ORIGINAL ARTICLE
Acute appendicitis may no longer be a predominant disease of the young population
1
Post Graduation and Research Division, Masters Program in Health Applied Sciences, Vassouras University, Vassouras, RJ, Brazil
2
Grupo Surgical, Acute and Critical Care Surgery Group, Campinas, SP, Brazil
3
Program Director, Terzius Institute of Education, Campinas, SP, Brazil
4
Director, General Surgery Residency Program, Campinas Holy House, Campinas, SP, Brazil
Publication date: 2019-08-14
Anaesthesiol Intensive Ther 2019;51(4):283-288
KEYWORDS
ABSTRACT
Background:
Some authors consider acute appendicitis as the main cause of acute surgical abdomen. Incident in all ages, contemporary literature suggests that is more frequent in children and young adults, male predominantly. This study aims to test the hypothesis that the disease in question is no longer prevalent in young adults (excluding children) in the surveyed region.
Methods:
1150 cases of emergency surgery were performed and prospectively analyzed. 300 cases of appendicitis in adults were selected and variables studied. Patients under 13 years old were excluded.
Results:
190 patients older than 60 years had a diagnosis of acute appendicitis confirmed by biopsy. There is a predominance of males. The elderly population takes less time to seek medical assistance and has fewer complications, despite being more often admitted to the ICU due to other comorbidities.
Conclusions:
A trend regarding acute appendicitis epidemiology may exist. In the specific studied region acute appendicitis is no longer a disease prevalent in young adults. Surgeons and emergency physicians must be aware that acute appendicitis may no longer be predominantly common in young adults in their own specific region. Multicenter studies are needed to determine whether these data are reproduced in a geographical area of greater extent.
Some authors consider acute appendicitis as the main cause of acute surgical abdomen. Incident in all ages, contemporary literature suggests that is more frequent in children and young adults, male predominantly. This study aims to test the hypothesis that the disease in question is no longer prevalent in young adults (excluding children) in the surveyed region.
Methods:
1150 cases of emergency surgery were performed and prospectively analyzed. 300 cases of appendicitis in adults were selected and variables studied. Patients under 13 years old were excluded.
Results:
190 patients older than 60 years had a diagnosis of acute appendicitis confirmed by biopsy. There is a predominance of males. The elderly population takes less time to seek medical assistance and has fewer complications, despite being more often admitted to the ICU due to other comorbidities.
Conclusions:
A trend regarding acute appendicitis epidemiology may exist. In the specific studied region acute appendicitis is no longer a disease prevalent in young adults. Surgeons and emergency physicians must be aware that acute appendicitis may no longer be predominantly common in young adults in their own specific region. Multicenter studies are needed to determine whether these data are reproduced in a geographical area of greater extent.
REFERENCES (15)
1.
Brook I. Bacterial studies of peritoneal cavity and postoperative surgical wound drainage following perforated appendix in children. Ann Surg 1980; 192: 208-212.
2.
Walker A, Hatch Q, Drake T, et al. Predictors of appendiceal perforation in an equal access system. J Surg Res 2014; 190: 87-92. doi: 10.1016/j.jss.2014.02.028.
3.
Dzabic M, Boström L, Rahbar A. High prevalence of an active cytomegalovirus infection in the appendix of immunocompetent patients with acute appendicitis. Inflamm Bowel Dis 2008; 14: 236-241. doi: 10.1002/ibd.20299.
4.
Zaitsev VT, Gurevich ZA, Brusnitsyna MP, Osadchaia EN, Chernenko MM. Prevalence of acute appendicitis among the population of a large city. Sovetskoe zdravookhranenie/Ministerstvo Zdravookhra- neniia SSSR 1977; 40-44.
5.
Yeh B. Evidence-based emergency medicine/rational clinical examination abstract. Does this adult patient have appendicitis? Ann Emerg Med 2008; 52: 301-303. doi: 10.1016/j.annemergmed.2007.10.023.
6.
National Guideline Clearinghouse (NGC). Guideline summary: Clinical policy: critical issues in the evaluation and management of emergency department patients with suspected appendicitis. National Guideline Clearinghouse (NGC), Rockville (MD). Available at: http://guideline.gov/content.a.... Accessed: 18.11.2013.
7.
Lin KB, Chan CL, Yang NP, et al. Epidemiology of appendicitis and appendectomy for the low-income population in Taiwan, 2003-2011. BMC Gastroenterol 2015; 15: 18. doi: 10.1186/s12876-015-0242-1.
8.
Yang E, Cook C, Kahn D. Acute appendicitis in the public and private sectors in Cape Town, South Africa. World J Surg 2015; 39: 1700-1707. doi: 10.1007/s00268-015-3002-z.
9.
Page DE, Dooreemeah D, Thiruchelvam D. Acute surgical unit: the Australasian experience. ANZ J Surg 2014; 84: 25-30.
10.
Poh BR, Cashin P, Dubrava Z, Blamey S, Yong WW, Croagh DG. Impact of an acute care surgery model on appendicectomy outcomes. ANZ J Surg 2013; 83: 735-738. doi: 10.1111/ans.12351.
11.
Omari AH, Khammash MR, Qasaimeh GR, Shammari AK, Yaseen MK, Hammori SK. Acute appendicitis in the elderly: risk factors for perforation. World J Emerg Surg 2014; 9: 6. doi: 10.1186/1749-7922-9-6.
12.
Mota M, Popa SG, Mota E, et al. Prevalence of diabetes mellitus and prediabetes in the adult Romanian population: PREDATORR study. J Diabetes 2016; 8: 336-344. doi: 10.1111/1753-0407.12297.
13.
Mutowo M, Gowda U, Mangwiro JC, Lorgelly P, Owen A, Renzaho A. Prevalence of diabetes in Zimbabwe: a systematic review with meta-analysis. Int J Public Health 2015; 60: 1-11. doi: 10.1007/s00038-014-0626-y.
14.
Taheri Tanjani P, Moradinazar M, Esmail Mottlagh M, Najafi F. The prevalence of diabetes mellitus (DM) type II among Iranian elderly population and its association with other age-related diseases, 2012. Arch Gerontol Geriatr 2015; 60: 373-379. doi: 10.1016/j.archger.2014.11.012.
15.
Agresta F, Ansaloni L, Catena F, Verza LA, Prando D. Acute appendicitis: position paper, WSES, 2013. World J Emerg Surg 2014; 9: 26. doi: 10.1186/1749-7922-9-26.
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