Clinical-epidemiological profile of acute appendicitis: retrospective analysis of 638 cases
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista do Colégio Brasileiro de Cirurgiões |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912016000400248 |
Resumo: | ABSTRACT Objective: to describe the clinical and epidemiological profile of acute appendicitis (AA) of the patients treated at a referral center in the Juiz de Fora macro-region, Minas Gerais State, Brazil. Methods: we conducted a retrospective, observational study in the Dr. Mozart Geraldo TeixeiraEmergency Hospital. We selected 638 patients diagnosed with AA, and analyzed the variables gender, age, evolutionary phase, length of hospital stay, pathological diagnosis, use of antibiotics, use of drains, complications and mortality. Results: AA was more prevalent in young adults (19-44 years) and males (65.20%). The mean hospital stay was seven days and phase II was the most prevalent. We found the histopathological diagnosis of primary tumor of the appendix in six patients (0.94%), adenocarcinoma being the most common histologic type (66.7%). Regarding the use of antibiotics, 196 patients underwent antibiotic prophylaxis and 306 received antibiotic therapy. Eighty-one patients used some kind of drain, for an average of 4.8 days. Seventeen patients died (2.67%), predominantly males (70.59%), with mean age of 38.47 years. Conclusion: AA has a higher prevalence in males and young adults. The length of stay is directly associated with the evolutionary phase. The most common complication is infection of the surgical site. Mortality in our service is still high when compared with developed centers. |
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Revista do Colégio Brasileiro de Cirurgiões |
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Clinical-epidemiological profile of acute appendicitis: retrospective analysis of 638 casesAppendicitis. General Surgery. AbdomenAcute.ABSTRACT Objective: to describe the clinical and epidemiological profile of acute appendicitis (AA) of the patients treated at a referral center in the Juiz de Fora macro-region, Minas Gerais State, Brazil. Methods: we conducted a retrospective, observational study in the Dr. Mozart Geraldo TeixeiraEmergency Hospital. We selected 638 patients diagnosed with AA, and analyzed the variables gender, age, evolutionary phase, length of hospital stay, pathological diagnosis, use of antibiotics, use of drains, complications and mortality. Results: AA was more prevalent in young adults (19-44 years) and males (65.20%). The mean hospital stay was seven days and phase II was the most prevalent. We found the histopathological diagnosis of primary tumor of the appendix in six patients (0.94%), adenocarcinoma being the most common histologic type (66.7%). Regarding the use of antibiotics, 196 patients underwent antibiotic prophylaxis and 306 received antibiotic therapy. Eighty-one patients used some kind of drain, for an average of 4.8 days. Seventeen patients died (2.67%), predominantly males (70.59%), with mean age of 38.47 years. Conclusion: AA has a higher prevalence in males and young adults. The length of stay is directly associated with the evolutionary phase. The most common complication is infection of the surgical site. Mortality in our service is still high when compared with developed centers.Colégio Brasileiro de Cirurgiões2016-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912016000400248Revista do Colégio Brasileiro de Cirurgiões v.43 n.4 2016reponame:Revista do Colégio Brasileiro de Cirurgiõesinstname:Colégio Brasileiro de Cirurgiões (CBC)instacron:CBC10.1590/0100-69912016004009info:eu-repo/semantics/openAccessLIMA,AMANDA PEREIRAVIEIRA,FELIPE JOSÉOLIVEIRA,GABRIELA PROCÓPIO DE MORAESRAMOS,PLÍNIO DOS SANTOSAVELINO,MARIELLE ELISAPRADO,FELIPE GARCIAJÚNIOR,GILSON SALOMÃOSILVA,FRANCISCO CAMPOSRODRIGUES,JOÃO VICENTE LINHARESeng2016-09-30T00:00:00Zoai:scielo:S0100-69912016000400248Revistahttp://www.scielo.br/rcbcONGhttps://old.scielo.br/oai/scielo-oai.php||revistacbc@cbc.org.br1809-45460100-6991opendoar:2016-09-30T00:00Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC)false |
dc.title.none.fl_str_mv |
Clinical-epidemiological profile of acute appendicitis: retrospective analysis of 638 cases |
