Prevalence of Complicated Appendicitis and Associated Factors, in the Pediatric Surgery Service of the Vicente Corral Moscoso and Jose Carrasco Arteaga Hospitals

Jorge Luis Sisalima Ortiz; Fernando Marcelo Cordova Neira

doi:doi:10.11648/j.sjcm.20231202.11

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Prevalence of Complicated Appendicitis and Associated Factors, in the Pediatric Surgery Service of the Vicente Corral Moscoso and Jose Carrasco Arteaga Hospitals

Jorge Luis Sisalima Ortiz, Fernando Marcelo Cordova Neira

Published in Science Journal of Clinical Medicine (Volume 12, Issue 2)

Received: 14 September 2022 Accepted: 13 February 2023 Published: 31 July 2023

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Abstract

Background: Acute appendicitis is the most common surgical emergency in children. It constitutes a diagnostic challenge. Studies indicate that the determining factor for appendicitis complications is patient attributable factors such as waiting times before receiving hospital care. Objective: Determine the prevalence of Complicated Appendicitis and Associated Factors, in the Pediatric Surgery Service of the Vicente Corral Moscoso and Jose Carrasco Arteaga Hospitals. Methods: Quantitative, cross-sectional analytical study. The universe was all patients admitted with a diagnosis of acute appendicitis at Vicente Corral Moscoso and José Carrasco Arteaga Hospitals, May 2018 - April 2019. The association between variables was determined by Chi-square and the intensity of association by RP with 95% CI and P-value < to 0.05 as significant. Results: A total of 267 patients with a diagnosis of acute appendicitis were analyzed. The prevalence of acute appendicitis was 38.2%. Associated factors were initial misdiagnosis (RR 1.57 CI 1.16 - 2.14, P=0.01), and time from symptom onset to hospital arrival greater than 12 hours (RR 2.19 CI 1.34 - 3.59, P PZ0.01 revious medical assessments were shown to be a protective factor (RR 1.48 CI 1.07 - 2.04, P=0.01; and mean to high socioeconomic status (RR 0.71 CI 0.53 - 0.96, P= 0.03). Conclusions: The prevalence of complicated appendicitis was high and the significant associated factors were having an initial misdiagnosis and that the time since the onset of symptoms until arrival at the hospital is greater than 12 hours.

Published in	Science Journal of Clinical Medicine (Volume 12, Issue 2)
DOI	10.11648/j.sjcm.20231202.11
Page(s)	18-22
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2023. Published by Science Publishing Group

