Appendiceal inflammation affects the length of stay following appendicectomy amongst children:a myth or reality?  

作　　者：Khurram Siddique Shirin Mirza Gandra Harinath 

机构地区：[1]Department of General Surgery,East Kent Hospitals University NHS Foundation Trust,Kent CT13NG,United Kingdom [2]Public Health Solutions(Research&Development Organization),Islamabad 44000,Pakistan

出　　处：《Frontiers of Medicine》2013年第2期264-269,共6页医学前沿（英文版）

摘　　要：The effect of the severity of appendiceal inflammation on post-operative stay in children following appendicectomy has shown conflicting results.This study was conducted to determine the association between the severity of appendiceal inflammation and post-operative stay amongst children undergoing open appendicectomy.A retrospective cohort study was conducted at a District General Hospital for two years.A total of 204 patients were included in the study with an age range between 3 and 16 years.Females were 54.9%while the rest were male.Mean age was 12.5±3 years.The association of the severity of appendiceal inflammation and post-operative stay was assessed by multivariable Cox Proportional hazards model.Mean post-operative stay was 2.32 days(95%CI 2.14–2.51).Macroscopically perforated appendix,histological inflammation and post-operative complications were significantly associated with post-operative stay on univariable analysis(P<0.05).Whereas,the multivariable analysis showed that the post-operative stay was significantly prolonged only in case of either perforated appendix or post-operative complications while it remained unaffected by the histological inflammation.

关 键 词：appendiceal inflammation post-operative stay PAEDIATRICS 

分 类 号：R57[医药卫生—消化系统]