Factors Associated With Perforated Acute Appendicitis in Geriatric Patients in Nangrong Hospital, Buri Ram Province.

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Panat Srioranan

Abstract

Background: Acute appendicitis is the most common emergency and perforated appendicitis is complication that cause higher morbidity and mortality rates than unusual while geriatric patients have highest incident of perforated appendicitis .
Objective: To identified factors associated with perforated appendicitis in geriatric patient in Nangrong Hospital, Buriram province.
Study design: retrospective analytic study (case-control study).
Methods: For a descriptive study, Reviewing operative finding of patients age 60 years old or over who received diagnosis of appendicitis and appendectomy at Nangrong Hospital since 1st January 2017 to 31st December 2018. They were allocated into 2 groups, non-perforated appendicitis and perforated appendicitis groups. Analytic study was performed to identify possible predictive factors. Univariate and multivariate analyses were used to estimate adjusted odds ratio, 95% confidence interval and p-value ≤0.05.
Results: The results from 191 patients who fulfilled the inclusion criteria, perforated appendicitis was found in 67 patients (35.1%). The factors associated with perforated appendicitis in elderly patients with statistical significance were BMI >25 kg/m2 (adjusted OR = 3.3, 95% CI; 1.4-7.8, p-value = 0.008), elevated temperature (adjusted OR = 5.6, 95% CI; 2.2-14.1, p-value = 0.003) and the duration from onset to admission increase every 1 hour (adjusted OR = 1.1, 95% CI; 1.1-1.1, p-value = 0.000).
Conclusions: The significant factors associated with rupture appendicitis in geriatric patients were BMI >25kg/m2, elevated temperature, the duration from onset to admission increase every 1 hour.
Keywords: acute appendicitis, Perforated Appendicitis, geriatric, Nangrong Hospital, Buriram

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