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    Predicting outcome after appendicectomy.

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    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
    Issue Date
    2012-02-03T15:09:14Z
    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
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    Citation
    Ir J Med Sci. 2003 Apr-Jun;172(2):63-5.
    Journal
    Irish journal of medical science
    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
    ISSN
    0021-1265 (Print)
    0021-1265 (Linking)
    Collections
    Cork University Hospital

    entitlement

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