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Prevalence of Complicated Appendicitis and Associated Factors, in the Pediatric Surgery Service of the Vicente Corral Moscoso and Jose Carrasco Arteaga Hospitals

Received: 14 September 2022     Accepted: 13 February 2023     Published: 31 July 2023
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Abstract

Background: Acute appendicitis is the most common surgical emergency in children. It constitutes a diagnostic challenge. Studies indicate that the determining factor for appendicitis complications is patient attributable factors such as waiting times before receiving hospital care. Objective: Determine the prevalence of Complicated Appendicitis and Associated Factors, in the Pediatric Surgery Service of the Vicente Corral Moscoso and Jose Carrasco Arteaga Hospitals. Methods: Quantitative, cross-sectional analytical study. The universe was all patients admitted with a diagnosis of acute appendicitis at Vicente Corral Moscoso and José Carrasco Arteaga Hospitals, May 2018 - April 2019. The association between variables was determined by Chi-square and the intensity of association by RP with 95% CI and P-value < to 0.05 as significant. Results: A total of 267 patients with a diagnosis of acute appendicitis were analyzed. The prevalence of acute appendicitis was 38.2%. Associated factors were initial misdiagnosis (RR 1.57 CI 1.16 - 2.14, P=0.01), and time from symptom onset to hospital arrival greater than 12 hours (RR 2.19 CI 1.34 - 3.59, P PZ0.01 revious medical assessments were shown to be a protective factor (RR 1.48 CI 1.07 - 2.04, P=0.01; and mean to high socioeconomic status (RR 0.71 CI 0.53 - 0.96, P= 0.03). Conclusions: The prevalence of complicated appendicitis was high and the significant associated factors were having an initial misdiagnosis and that the time since the onset of symptoms until arrival at the hospital is greater than 12 hours.

Published in Science Journal of Clinical Medicine (Volume 12, Issue 2)
DOI 10.11648/j.sjcm.20231202.11
Page(s) 18-22
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2023. Published by Science Publishing Group

Keywords

Appendicitis, Postoperative Complications, Child, Procastination

References
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[11] García Cayamcela AB, Díaz Freire XA, Chiriboga Sarmiento GD. Factores que retrasan el diagnóstico y tratamiento de la apendicitis aguda, Hospital Homero Castanier Crespo, Azogues 2013 [bachelor's thesis on the Internet]. Cuenca; 2013 [cited 8 Feb. 2023]. Available from: http://dspace.ucuenca.edu.ec/handle/123456789/5009
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  • APA Style

    Jorge Luis Sisalima Ortiz, Fernando Marcelo Cordova Neira. (2023). Prevalence of Complicated Appendicitis and Associated Factors, in the Pediatric Surgery Service of the Vicente Corral Moscoso and Jose Carrasco Arteaga Hospitals. Science Journal of Clinical Medicine, 12(2), 18-22. https://doi.org/10.11648/j.sjcm.20231202.11

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    ACS Style

    Jorge Luis Sisalima Ortiz; Fernando Marcelo Cordova Neira. Prevalence of Complicated Appendicitis and Associated Factors, in the Pediatric Surgery Service of the Vicente Corral Moscoso and Jose Carrasco Arteaga Hospitals. Sci. J. Clin. Med. 2023, 12(2), 18-22. doi: 10.11648/j.sjcm.20231202.11

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    AMA Style

    Jorge Luis Sisalima Ortiz, Fernando Marcelo Cordova Neira. Prevalence of Complicated Appendicitis and Associated Factors, in the Pediatric Surgery Service of the Vicente Corral Moscoso and Jose Carrasco Arteaga Hospitals. Sci J Clin Med. 2023;12(2):18-22. doi: 10.11648/j.sjcm.20231202.11

