Pediatric Appendicitis Severity in KwaZulu-Natal, South Africa: A Retrospective Cohort Analysis

World Journal of Surgery
Matthew C HernandezD L Clarke

Abstract

Acute appendicitis is a common pediatric surgical emergency; however, there are few grading systems to assign disease severity. The American Association for the Surgery of Trauma (AAST) recently developed a grading system for a variety of emergency surgical conditions, including appendicitis. The severity of acute appendicitis in younger patients in KwaZulu-Natal (South Africa) is unknown. We aimed to describe the disease severity in this patient population using the AAST grading system hypothesizing that the AAST grade would correlate with morbidity, management type, and duration of stay. Single institutional review of patients <18 years old with a final diagnosis of acute appendicitis during 2010-2016 in KwaZulu-Natal, South Africa, was performed. Demographics, physiologic and symptom data, procedural details, postoperative complications, and Clavien-Dindo classification were abstracted. AAST grades were generated based on intraoperative findings. Summary, univariate, and nominal logistic regression analyses were performed to compare AAST grade and outcomes. A total of 401 patients were identified with median [IQR] age of 11 [5-13], 65% male. Appendectomy was performed in all patients; 2.4% laparoscopic, 37.6% limited incisio...Continue Reading

References

Jul 30, 2009·Annals of Surgery·Pierre A ClavienMasatoshi Makuuchi
Mar 7, 2012·Pediatrics·Anupam B KharbandaUNKNOWN Pediatric Emergency Medicine Collaborative Research Committee of the American Academy of Pediatrics
May 9, 2012·World Journal of Surgery·Victor Y KongDamian L Clarke
Oct 2, 2013·South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde·V Y KongD L Clarke
Feb 21, 2014·The Journal of Trauma and Acute Care Surgery·Shahid ShafiUNKNOWN American Association for the Surgery of Trauma Committee on Patient Assessment and Outcomes
May 24, 2014·Journal of Pediatric Surgery·Li Hsia Alicia Cheong, Sherif Emil
May 24, 2014·Lancet·Anna J DareAndrew J M Leather
Aug 1, 2014·Canadian Journal of Surgery. Journal Canadien De Chirurgie·Victor Y KongDamian L Clarke
Dec 11, 2014·The Journal of Trauma and Acute Care Surgery·Marie L CrandallUNKNOWN American Association for the Surgery of TraumaCommittee on Patient Assessment and Outcomes
Apr 19, 2015·The Journal of Surgical Research·Stephanie A SavageUNKNOWN AAST Patient Assessment Committee
Jul 29, 2015·The Journal of Trauma and Acute Care Surgery·John C MadoreHeena P Santry
Aug 13, 2015·Annals of the Royal College of Surgeons of England·V Y KongD L Clarke
May 11, 2016·World Journal of Surgery·M F ScribaD L Clarke
Jun 4, 2016·The Journal of Trauma and Acute Care Surgery·Gail T TominagaUNKNOWN American Association for the Surgery of Trauma Committee on Patient Assessment
Jul 21, 2016·World Journal of Emergency Surgery : WJES·Salomone Di SaverioRoland Andersson
Nov 26, 2016·Journal of Pediatric Surgery·Andrew P RogersDaniel J Ostlie
Mar 17, 2017·The Journal of Trauma and Acute Care Surgery·Matthew C HernandezDamian L Clarke
Nov 1, 2014·South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie·V Y KongD L Clarke
Sep 25, 2017·Journal of Pediatric Surgery·Yasmine YousefSherif Emil

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Citations

Oct 24, 2020·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Maxime DelestreAurélien Venara

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