Keywords

Appendicitis, Postoperative Complications, Child, Procastination

References

[1]	Aguilar-Andino, David, Licona Rivera, Tania Soledad, Osejo Quan, Jorge Alberto, Carranza Linares, Ricardo Jafet, Molina Soto, Marco Antonio, & Alas-Pineda, César. (2021). Apendicitis aguda complicada en pacientes pediátricos con antecedentes de “empacho” y manipulación abdominal: Serie de casos. Andes pediatrica, 92 (1), 86-92. Epub 24 de febrero 2021. https://dx.doi.org/10.32641/andespediatr.v92i1.3352
[2]	Tipan J, Morocho M, Cördova-Neira F, Tipán T. Validación de la puntuación de apendicitis pediátrica (pas) frente a la escala de Alvarado, para el diagnóstico de apendicitis en niños de 4 a 15 años de edad. Revista Facultad de Ciencias Médicas Universidad de Cuenca. 2013; Diciembre de 2016; 34 (3): 55-62. SU: ucuenca/1228.
[3]	García J, et al. Factores asociados a la perforación apendicular en pacientes con apendicitis aguda. Experiencia en el Nuevo Sanatorio Durango. Rev. Fac. Med. (Méx.) [revista en la Internet]. 2013 Jun [citado 2019 Ago 15]; 56 (3): 21-25. SU: scielo.mx/S002617422.
[4]	Vásquez G, Aleaga B. Complicaciones de la apendicitis - 2002. Facultad de Ciencias Médicas, Universidad Católica Nº 2. Año 2008. Disponible en: rmedicinaucsg/14.2.
[5]	Cárdenas J. Incidencia y Factores Asociados A Apendicitis Perforada En Menores De 16 Años. Hospitales Vicente Corral Moscoso Y José Carrasco Arteaga. Universidad de Cuenca, Facultad de Medicina, Escuela de Medicina, SU:dspace.ucuenca/123456789/
[6]	Soldevilla K. Apendicitis Aguda en Niños en el Hospital Nacional Ramiro Prialé, Periodo 2015 al 2016. [Internet]. 2019 Dec; SU: upla.pe/175.
[7]	Cortes. Rodríguez H. Nivel socioeconómico asociado a apendicitis complicada. Universidad Autónoma del Estado de México, Facultad de Medicina, Coordinación de Investigación y Estudios Avanzados. Toluca, México 2014. [Internet]. 2019 Oct [citado 2020 Ene 02]. SU: ri.uaemex.mx/20.500.1179.
[8]	Yanzapanta E. Causas de la demora en el tratamiento de apendicitis aguda en niños de 6 a 14 años, en el servicio de cirugía en emergencia, en el Hospital José María Velasco Ibarra- Tena, en el periodo marzo - julio 2017. SU: dspace.uniandes/6862.
[9]	Parque Chura R. Factores de Riesgo Asociados a Apendicitis Aguda Complicada en pacientes pediátricos en el Hospital Santa Rosa de Puerto Maldonado, en el periodo julio 2017 junio 2018. Universidad Nacional del Altiplano, Facultad de Medicina Humana, Escuela Profesional de Medicina Humana, Puno, Perú 2018. SU: repositorio.umap.pe/8360.
[10]	Córdova F, et al. Apendicitis y peritonitis en niños. Hospital José Carrasco Arteaga IESS. Enero 2012 Diciembre 2016. [revista en la Internet]. [citado 2019 Nov 19]. 2017. SU dspace.uazuay/8480.
[11]	García Cayamcela AB, Díaz Freire XA, Chiriboga Sarmiento GD. Factores que retrasan el diagnóstico y tratamiento de la apendicitis aguda, Hospital Homero Castanier Crespo, Azogues 2013 [bachelor's thesis on the Internet]. Cuenca; 2013 [cited 8 Feb. 2023]. Available from: http://dspace.ucuenca.edu.ec/handle/123456789/5009
[12]	Valderrama Cabrera, K. Factores que retrasan el diagnóstico y tratamiento de la apendicitis aguda complicada en pacientes del Hospital Hipólito Unanue de Tacna 2015. Universidad Nacional Jorge Basadre Grohmann Tacna, Facultad de Ciencias de la Salud, Escuela Profesional de Medicina Humana. [Internet]. 2019 Abr [citado 2020 Ene 05]; SU: unjbg.pe/UNJBG/2252.
[13]	Cruz-Díaz L, Colquehuanca C, Machado A. Tiempo de enfermedad y premedicación como riesgo para apendicitis perforada en el hospital de ventanilla 2017. Rev. Fac. Med. Hum. [Internet]. 2019 Abr [citado 2020 Ene 02]; 19 (2): 57-61. DOI: 10.25176/RFMH.v19.n2.2071. Artículo Original Cirugía\| Pediatría Sisalima J, et al. Rev. Ecuatoriana. Pediatr. 2020: 21 (2) Artículo 21 Página 9 de 9.
[14]	Rodríguez R. Riesgo de perforación apendicular y su relación con el tiempo de enfermedad de apendicitis aguda en población pediátrica del Hospital Santa Rosa, Lima en el periodo Enero Diciembre 2015. [Internet]. 2019 MAy SU: upsjb.pe/1632.

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APA Style

Jorge Luis Sisalima Ortiz, Fernando Marcelo Cordova Neira. (2023). Prevalence of Complicated Appendicitis and Associated Factors, in the Pediatric Surgery Service of the Vicente Corral Moscoso and Jose Carrasco Arteaga Hospitals. Science Journal of Clinical Medicine, 12(2), 18-22. https://doi.org/10.11648/j.sjcm.20231202.11

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ACS Style

Jorge Luis Sisalima Ortiz; Fernando Marcelo Cordova Neira. Prevalence of Complicated Appendicitis and Associated Factors, in the Pediatric Surgery Service of the Vicente Corral Moscoso and Jose Carrasco Arteaga Hospitals. Sci. J. Clin. Med. 2023, 12(2), 18-22. doi: 10.11648/j.sjcm.20231202.11

