AI Article Synopsis

  • The study aimed to analyze how different clinical, laboratory, and surgical factors affect postoperative complications in patients over 50 years old with acute appendicitis, involving a sample of 206 patients.
  • The results showed a 30.09% rate of postoperative complications, with significant associations found for factors like age, diabetes, surgery duration, and certain lab results.
  • The findings underscore the importance of considering various patient-specific and intraoperative factors to better predict and manage complications after surgery for appendicitis in older adults.

Article Abstract

Objective: To determine the impact of clinical, laboratory, and intraoperative variables on postoperative complications in patients over 50 years of age with acute appendicitis.

Material And Methods: An observational, analytical, cross-sectional study included patients over 50 years old who underwent surgery for acute appendicitis. The sample included 206 patients, and clinical, laboratory, and surgical data were collected from medical records. The Clavien-Dindo classification was used to estimate postoperative complications. Data were analyzed using SPSS software v.28.

Results: Postoperative morbidity rate was 30.09%. Clinical variables such as age, male gender, duration of illness, presence of type 2 diabetes (DM2), and arterial hypertension (HTA), along with laboratory variables such as leukocyte count, Neutrophil-to-Lymphocyte Ratio (NLR), blood glucose, creatinine, and C-reactive protein (CRP), were significantly associated with postoperative complications (<0.05). In addition, intraoperative variables such as surgery time, ASA III score, perforated appendicitis, peritonitis, laparoscopic appendectomy and hospital stay were significantly associated with postoperative complications (<0.05).

Conclusion: This study highlights the importance of various clinical, laboratory, and intraoperative variables in predicting postoperative complications in patients over 50 years old with acute appendicitis. ASA III score, CRP, perforated appendicitis, and surgery time are associated with postoperative complications.

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Source
http://dx.doi.org/10.17116/hirurgia2024111106DOI Listing

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