Age-related clinical features in older patients with acute appendicitis

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dc.authorid0000-0001-8083-3835
dc.authorid0000-0002-6708-7679
dc.contributor.authorGürleyik, Günay
dc.contributor.authorGürleyik, Emin
dc.date.accessioned2021-06-23T19:17:33Z
dc.date.available2021-06-23T19:17:33Z
dc.date.issued2003
dc.departmentBAİBÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractAcute appendicitis, the most common cause of abdominal surgical emergency, shows a different pathogenesis, clinical course and outcome in the elderly. Age-specific factors are effective on preoperative clinical diagnosis and on the stage of this infectious disease. We aimed to present our experience with a series of elderly patients with appendicitis who were subjected to appendectomy. Operative and hospital records of patients with appendicitis were retrospectively reviewed. Patients who were 50 years of age or older were the main constituents of the study. Demographic features, preoperative clinical diagnosis, abdominal interventions, and postoperative morbidity and mortality were analysed as the main criteria. A total of 109 older patients have constituted 4.3% of our appendectomy cases. Besides right lower quadrant transversal incisions, surgery was performed via vertical incisions in 28.4% of cases with a diagnosis of acute abdomen. In the elderly, the perforation rate was significantly higher than in paediatric and adult patients (P < 0.001). The proportion of the elderly among perforated cases was significantly increased when compared with non-perforated cases (12.9 versus 2.9%; P < 0.001). Postoperative morbidity was noted in 35.8% of elderly patients, in 73.8% of perforated, and in 11.9% of non-perforated cases (P < 0.001). The mortality rate was 5.5% in the elderly group, 11.9% in patients with perforated, and 1.5% in patients with non-perforated appendicitis. No mortality was noted in patients younger than 50 years. The precise diagnosis of appendicitis is relatively low in the elderly. Despite the uncommon occurrence of appendicitis, the perforation rate is still unfavourable. Postoperative morbidity and mortality is unacceptably high. Advancing age adversely affects clinical diagnosis, the stage of disease and the outcome of patients. Perforated appendicitis and septic progression is the main cause of undesirable outcomes.en_US
dc.identifier.doi10.1097/01.mej.0000088431.19737.f8
dc.identifier.endpage203en_US
dc.identifier.issn0969-9546
dc.identifier.issue3en_US
dc.identifier.pmid12972895en_US
dc.identifier.scopus2-s2.0-1542674296en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage200en_US
dc.identifier.urihttps://doi.org/10.1097/01.mej.0000088431.19737.f8
dc.identifier.urihttps://hdl.handle.net/20.500.12491/5460
dc.identifier.volume10en_US
dc.identifier.wosWOS:000209517500008en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorGürleyik, Emin
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofEuropean Journal Of Emergency Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAppendicitisen_US
dc.subjectElderlyen_US
dc.subjectIntra-abdominal Sepsisen_US
dc.subjectOutcomeen_US
dc.subjectPerforationen_US
dc.titleAge-related clinical features in older patients with acute appendicitisen_US
dc.typeArticleen_US

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