Abstract
Background: The aim of our study is to select patients with nonperforated appendicitis verified by computed tomography (CT) scan and to determine if there is a temporal component to perforation. Methods: A retrospective cohort study of patients with CT scan evidence of nonperforated appendicitis from 2007 to 2012. Results: 411 patients, aged 39.7 ± 16.25 years (47.5% male) were included in the study. 330 patients (80.3%) were nonperforated at surgery. Analysis of 3-hour intervals from CT scan to operating room (OR) revealed an absolute reduction in the rate of perforation from 27% at the 6- to 9-hour interval, to 17% and 10% at the 3- to 6-hour and 0- to 3-hour intervals, respectively, (P <.04). All organ space infections occurred in patients who were delayed to the OR greater than 3 hours. Mean length of hospitalization was .93 days and 2.81 days, respectively, in nonperforated and perforated appendicitis patients (P <.001). Conclusions: Delays to the OR were associated with increased risk of perforation. Patients with uncomplicated appendicitis had shorter hospitalization and fewer postoperative wound infections.
| Original language | English (US) |
|---|---|
| Journal | American Journal of Surgery |
| DOIs | |
| State | Accepted/In press - Apr 14 2015 |
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Keywords
- Appendicitis
- Complications
- CT scan
- Timing
ASJC Scopus subject areas
- Surgery
Cite this
Computed tomography to operating room in less than 3 hours minimizes complications from appendicitis. / Harmon, Laura A.; Davis, Matthew L.; Jupiter, Daniel; Frazee, Richard C.; Regner, Justin L.
In: American Journal of Surgery, 14.04.2015.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Computed tomography to operating room in less than 3 hours minimizes complications from appendicitis
AU - Harmon, Laura A.
AU - Davis, Matthew L.
AU - Jupiter, Daniel
AU - Frazee, Richard C.
AU - Regner, Justin L.
PY - 2015/4/14
Y1 - 2015/4/14
N2 - Background: The aim of our study is to select patients with nonperforated appendicitis verified by computed tomography (CT) scan and to determine if there is a temporal component to perforation. Methods: A retrospective cohort study of patients with CT scan evidence of nonperforated appendicitis from 2007 to 2012. Results: 411 patients, aged 39.7 ± 16.25 years (47.5% male) were included in the study. 330 patients (80.3%) were nonperforated at surgery. Analysis of 3-hour intervals from CT scan to operating room (OR) revealed an absolute reduction in the rate of perforation from 27% at the 6- to 9-hour interval, to 17% and 10% at the 3- to 6-hour and 0- to 3-hour intervals, respectively, (P <.04). All organ space infections occurred in patients who were delayed to the OR greater than 3 hours. Mean length of hospitalization was .93 days and 2.81 days, respectively, in nonperforated and perforated appendicitis patients (P <.001). Conclusions: Delays to the OR were associated with increased risk of perforation. Patients with uncomplicated appendicitis had shorter hospitalization and fewer postoperative wound infections.
AB - Background: The aim of our study is to select patients with nonperforated appendicitis verified by computed tomography (CT) scan and to determine if there is a temporal component to perforation. Methods: A retrospective cohort study of patients with CT scan evidence of nonperforated appendicitis from 2007 to 2012. Results: 411 patients, aged 39.7 ± 16.25 years (47.5% male) were included in the study. 330 patients (80.3%) were nonperforated at surgery. Analysis of 3-hour intervals from CT scan to operating room (OR) revealed an absolute reduction in the rate of perforation from 27% at the 6- to 9-hour interval, to 17% and 10% at the 3- to 6-hour and 0- to 3-hour intervals, respectively, (P <.04). All organ space infections occurred in patients who were delayed to the OR greater than 3 hours. Mean length of hospitalization was .93 days and 2.81 days, respectively, in nonperforated and perforated appendicitis patients (P <.001). Conclusions: Delays to the OR were associated with increased risk of perforation. Patients with uncomplicated appendicitis had shorter hospitalization and fewer postoperative wound infections.
KW - Appendicitis
KW - Complications
KW - CT scan
KW - Timing
UR - http://www.scopus.com/inward/record.url?scp=84973572529&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84973572529&partnerID=8YFLogxK
U2 - 10.1016/j.amjsurg.2016.02.027
DO - 10.1016/j.amjsurg.2016.02.027
M3 - Article
C2 - 27287836
AN - SCOPUS:84973572529
JO - American Journal of Surgery
JF - American Journal of Surgery
SN - 0002-9610
ER -