Risk Factors for Perforated Appendicitis in a Tertiary Hospital
Abstract
Abstract
AIMS
To identify factors related to perforated appendicitis in a tertiary hospital.
METHODS
This study was a retrospective cohort study with appendicitis patient admitted to Khon Kaen Hospital between October 2018 to September 2019. The questionnaires were distributed to the patients the day following their operation to identify the characteristics. Some information was extracted from medical records.
RESULTS
Three hundred thirty nine appendicitis patients admitted from October 2018 to September 2019.There were 265 patients with acute appendicitis and 74 perforated appendicitis. The significant factors related to perforated appendicitis were patients underlying diseases, Asia pacific BMI>23Kg/m2, WHO BMI >25 Kg/m2, duration of abdominal pain longer than 12 hours, white blood cell count more than 15000/mL. Patients symptoms suggest the clinical of appendicitis with perforation such as fever, nausea, anorexia, vomiting and diarrhea. Alvarado score and waiting times not related as a risk.
CONCLUSION
Factor related to perforated appendicitis were underlying diseases, obesity, duration of abdominal pain, level of white blood cell counts. some symptoms such as fever, nausea, anorexia, vomiting and diarrhea suggested patients having perforated appendicitis.
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