Introduction The lifetime risk to develop acute appendicitis is estimated to 7-8%. Even if the condition iscommon and tools for diagnosis are existing, it is challenging to obtain a confident preoperativediagnosis which can explain differences in outcomes and complications. Aim The aim of this study was to analyze and compare differences in management and outcomesbetween patients with acute appendicitis at Karlstad Central Hospital. Methods The study was a retrospective cohort analysis comparing management between pediatric andadult patients and outcomes between patients who developed complications and patients who didnot at Karlstad central hospital between 2020-11-01 and 2021-05-31. Results Ultrasound was more often used in children than adults, 66.7% versus 10.5% (p=0.001), whereascomputed tomography (CT) was more used diagnosing adults, 73.5% versus 0% (p=<0.001). Inyounger adults (17-39) 69% had CT performed versus 96% in patients above 40 (p=<0.00005).Open appendectomy was more common among children, 25% versus 4.6% (p=<0.01) whilstlaparoscopic appendectomy was more common in adults, 90% versus 75% (p=<0.001). A longertime to intervention was seen in the adult complication group (p=0.004). Laparoscopicappendectomy was more common in the adult non-complication group 93.3% versus 78.10%(p=0.037). Conclusion There was a longer duration between admission and surgery and a higher initial CRP amongpatients that developed complications. Furthermore, in younger adults a high percentage of CTswhere performed compared to international guidelines. This indicates that there might be roomfor improvement in the management of appendicitis at CSK.
| Identifer | oai:union.ndltd.org:UPSALLA1/oai:DiVA.org:oru-103574 |
| Date | January 2022 |
| Creators | Eliasson, Johanna |
| Publisher | Örebro universitet, Institutionen för medicinska vetenskaper |
| Source Sets | DiVA Archive at Upsalla University |
| Language | English |
| Detected Language | English |
| Type | Student thesis, info:eu-repo/semantics/bachelorThesis, text |
| Format | application/pdf |
| Rights | info:eu-repo/semantics/openAccess |
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