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Article: Acute appendicitis in the elderly

TitleAcute appendicitis in the elderly
Authors
Issue Date1985
Citation
Surgery Gynecology And Obstetrics, 1985, v. 161 n. 2, p. 157-160 How to Cite?
AbstractA prospective study was done on 104 patients more than 60 years old with appendicitis. The clinical features are by and large, similar to that of the younger patient. However, four patients presented atypically with abdominal distension with little or no pain. A statistically significant increase in appendiceal perforation is found in patients more than 70 years old and in patients with prolonged delay in operation. However, delay on the part of the surgeon contributed only slightly to the high appendiceal perforation as 85.6 per cent of patients who were operated upon within 24 hours of admission. Appendicitis in the elderly patient appeared to progress to perforation faster and perforation occurred in about 40 per cent of patients within 24 hours of onset of symptoms. Five patients died and 29 postoperative complications occurred in 24 more patients. An associated medical disease is linked to a statistically significant increase in mortality. Appendiceal perforation and a total delay of more than 37 hours are associated with a statistically significant increase in morbidity.
Persistent Identifierhttp://hdl.handle.net/10722/172540
ISSN
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorLau, WYen_US
dc.contributor.authorFan, STen_US
dc.contributor.authorYiu, TFen_US
dc.date.accessioned2012-10-30T06:23:19Z-
dc.date.available2012-10-30T06:23:19Z-
dc.date.issued1985en_US
dc.identifier.citationSurgery Gynecology And Obstetrics, 1985, v. 161 n. 2, p. 157-160en_US
dc.identifier.issn0039-6087en_US
dc.identifier.urihttp://hdl.handle.net/10722/172540-
dc.description.abstractA prospective study was done on 104 patients more than 60 years old with appendicitis. The clinical features are by and large, similar to that of the younger patient. However, four patients presented atypically with abdominal distension with little or no pain. A statistically significant increase in appendiceal perforation is found in patients more than 70 years old and in patients with prolonged delay in operation. However, delay on the part of the surgeon contributed only slightly to the high appendiceal perforation as 85.6 per cent of patients who were operated upon within 24 hours of admission. Appendicitis in the elderly patient appeared to progress to perforation faster and perforation occurred in about 40 per cent of patients within 24 hours of onset of symptoms. Five patients died and 29 postoperative complications occurred in 24 more patients. An associated medical disease is linked to a statistically significant increase in mortality. Appendiceal perforation and a total delay of more than 37 hours are associated with a statistically significant increase in morbidity.en_US
dc.languageengen_US
dc.relation.ispartofSurgery Gynecology and Obstetricsen_US
dc.subject.meshAcute Diseaseen_US
dc.subject.meshAgeden_US
dc.subject.meshAppendectomyen_US
dc.subject.meshAppendicitis - Diagnosis - Mortality - Surgeryen_US
dc.subject.meshCecal Diseases - Etiology - Surgeryen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshIntestinal Perforation - Etiology - Surgeryen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshPostoperative Complications - Epidemiologyen_US
dc.subject.meshProspective Studiesen_US
dc.subject.meshTime Factorsen_US
dc.titleAcute appendicitis in the elderlyen_US
dc.typeArticleen_US
dc.identifier.emailFan, ST: stfan@hku.hken_US
dc.identifier.authorityFan, ST=rp00355en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.pmid4023896-
dc.identifier.scopuseid_2-s2.0-0022385168en_US
dc.identifier.volume161en_US
dc.identifier.issue2en_US
dc.identifier.spage157en_US
dc.identifier.epage160en_US
dc.identifier.isiWOS:A1985ANF4200012-
dc.identifier.scopusauthoridLau, WY=7402933199en_US
dc.identifier.scopusauthoridFan, ST=7402678224en_US
dc.identifier.scopusauthoridYiu, TF=36887055400en_US

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