Prospective Observational Study on acute Appendicitis Worldwide (POSAW)
Ali Guner; Dimitrios Balalis; Ajay Pal; Fatih Altintoprak; Robin Kaushik; Iyiade Olaoye; Marianne Reitz; Mario Faro; Silvia Costa; Giulia Montori; Adamu Ahmed; Andras Vereczkei; Massimo Sartelli; Gia Tomadze; Carlos A. Gomes; Samir Delibegovic; Nickos Michalopoulos; Zeynep Ozkan; Ioannis Nikolopoulos; Gianfranco Cocorullo; Athanasio Marinis; Charalampos Seretis; Margarida Ferreira; Francesco Pata; Konstantinos Bouliaris; Padmakumar Ramakrishnapillai; Boris Sakakushev; Seckin Akkucuk; Giuseppe Novelli; Nutu Vlad; George Theobald; Boiko Atanasov; Tonguç U. Yilmaz; Miklosh Bala; Daniel Rios-Cruz; Wagih M. Ghnnam; Mouaqit Ouadii; Oussama Baraket; Sumita Jain; Georgy Ivakhov; Roberto Bini; Nadezda Kiseleva; Tadeja Pintar; Pedro Leão; Daniele Brunelli; Andreas Hecker; Marcelo Beltran; Matej Skrovina; Saila Kauhanen; Dmitry Smirnov; Eudaldo López-Tomassetti Fernandez; Andrey Litvin; Koray Das; Gian M. Palini; Aleksandar Karamarkovic; Salomone Di Saverio; Alain Chichom-Mefire; Varut Lohsiriwat; Gian L. Baiocchi; Gerson A. Pereira Júnior; Asri Che Jusoh; Gustavo P. Fraga; Piotr Major; Lali Akhmeteli; Michael McFarlane; Konstantinos Pouggouras; Ewen Griffiths; Arda Isik; Alfie Kavalakat; Jan Ulrych; Mustafa Y. Uzunoğlu; Deepak Vijayan; Aleix Martinez-Perez; Konstantinos Lasithiotakis; Giovanni Bellanova; Viktors Novikovs; Miguel Leon; Mahir Gachabayov; Martin Hutan; Marco Catani; Renato Bessa Melo; Charalampos Spyropoulos; Cui Yunfeng; Myftar Torba; Carlos A. Ordoñez; Lars I. Partecke; Ana Dimova; Eftychios Lostoridis; Magdalena Pisarska; Francesco M. Labricciosa; Aurelia L. Andreiev; Radu Moldovanu; Zaza Demetrashvili; Michał Pędziwiatr; Evangelos Misiakos; Abdelkarim Omari; Adrian Castillo; Francesco Ferrara; Cristian Tranà; Orestis Ioannidis; John Agboola; Isidoro Di Carlo; Alexander Sazhin; Marcin Strzałka; Cesar F. Ploneda-Valencia; Tamer El Zalabany; Elif Colak; Raghuveer Mysore Narayana; Elcio S. Hirano; Jakub Kenig; Ricardo A. Teixeira Gonsaga; Nereo Vettoretto; Adrien Hodonou; Vladimir Khokha; Dimitrios Anyfantakis; Federico Coccolini; Cristian Mesina; Ionut Negoi; Vinod Prabhu; Victor Kong; Maciej Walędziak; Ashraf Abbas; Luca Ansaloni; Vishal Shelat; Dimitrios Manatakis; Mantas Jokubauskas; Dennis Kim; Jean-Marc Regimbeau; Peep Talving; Kuo-Ching Yuan; Jae I. Kim; Sanjay Gupta; Alin Vasilescu; Aurélien Venara; Gérard Grelpois; Teresa Giménez Maurel; Georgios Gkiokas; Desmond Khor; Ali Mohamedahmed; James Maciel; Hariscine K. Abongwa; Sten Saar; Nezih Akkapulu; Justas Zilinskas; Fausto Catena; Raul Coimbra
https://urn.fi/URN:NBN:fi-fe2021042719211
Tiivistelmä
Background: Acute appendicitis (AA) is the most common surgical disease, and appendectomy is the treatment of choice in the majority of cases. A correct diagnosis is key for decreasing the negative appendectomy rate. The management can become difficult in case of complicated appendicitis. The aim of this study is to describe the worldwide clinical and diagnostic work-up and management of AA in surgical departments.
Methods: This prospective multicenter observational study was performed in 116 worldwide surgical departments from 44 countries over a 6-month period (April 1, 2016-September 30, 2016). All consecutive patients admitted to surgical departments with a clinical diagnosis of AA were included in the study.
Results: A total of 4282 patients were enrolled in the POSAW study, 1928 (45%) women and 2354 (55%) men, with a median age of 29 years. Nine hundred and seven (21.2%) patients underwent an abdominal CT scan, 1856 (43.3%) patients an US, and 285 (6.7%) patients both CT scan and US. A total of 4097 (95.7%) patients underwent surgery; 1809 (42.2%) underwent open appendectomy and 2215 (51.7%) had laparoscopic appendectomy. One hundred eighty-five (4.3%) patients were managed conservatively. Major complications occurred in 199 patients (4.6%). The overall mortality rate was 0.28%.
Conclusions: The results of the present study confirm the clinical value of imaging techniques and prognostic scores. Appendectomy remains the most effective treatment of acute appendicitis. Mortality rate is low.
Kokoelmat
- Rinnakkaistallenteet [19207]