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  • @article{10.11648/j.sjcm.20231202.11,
      author = {Jorge Luis Sisalima Ortiz and Fernando Marcelo Cordova Neira},
      title = {Prevalence of Complicated Appendicitis and Associated Factors, in the Pediatric Surgery Service of the Vicente Corral Moscoso and Jose Carrasco Arteaga Hospitals},
      journal = {Science Journal of Clinical Medicine},
      volume = {12},
      number = {2},
      pages = {18-22},
      doi = {10.11648/j.sjcm.20231202.11},
      url = {https://doi.org/10.11648/j.sjcm.20231202.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjcm.20231202.11},
      abstract = {Background: Acute appendicitis is the most common surgical emergency in children. It constitutes a diagnostic challenge. Studies indicate that the determining factor for appendicitis complications is patient attributable factors such as waiting times before receiving hospital care. Objective: Determine the prevalence of Complicated Appendicitis and Associated Factors, in the Pediatric Surgery Service of the Vicente Corral Moscoso and Jose Carrasco Arteaga Hospitals. Methods: Quantitative, cross-sectional analytical study. The universe was all patients admitted with a diagnosis of acute appendicitis at Vicente Corral Moscoso and José Carrasco Arteaga Hospitals, May 2018 - April 2019. The association between variables was determined by Chi-square and the intensity of association by RP with 95% CI and P-value Results: A total of 267 patients with a diagnosis of acute appendicitis were analyzed. The prevalence of acute appendicitis was 38.2%. Associated factors were initial misdiagnosis (RR 1.57 CI 1.16 - 2.14, P=0.01), and time from symptom onset to hospital arrival greater than 12 hours (RR 2.19 CI 1.34 - 3.59, P PZ0.01 revious medical assessments were shown to be a protective factor (RR 1.48 CI 1.07 - 2.04, P=0.01; and mean to high socioeconomic status (RR 0.71 CI 0.53 - 0.96, P= 0.03). Conclusions: The prevalence of complicated appendicitis was high and the significant associated factors were having an initial misdiagnosis and that the time since the onset of symptoms until arrival at the hospital is greater than 12 hours.},
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - Prevalence of Complicated Appendicitis and Associated Factors, in the Pediatric Surgery Service of the Vicente Corral Moscoso and Jose Carrasco Arteaga Hospitals
    AU  - Jorge Luis Sisalima Ortiz
    AU  - Fernando Marcelo Cordova Neira
    Y1  - 2023/07/31
    PY  - 2023
    N1  - https://doi.org/10.11648/j.sjcm.20231202.11
    DO  - 10.11648/j.sjcm.20231202.11
    T2  - Science Journal of Clinical Medicine
    JF  - Science Journal of Clinical Medicine
    JO  - Science Journal of Clinical Medicine
    SP  - 18
    EP  - 22
    PB  - Science Publishing Group
    SN  - 2327-2732
    UR  - https://doi.org/10.11648/j.sjcm.20231202.11
    AB  - Background: Acute appendicitis is the most common surgical emergency in children. It constitutes a diagnostic challenge. Studies indicate that the determining factor for appendicitis complications is patient attributable factors such as waiting times before receiving hospital care. Objective: Determine the prevalence of Complicated Appendicitis and Associated Factors, in the Pediatric Surgery Service of the Vicente Corral Moscoso and Jose Carrasco Arteaga Hospitals. Methods: Quantitative, cross-sectional analytical study. The universe was all patients admitted with a diagnosis of acute appendicitis at Vicente Corral Moscoso and José Carrasco Arteaga Hospitals, May 2018 - April 2019. The association between variables was determined by Chi-square and the intensity of association by RP with 95% CI and P-value Results: A total of 267 patients with a diagnosis of acute appendicitis were analyzed. The prevalence of acute appendicitis was 38.2%. Associated factors were initial misdiagnosis (RR 1.57 CI 1.16 - 2.14, P=0.01), and time from symptom onset to hospital arrival greater than 12 hours (RR 2.19 CI 1.34 - 3.59, P PZ0.01 revious medical assessments were shown to be a protective factor (RR 1.48 CI 1.07 - 2.04, P=0.01; and mean to high socioeconomic status (RR 0.71 CI 0.53 - 0.96, P= 0.03). Conclusions: The prevalence of complicated appendicitis was high and the significant associated factors were having an initial misdiagnosis and that the time since the onset of symptoms until arrival at the hospital is greater than 12 hours.
    VL  - 12
    IS  - 2
    ER  - 

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Author Information
  • Faculty of Medical Sciences, University Cuenca, Cuenca, Ecuador

  • Faculty of Medical Sciences, University Cuenca, Cuenca, Ecuador

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