The amount of comorbidities as a single parameter has no effect in predicting the outcome in appendicitis patients older than 60 years

Southern Medical Journal
Cem IbisNesrin Turan

Abstract

Retrospective analysis of acute appendicitis patients older than 60 and statistical evaluation of the association between the accompanying illnesses, severity of peritonitis, morbidity, and mortality rates. Although acute appendicitis is not frequent among aged populations, accompanying comorbidities of the geriatric patients are always fear factors before an emergency abdominal surgery even for acute appendicitis. The data of the 27 patients older than 60 years who underwent appendectomy were retrospectively analyzed. The patients were grouped according to the total number of their comorbidities, Mannheim peritonitis index scores, and the period between the onset of abdominal pain and the admission to the hospital. The mean age of the patients was 73 years. The morbidity and mortality rates were statistically significantly higher in perforated cases. The comparison of patients with <or=1 comorbidity with patients with >or=2 comorbidities did not show any statistical difference in morbidity and mortality. The sensitivity, specificity, positive predictive value, and negative predictive values for mortality in geriatric acute appendicitis patients with Mannheim peritonitis index scores greater than 26 were found to be 75%, 86%, 5...Continue Reading

References

Jul 1, 1994·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·G S CooperR A Salata
Feb 1, 1994·The British Journal of Surgery·A BillingF W Schildberg
Aug 1, 1996·Emergency Medicine Clinics of North America·T G Sanson, K P O'Keefe
Dec 11, 1997·The British Journal of Surgery·K BosschaC van der Werken
Mar 21, 1998·Current Problems in Surgery·M E Zenilman
Aug 17, 2000·The Australian and New Zealand Journal of Surgery·J F LeeW Y Lau
Jun 26, 2003·Journal of the American Geriatrics Society·Walter E Pofahl, Walter J Pories
Sep 24, 2004·The British Journal of Surgery·K H in't HofG Kazemier
Nov 22, 2007·The American Journal of the Medical Sciences·Yui-Rwei YoungBor-Fuh Sheu
Aug 9, 2008·Journal of the Royal Society of Medicine·Stephen D PrestonSaroj K Das

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