این سایت در حال حاضر پشتیبانی نمی شود و امکان دارد داده های نشریات بروز نباشند
Bulletin of Emergency and Trauma، جلد ۸، شماره ۴، صفحات ۲۲۴-۲۲۸
عنوان فارسی
چکیده فارسی مقاله
کلیدواژه‌های فارسی مقاله
عنوان انگلیسی Differences in the Clinical Course of Acute Appendicitis in Geriatric Patient Groups
چکیده انگلیسی مقاله Objective: To compare the differences in the clinical course of acute appendicitis between early elderly (60-79 years) and late elderly patients (≥80 years). Method: The sample consisted of 177 patients aged over 60 that underwent surgery at the emergency service with the diagnosis of acute appendicitis between January 2010 and May 2018. Patients’ data were retrospectively obtained from electronic records. Patients that had undergone appendectomy or negative appendectomy or had an appendix tumor were excluded from the study. The patients were divided into two groups by age; early elderly (60-79 years) and late elderly (≥80 years). Results: Of the 177 patients included in the study, 162(91%) were 60-79 years old and 15 (9%) were over 80. A statistically significant difference was found between the early and late elderly groups in terms of perforation, requirement for intensive care (p =0.001), red cell distribution width (p =0.025), the Clavien-Dindo classification (p =0.020), and the Charlson comorbidity index (p =0.005). The mean hospital stay was four and 11 days for early and late elderly groups, respectively. Multivariate analysis revealed that age alone was an independent factor with a statistically significant effect on mortality (OR=Odds Ratio: 53, 95% CI: 16.91-166.08; (p < 0.001)). Conclusion: In particular, in the elderly patients over 80 years old, the clinical manifestation of acute appendicitis at hospital admission is in the form of perforation. Therefore, in this age group, a careful, precise and prompt diagnosis is crucial.
کلیدواژه‌های انگلیسی مقاله Appendicitis, Mortality, Geriatrics
نویسندگان مقاله Sadettin Er |
Department of General Surgery, Numune Training and Research Hospital, Ankara, Turkey

Sabri Özden |
Department of General Surgery, Numune Training and Research Hospital, Ankara, Turkey

Umut Fırat Turan |
Department of General Surgery, Numune Training and Research Hospital, Ankara, Turkey

Egemen Özdemir |
Department of Gastrointestinal Surgery, İnönü University School of Medicine, Malatya, Turkey

Barış Saylam |
Department of General Surgery, Numune Training and Research Hospital, Ankara, Turkey

Mesut Tez |
Department of General Surgery, Numune Training and Research Hospital, Ankara, Turkey

نشانی اینترنتی https://beat.sums.ac.ir/article_47104_0a0816f9b2a87b53e933acb690fbc59d.pdf
فایل مقاله فایلی برای مقاله ذخیره نشده است
کد مقاله (doi)
زبان مقاله منتشر شده en
موضوعات مقاله منتشر شده
نوع مقاله منتشر شده
برگشت به: صفحه اول پایگاه   |   نسخه مرتبط   |   نشریه مرتبط   |   فهرست نشریات