title |
Clinical-epidemiological profile of acute appendicitis: retrospective analysis of 638 cases |
spellingShingle |
Clinical-epidemiological profile of acute appendicitis: retrospective analysis of 638 cases LIMA,AMANDA PEREIRA Appendicitis. General Surgery. Abdomen Acute. |
title_short |
Clinical-epidemiological profile of acute appendicitis: retrospective analysis of 638 cases |
title_full |
Clinical-epidemiological profile of acute appendicitis: retrospective analysis of 638 cases |
title_fullStr |
Clinical-epidemiological profile of acute appendicitis: retrospective analysis of 638 cases |
title_full_unstemmed |
Clinical-epidemiological profile of acute appendicitis: retrospective analysis of 638 cases |
title_sort |
Clinical-epidemiological profile of acute appendicitis: retrospective analysis of 638 cases |
author |
LIMA,AMANDA PEREIRA |
author_facet |
LIMA,AMANDA PEREIRA VIEIRA,FELIPE JOSÉ OLIVEIRA,GABRIELA PROCÓPIO DE MORAES RAMOS,PLÍNIO DOS SANTOS AVELINO,MARIELLE ELISA PRADO,FELIPE GARCIA JÚNIOR,GILSON SALOMÃO SILVA,FRANCISCO CAMPOS RODRIGUES,JOÃO VICENTE LINHARES |
author_role |
author |
author2 |
VIEIRA,FELIPE JOSÉ OLIVEIRA,GABRIELA PROCÓPIO DE MORAES RAMOS,PLÍNIO DOS SANTOS AVELINO,MARIELLE ELISA PRADO,FELIPE GARCIA JÚNIOR,GILSON SALOMÃO SILVA,FRANCISCO CAMPOS RODRIGUES,JOÃO VICENTE LINHARES |
author2_role |
author author author author author author author author |
dc.contributor.author.fl_str_mv |
LIMA,AMANDA PEREIRA VIEIRA,FELIPE JOSÉ OLIVEIRA,GABRIELA PROCÓPIO DE MORAES RAMOS,PLÍNIO DOS SANTOS AVELINO,MARIELLE ELISA PRADO,FELIPE GARCIA JÚNIOR,GILSON SALOMÃO SILVA,FRANCISCO CAMPOS RODRIGUES,JOÃO VICENTE LINHARES |
dc.subject.por.fl_str_mv |
Appendicitis. General Surgery. Abdomen Acute. |
topic |
Appendicitis. General Surgery. Abdomen Acute. |
description |
ABSTRACT Objective: to describe the clinical and epidemiological profile of acute appendicitis (AA) of the patients treated at a referral center in the Juiz de Fora macro-region, Minas Gerais State, Brazil. Methods: we conducted a retrospective, observational study in the Dr. Mozart Geraldo TeixeiraEmergency Hospital. We selected 638 patients diagnosed with AA, and analyzed the variables gender, age, evolutionary phase, length of hospital stay, pathological diagnosis, use of antibiotics, use of drains, complications and mortality. Results: AA was more prevalent in young adults (19-44 years) and males (65.20%). The mean hospital stay was seven days and phase II was the most prevalent. We found the histopathological diagnosis of primary tumor of the appendix in six patients (0.94%), adenocarcinoma being the most common histologic type (66.7%). Regarding the use of antibiotics, 196 patients underwent antibiotic prophylaxis and 306 received antibiotic therapy. Eighty-one patients used some kind of drain, for an average of 4.8 days. Seventeen patients died (2.67%), predominantly males (70.59%), with mean age of 38.47 years. Conclusion: AA has a higher prevalence in males and young adults. The length of stay is directly associated with the evolutionary phase. The most common complication is infection of the surgical site. Mortality in our service is still high when compared with developed centers. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-08-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912016000400248 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912016000400248 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/0100-69912016004009 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Colégio Brasileiro de Cirurgiões |
publisher.none.fl_str_mv |
Colégio Brasileiro de Cirurgiões |
dc.source.none.fl_str_mv |
Revista do Colégio Brasileiro de Cirurgiões v.43 n.4 2016 reponame:Revista do Colégio Brasileiro de Cirurgiões instname:Colégio Brasileiro de Cirurgiões (CBC) instacron:CBC |
instname_str |
Colégio Brasileiro de Cirurgiões (CBC) |
instacron_str |
CBC |
institution |
CBC |
reponame_str |
Revista do Colégio Brasileiro de Cirurgiões |
collection |
Revista do Colégio Brasileiro de Cirurgiões |
repository.name.fl_str_mv |
Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC) |
repository.mail.fl_str_mv |
||revistacbc@cbc.org.br |
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1754209213558554624 |