Predictive factors of perforated appendicitis: Impact of the C-reactive protein level.

C-reactive protein Constructed wetland (CW) appendicitis perforation

Journal

Surgery open science
ISSN: 2589-8450
Titre abrégé: Surg Open Sci
Pays: United States
ID NLM: 101768812

Informations de publication

Date de publication:
Oct 2021
Historique:
received: 07 04 2021
revised: 21 06 2021
accepted: 22 06 2021
entrez: 6 8 2021
pubmed: 7 8 2021
medline: 7 8 2021
Statut: epublish

Résumé

Perforated appendicitis without an associated abscess necessitates emergency surgery. However, it is difficult to predict the presence of perforation before surgery, and the predictive factors are still unclarified. Our purposes were to characterize a patient population with perforated appendicitis without an associated abscess to identify the preoperative predictive factors of appendiceal perforation. We retrospectively identified 150 patients who underwent appendectomy for acute appendicitis at our institution from June 2018 to November 2020. Logistic regression analysis was performed to analyze the concurrent effects of various factors on the prevalence of perforated appendicitis. Forty (29%) of 150 patients had appendiceal perforation detected intraoperatively. Of these 40 patients, only 19 had appendiceal perforation detected on preoperative computed tomography. Multivariable analysis found that a higher C-reactive protein level, higher total bilirubin level, and the presence of an appendiceal fecalith were independent predictive factors for appendicitis with perforation. Our analysis suggests that the presence of an appendiceal fecalith, a total bilirubin level of more than 21.38 μmol/L, and a C-reactive protein level of more than 3.0 × 10

Sections du résumé

BACKGROUND BACKGROUND
Perforated appendicitis without an associated abscess necessitates emergency surgery. However, it is difficult to predict the presence of perforation before surgery, and the predictive factors are still unclarified. Our purposes were to characterize a patient population with perforated appendicitis without an associated abscess to identify the preoperative predictive factors of appendiceal perforation.
METHODS METHODS
We retrospectively identified 150 patients who underwent appendectomy for acute appendicitis at our institution from June 2018 to November 2020. Logistic regression analysis was performed to analyze the concurrent effects of various factors on the prevalence of perforated appendicitis.
RESULTS RESULTS
Forty (29%) of 150 patients had appendiceal perforation detected intraoperatively. Of these 40 patients, only 19 had appendiceal perforation detected on preoperative computed tomography. Multivariable analysis found that a higher C-reactive protein level, higher total bilirubin level, and the presence of an appendiceal fecalith were independent predictive factors for appendicitis with perforation.
CONCLUSION CONCLUSIONS
Our analysis suggests that the presence of an appendiceal fecalith, a total bilirubin level of more than 21.38 μmol/L, and a C-reactive protein level of more than 3.0 × 10

Identifiants

pubmed: 34355156
doi: 10.1016/j.sopen.2021.06.003
pii: S2589-8450(21)00011-7
pmc: PMC8319788
doi:

Types de publication

Journal Article

Langues

eng

Pagination

1-4

Informations de copyright

© 2021 The Authors.

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Auteurs

Shiori Yamazaki (S)

Nagano Municipal Hospital, Department of Digestive Surgery, Nagano, Japan.
Division of Gastroenterological, Hepato-Biliary-Pancreatic, Transplantation and Pediatric Surgery, Department of Surgery, Shinshu University School of Medicine, Matsumoto, Japan.

Yusuke Shimodaira (Y)

Nagano Municipal Hospital, Department of Digestive Surgery, Nagano, Japan.

Akira Kobayashi (A)

Nagano Municipal Hospital, Department of Digestive Surgery, Nagano, Japan.

Manabu Takata (M)

Nagano Municipal Hospital, Department of Digestive Surgery, Nagano, Japan.

Kaori Hayashibara (K)

Nagano Municipal Hospital, Department of Digestive Surgery, Nagano, Japan.

Masahiro Sakon (M)

Nagano Municipal Hospital, Department of Digestive Surgery, Nagano, Japan.

Yasushi Sekino (Y)

Nagano Municipal Hospital, Department of Digestive Surgery, Nagano, Japan.

Masao Okada (M)

Nagano Municipal Hospital, Department of Digestive Surgery, Nagano, Japan.

Yusuke Takahashi (Y)

Nagano Municipal Hospital, Department of Digestive Surgery, Nagano, Japan.

Masatoshi Shimura (M)

Nagano Municipal Hospital, Department of Digestive Surgery, Nagano, Japan.

Hitoshi Seki (H)

Nagano Municipal Hospital, Department of Digestive Surgery, Nagano, Japan.

Yuji Soejima (Y)

Division of Gastroenterological, Hepato-Biliary-Pancreatic, Transplantation and Pediatric Surgery, Department of Surgery, Shinshu University School of Medicine, Matsumoto, Japan.

Classifications MeSH