our institution about ten and five years ago, respectively. The aim of this study was to evaluate how the negative appendectomy and perforation rates have changed with increased use of US and CT. The medical records of 600 children who underwent appendectomy during years 1991, 1994, 1997, and 2000 were reviewed. Perforation in perforated appendicitis was considered to have occurred after admission if the time interval between the first health professional contact and surgery exceeded 12 hours. The total number of appendectomies during the years 1991, 1994, 1997, and 2000 was 406, 334, 407, and 397, respectively. The negative appendectomy rate for the same years was 23%, 8.7%, 8.0%, and 4.0%, respectively. The overall rate of perforations and the perforation rate after admission was 32% and 12%, 34% and 7.3%, 34% and 13%, and 29% and 2.1%, respectively. The rate of patients who underwent US and CT during each period was 1.0% and 0.0%, 41% and 0.0%, 91% and 21% and 98% and 59%, respectively. The negative appendectomy rate has been substantially reduced after the introduction ...Continue Reading

Citations

May 1, 2008·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·J Christian FoxKasra Maasumi
Dec 5, 2013·Advances in Surgery·Frederick Thurston Drake, David Reed Flum
Dec 12, 2012·Journal of Pediatric Surgery·Arul S ThirumoorthiSandra S Tomita
Jul 31, 2012·Annals of Emergency Medicine·Richard G BachurUNKNOWN Pediatric Emergency Medicine Collaborative Research Committee of the American Academy of Pediatrics
Dec 24, 2011·The Journal of Pediatrics·Richard G BachurMichael C Monuteaux
Dec 15, 2015·Journal of Pediatric Surgery·Jan F SvenssonTomas Wester
Dec 25, 2007·The Journal of Emergency Medicine·David A GussDominick Munassi
Mar 27, 2015·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Suzanne SchuhAndrea S Doria
Jul 6, 2013·Cirugía española·José Manuel Aranda-NarváezJulio Santoyo-Santoyo
Nov 15, 2006·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Osman YildirimOmer Cengiz
Jun 18, 2016·World Journal of Emergency Medicine·Erden Erol ÜnlüerArif Karagöz
Apr 18, 2012·Pediatrics·Richard G BachurMichael C Monuteaux

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