Review of appendicectomies over a decade in a tertiary hospital in New Zealand
| Autor: | Peter D. Larsen, Elizabeth Dennett, Grant Crane, Ruth Cullinane, Kirsten J de Burlet |
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| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Abdominal pain Retrospective review medicine.diagnostic_test Adult patients business.industry Ultrasound scan General surgery Laboratory reports Computed tomography General Medicine 030230 surgery medicine.disease Appendicitis Surgery 03 medical and health sciences 0302 clinical medicine 030220 oncology & carcinogenesis medicine medicine.symptom business |
| Zdroj: | ANZ Journal of Surgery. 88:1253-1257 |
| ISSN: | 1445-1433 |
| DOI: | 10.1111/ans.14203 |
| Popis: | BACKGROUND Acute appendicectomy is the most common emergency operation for patients with abdominal pain. In the last decade, computed tomography (CT) scans have increasingly been used to aid in the diagnosis in order to reduce the negative appendicectomy rate. The aim of this study was to evaluate our institution's negative appendicectomy rate and the use of pre-operative imaging. METHODS A retrospective review was undertaken for all adult patients (>16 years), who underwent an appendicectomy on emergency basis in the years 2004, 2009 and 2014. Cases were identified from the hospital electronic theatre record system. Data were also obtained from the patients records and laboratory reports. RESULTS A total of 874 patients were included, 227 in 2004, 308 in 2009 and 339 in 2014. The negative appendicectomy rate was 29.1% in 2004, 20.1% in 2009 and 19.5% in 2014 (P = 0.014). Negative appendicectomies were more common in women (P = |
| Databáze: | OpenAIRE |
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