Predicting outcome after appendicectomy.

Hdl Handle:
http://hdl.handle.net/10147/208987
Title:
Predicting outcome after appendicectomy.
Authors:
Kell, M R; Power, K; Winter, D C; Power, C; Shields, C; Kirwan, W O; Redmond, H P
Affiliation:
Department of Surgery, Cork University Hospital, Ireland. malcolmkell@eircom.net
Citation:
Ir J Med Sci. 2003 Apr-Jun;172(2):63-5.
Journal:
Irish journal of medical science
Issue Date:
3-Feb-2012
URI:
http://hdl.handle.net/10147/208987
PubMed ID:
12930054
Abstract:
AIM: To validate an intraoperative appendicitis severity score (IASS) and examine outcome following emergency appendectomy. METHODS: A prospective study was undertaken, enrolling consecutive patients undergoing emergency appendicectomy. Data were obtained independently on preoperative Alvarado scores, IASS (0-3: 0 no inflammation, 1 engorged appendix/no peritonitis, 2 peritoneal reaction/exudate or 3 evidence of perforation/abscess) and postoperative outcome parameters. RESULTS: There were 149 patients identified with a mean age of 20.7 years. There was no association between Alvarado score and length of hospital stay, septic complication, patient sex or duration of symptoms (p>0.05). IASS was found to be an independent risk factor for septic complication, wound infection (p<0.05) and length of hospital stay (p<0.001). There was no correlation between preoperative duration of symptoms or time until surgery and intraoperative score. CONCLUSIONS: This simple scoring system can identify patients more likely to suffer morbidity following emergency appendicectomy. Specifically, this system identifies patients who have a high risk of sepsis and therefore could be of use when comparing healthcare performance.
Language:
eng
MeSH:
Adult; *Appendectomy; Appendicitis/*diagnosis/surgery; Emergencies; Female; Humans; Intraoperative Period; Male; Postoperative Complications/*epidemiology; Predictive Value of Tests; Prospective Studies; Risk Assessment; *Severity of Illness Index; Treatment Outcome
ISSN:
0021-1265 (Print); 0021-1265 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorKell, M Ren_GB
dc.contributor.authorPower, Ken_GB
dc.contributor.authorWinter, D Cen_GB
dc.contributor.authorPower, Cen_GB
dc.contributor.authorShields, Cen_GB
dc.contributor.authorKirwan, W Oen_GB
dc.contributor.authorRedmond, H Pen_GB
dc.date.accessioned2012-02-03T15:09:14Z-
dc.date.available2012-02-03T15:09:14Z-
dc.date.issued2012-02-03T15:09:14Z-
dc.identifier.citationIr J Med Sci. 2003 Apr-Jun;172(2):63-5.en_GB
dc.identifier.issn0021-1265 (Print)en_GB
dc.identifier.issn0021-1265 (Linking)en_GB
dc.identifier.pmid12930054en_GB
dc.identifier.urihttp://hdl.handle.net/10147/208987-
dc.description.abstractAIM: To validate an intraoperative appendicitis severity score (IASS) and examine outcome following emergency appendectomy. METHODS: A prospective study was undertaken, enrolling consecutive patients undergoing emergency appendicectomy. Data were obtained independently on preoperative Alvarado scores, IASS (0-3: 0 no inflammation, 1 engorged appendix/no peritonitis, 2 peritoneal reaction/exudate or 3 evidence of perforation/abscess) and postoperative outcome parameters. RESULTS: There were 149 patients identified with a mean age of 20.7 years. There was no association between Alvarado score and length of hospital stay, septic complication, patient sex or duration of symptoms (p>0.05). IASS was found to be an independent risk factor for septic complication, wound infection (p<0.05) and length of hospital stay (p<0.001). There was no correlation between preoperative duration of symptoms or time until surgery and intraoperative score. CONCLUSIONS: This simple scoring system can identify patients more likely to suffer morbidity following emergency appendicectomy. Specifically, this system identifies patients who have a high risk of sepsis and therefore could be of use when comparing healthcare performance.en_GB
dc.language.isoengen_GB
dc.subject.meshAdulten_GB
dc.subject.mesh*Appendectomyen_GB
dc.subject.meshAppendicitis/*diagnosis/surgeryen_GB
dc.subject.meshEmergenciesen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshHumansen_GB
dc.subject.meshIntraoperative Perioden_GB
dc.subject.meshMaleen_GB
dc.subject.meshPostoperative Complications/*epidemiologyen_GB
dc.subject.meshPredictive Value of Testsen_GB
dc.subject.meshProspective Studiesen_GB
dc.subject.meshRisk Assessmenten_GB
dc.subject.mesh*Severity of Illness Indexen_GB
dc.subject.meshTreatment Outcomeen_GB
dc.titlePredicting outcome after appendicectomy.en_GB
dc.contributor.departmentDepartment of Surgery, Cork University Hospital, Ireland. malcolmkell@eircom.neten_GB
dc.identifier.journalIrish journal of medical scienceen_GB
dc.description.provinceMunster-
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