Computed tomography to operating room in less than 3 hours minimizes complications from appendicitis.
Am J Surg
; 212(2): 246-50, 2016 Aug.
Article
en En
| MEDLINE
| ID: mdl-27287836
ABSTRACT
BACKGROUND:
The aim of our study is to select patients with nonperforated appendicitis verified by computed tomography (CT) scan and to determine if there is a temporal component to perforation.METHODS:
A retrospective cohort study of patients with CT scan evidence of nonperforated appendicitis from 2007 to 2012.RESULTS:
411 patients, aged 39.7 ± 16.25 years (47.5% male) were included in the study. 330 patients (80.3%) were nonperforated at surgery. Analysis of 3-hour intervals from CT scan to operating room (OR) revealed an absolute reduction in the rate of perforation from 27% at the 6- to 9-hour interval, to 17% and 10% at the 3- to 6-hour and 0- to 3-hour intervals, respectively, (P < .04). All organ space infections occurred in patients who were delayed to the OR greater than 3 hours. Mean length of hospitalization was .93 days and 2.81 days, respectively, in nonperforated and perforated appendicitis patients (P < .001).CONCLUSIONS:
Delays to the OR were associated with increased risk of perforation. Patients with uncomplicated appendicitis had shorter hospitalization and fewer postoperative wound infections.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Apendicectomía
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Apendicitis
/
Tomografía Computarizada por Rayos X
Tipo de estudio:
Observational_studies
/
Risk_factors_studies
Límite:
Adult
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Female
/
Humans
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Male
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Middle aged
Idioma:
En
Revista:
Am J Surg
Año:
2016
Tipo del documento:
Article
País de afiliación:
Estados Unidos