Publications by authors named "H Javanmard-Emamghissi"

Article Synopsis
  • Some surgeons are unsure about treating appendicitis without surgery because they worry about it coming back or being something more serious.
  • A study looked at 625 patients who were treated without surgery and found that 71% didn't need surgery after a year, but some still did.
  • Things like having certain risks can make it more likely for someone to need surgery later, so doctors should keep a close eye on those patients.
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Background: Acute appendicitis is one of the most common emergency general surgical conditions worldwide. Uncomplicated/simple appendicitis can be treated with appendectomy or antibiotics. Some studies have suggested possible benefits with antibiotics with reduced complications, length of hospital stay, and the number of days off work.

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Patients who require emergency laparotomy are defined as high risk if their 30-day predicted risk of mortality is ≥ 5%. Despite a large difference in the characteristics of patients with a mortality risk score of between 5% and 50%, these outcomes are aggregated by the National Emergency Laparotomy Audit (NELA). Our aim was to describe the outcomes of the cohort of patients at extreme risk of death, which we defined as having a NELA-predicted 30-day mortality of ≥ 50%.

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