Treatment outcomes of acute appendicitis and associated factors among admitted patients with a diagnosis of acute abdomen in Debre Markos Referral Hospital, Amhara Region, North West Ethiopia.
Abebe Dilie AfenigusAgumas Mossie BayiehBerhanu KassahunPublished in: Journal of perioperative practice (2020)
Among 303 patients with a diagnosis of acute abdomen, 169 (55.7%) developed acute appendicitis; of whom, 45 (26.6%) developed unfavourable treatment outcomes. Patients who had elevated white blood cell count at the time of presentation (adjusted odds ratio = 4.7; 95% confidence interval (1.95, 11.35)) and intraoperative appendiceal abscess (adjusted odds ratio = 3.8; 95% confidence interval (1.61, 9.07)) were significantly associated with an unfavourable appendicitis treatment outcome. Conclusion and recommendation: Nearly a quarter of the patients developed unfavourable treatment outcomes. Elevated white blood cell count and intraoperative appendiceal abscess were significantly associated with unfavourable appendicitis treatment outcome. Therefore, early detection and treatment of appendiceal abscess is crucial for a better outcome.
Keyphrases
- low grade
- liver failure
- end stage renal disease
- single cell
- cell therapy
- respiratory failure
- ejection fraction
- newly diagnosed
- chronic kidney disease
- drug induced
- patients undergoing
- rare case
- primary care
- aortic dissection
- peripheral blood
- healthcare
- peritoneal dialysis
- high grade
- prognostic factors
- stem cells
- case report
- patient reported outcomes
- mechanical ventilation
- combination therapy
- smoking cessation