Risk factors for the development of complicated appendicitis in adults
Yıl: 2016 Cilt: 32 Sayı: 1 Sayfa Aralığı: 37 - 42 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022
Risk factors for the development of complicated appendicitis in adults
Öz: Amaç: Komplike apandisit ile ilişkili risk faktörlerini belirlemek amacıyla hastanın öyküsü ve fizik muayene bilgilerini araştırmak.Gereç ve Yöntemler: Komplike apandisit (apse, flegmon ve yaygın peritonit dâhil) ile başvuran 200 hasta veritabanı kullanılarak saptandı. Aynı dönem içerisinde komplike olmayan akut apandisit ile yatırılmış 200 hasta rastgele seçildi. Bu iki grup demografik özellikler, tıbbi geçmiş ve başvuru semptomları yönünden karşılaştırıldı. İkili lojistik regresyon ve geriye doğru eleme yöntemleri kullanılarak çok değişkenli analiz modeli uygulandı.Bulgular: Çok değişkenli analize göre komplike apandisit için risk faktörleri, epigastrik ağrı (OR=3,44), diyare (OR=23,4) ya da halsizlik (OR=49,7), son 6 ayda sağ alt kadran ağrısı öyküsü (OR=4,93), ileri yaş (OR=1,04), evli olma (OR=2,52), iştahsızlık olmaması (OR=4,63) ve belirtilerin başlaması ile hastaneye başvuru arasında uzun süre olması (OR=1,46) olarak saptandı. Bunların aksine, daha yüksek (akademik) eğitim düzeyi komplike apandisit için daha düşük risk ile ilişkili idi (OR=0,26).Sonuç: Bulgularımız, bir cerrahın klinik değerlendirmesinin karar verme açısından daha güvenilir olduğunu göstermektedir. "Yatak başı değerlendirmesi" komplike akut apandisit açısından risk altında olan hastaların belirlenmesi için yararlı, ucuz, hızlı ve kolayca uygulanabilen bir yöntemdir.
Anahtar Kelime: Konular:
Yetişkinlerde komplike apandisit gelişiminde risk faktörleri
Öz: Objective: To investigate the patient's history and physical examination information to find out risk factors associated with complicated appendicitis.Material and Methods: Two hundred patients who were admitted with complicated appendicitis (including abscess, phlegmon, and generalized peritonitis) were retrieved from our database. Two hundred patients with non-complicated acute appendicitis were randomly selected from the same period. These two groups were compared in terms of demographic characteristics, past medical history, and presenting symptoms. We made a multivariate analysis model using binary logistic regression and backward stepwise elimination. Results: Based on multivariate analysis, risk factors for complicated appendicitis included presenting with epigastric pain (OR=3.44), diarrhea (OR=23.4) or malaise (OR=49.7), history of RLQ pain within the past 6 months (OR=4.93), older age (OR=1.04), being married (OR=2.52), lack of anorexia (OR=4.63) and longer interval between onset of symptoms and admission (OR=1.46). Conversely, higher (academic) education was associated with decreased odds for complicated appendicitis (OR=0.26).Conclusion: Our findings suggest that a surgeon's clinical assessment is more reliable to make a judgment. "Bedside evaluation" is a useful, cheap, quick and readily available method for identifying those at risk for developing complicated acute appendicitis.
Anahtar Kelime: Konular:
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | NADERAN M, BABAKİ A, SHOAR S, MAHMOODZADEH H, KHORGAMİ Z, NASİRİ S (2016). Risk factors for the development of complicated appendicitis in adults. , 37 - 42. |
| Chicago | NADERAN Mohammad,BABAKİ Amir Eslami Shahr,SHOAR Saeed,MAHMOODZADEH Hossein,KHORGAMİ Zhamak,NASİRİ Shirzad Risk factors for the development of complicated appendicitis in adults. (2016): 37 - 42. |
| MLA | NADERAN Mohammad,BABAKİ Amir Eslami Shahr,SHOAR Saeed,MAHMOODZADEH Hossein,KHORGAMİ Zhamak,NASİRİ Shirzad Risk factors for the development of complicated appendicitis in adults. , 2016, ss.37 - 42. |
| AMA | NADERAN M,BABAKİ A,SHOAR S,MAHMOODZADEH H,KHORGAMİ Z,NASİRİ S Risk factors for the development of complicated appendicitis in adults. . 2016; 37 - 42. |
| Vancouver | NADERAN M,BABAKİ A,SHOAR S,MAHMOODZADEH H,KHORGAMİ Z,NASİRİ S Risk factors for the development of complicated appendicitis in adults. . 2016; 37 - 42. |
| IEEE | NADERAN M,BABAKİ A,SHOAR S,MAHMOODZADEH H,KHORGAMİ Z,NASİRİ S "Risk factors for the development of complicated appendicitis in adults." , ss.37 - 42, 2016. |
| ISNAD | NADERAN, Mohammad vd. "Risk factors for the development of complicated appendicitis in adults". (2016), 37-42. |
| APA | NADERAN M, BABAKİ A, SHOAR S, MAHMOODZADEH H, KHORGAMİ Z, NASİRİ S (2016). Risk factors for the development of complicated appendicitis in adults. Ulusal Cerrahi Dergisi, 32(1), 37 - 42. |
| Chicago | NADERAN Mohammad,BABAKİ Amir Eslami Shahr,SHOAR Saeed,MAHMOODZADEH Hossein,KHORGAMİ Zhamak,NASİRİ Shirzad Risk factors for the development of complicated appendicitis in adults. Ulusal Cerrahi Dergisi 32, no.1 (2016): 37 - 42. |
| MLA | NADERAN Mohammad,BABAKİ Amir Eslami Shahr,SHOAR Saeed,MAHMOODZADEH Hossein,KHORGAMİ Zhamak,NASİRİ Shirzad Risk factors for the development of complicated appendicitis in adults. Ulusal Cerrahi Dergisi, vol.32, no.1, 2016, ss.37 - 42. |
| AMA | NADERAN M,BABAKİ A,SHOAR S,MAHMOODZADEH H,KHORGAMİ Z,NASİRİ S Risk factors for the development of complicated appendicitis in adults. Ulusal Cerrahi Dergisi. 2016; 32(1): 37 - 42. |
| Vancouver | NADERAN M,BABAKİ A,SHOAR S,MAHMOODZADEH H,KHORGAMİ Z,NASİRİ S Risk factors for the development of complicated appendicitis in adults. Ulusal Cerrahi Dergisi. 2016; 32(1): 37 - 42. |
| IEEE | NADERAN M,BABAKİ A,SHOAR S,MAHMOODZADEH H,KHORGAMİ Z,NASİRİ S "Risk factors for the development of complicated appendicitis in adults." Ulusal Cerrahi Dergisi, 32, ss.37 - 42, 2016. |
| ISNAD | NADERAN, Mohammad vd. "Risk factors for the development of complicated appendicitis in adults". Ulusal Cerrahi Dergisi 32/1 (2016), 37-42. |