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AMA Style

Jorge Luis Sisalima Ortiz, Fernando Marcelo Cordova Neira. Prevalence of Complicated Appendicitis and Associated Factors, in the Pediatric Surgery Service of the Vicente Corral Moscoso and Jose Carrasco Arteaga Hospitals. Sci J Clin Med. 2023;12(2):18-22. doi: 10.11648/j.sjcm.20231202.11

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@article{10.11648/j.sjcm.20231202.11,
  author = {Jorge Luis Sisalima Ortiz and Fernando Marcelo Cordova Neira},
  title = {Prevalence of Complicated Appendicitis and Associated Factors, in the Pediatric Surgery Service of the Vicente Corral Moscoso and Jose Carrasco Arteaga Hospitals},
  journal = {Science Journal of Clinical Medicine},
  volume = {12},
  number = {2},
  pages = {18-22},
  doi = {10.11648/j.sjcm.20231202.11},
  url = {https://doi.org/10.11648/j.sjcm.20231202.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjcm.20231202.11},
  abstract = {Background: Acute appendicitis is the most common surgical emergency in children. It constitutes a diagnostic challenge. Studies indicate that the determining factor for appendicitis complications is patient attributable factors such as waiting times before receiving hospital care. Objective: Determine the prevalence of Complicated Appendicitis and Associated Factors, in the Pediatric Surgery Service of the Vicente Corral Moscoso and Jose Carrasco Arteaga Hospitals. Methods: Quantitative, cross-sectional analytical study. The universe was all patients admitted with a diagnosis of acute appendicitis at Vicente Corral Moscoso and José Carrasco Arteaga Hospitals, May 2018 - April 2019. The association between variables was determined by Chi-square and the intensity of association by RP with 95% CI and P-value Results: A total of 267 patients with a diagnosis of acute appendicitis were analyzed. The prevalence of acute appendicitis was 38.2%. Associated factors were initial misdiagnosis (RR 1.57 CI 1.16 - 2.14, P=0.01), and time from symptom onset to hospital arrival greater than 12 hours (RR 2.19 CI 1.34 - 3.59, P PZ0.01 revious medical assessments were shown to be a protective factor (RR 1.48 CI 1.07 - 2.04, P=0.01; and mean to high socioeconomic status (RR 0.71 CI 0.53 - 0.96, P= 0.03). Conclusions: The prevalence of complicated appendicitis was high and the significant associated factors were having an initial misdiagnosis and that the time since the onset of symptoms until arrival at the hospital is greater than 12 hours.},
 year = {2023}
}

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TY  - JOUR
T1  - Prevalence of Complicated Appendicitis and Associated Factors, in the Pediatric Surgery Service of the Vicente Corral Moscoso and Jose Carrasco Arteaga Hospitals
AU  - Jorge Luis Sisalima Ortiz
AU  - Fernando Marcelo Cordova Neira
Y1  - 2023/07/31
PY  - 2023
N1  - https://doi.org/10.11648/j.sjcm.20231202.11
DO  - 10.11648/j.sjcm.20231202.11
T2  - Science Journal of Clinical Medicine
JF  - Science Journal of Clinical Medicine
JO  - Science Journal of Clinical Medicine
SP  - 18
EP  - 22
PB  - Science Publishing Group
SN  - 2327-2732
UR  - https://doi.org/10.11648/j.sjcm.20231202.11
AB  - Background: Acute appendicitis is the most common surgical emergency in children. It constitutes a diagnostic challenge. Studies indicate that the determining factor for appendicitis complications is patient attributable factors such as waiting times before receiving hospital care. Objective: Determine the prevalence of Complicated Appendicitis and Associated Factors, in the Pediatric Surgery Service of the Vicente Corral Moscoso and Jose Carrasco Arteaga Hospitals. Methods: Quantitative, cross-sectional analytical study. The universe was all patients admitted with a diagnosis of acute appendicitis at Vicente Corral Moscoso and José Carrasco Arteaga Hospitals, May 2018 - April 2019. The association between variables was determined by Chi-square and the intensity of association by RP with 95% CI and P-value Results: A total of 267 patients with a diagnosis of acute appendicitis were analyzed. The prevalence of acute appendicitis was 38.2%. Associated factors were initial misdiagnosis (RR 1.57 CI 1.16 - 2.14, P=0.01), and time from symptom onset to hospital arrival greater than 12 hours (RR 2.19 CI 1.34 - 3.59, P PZ0.01 revious medical assessments were shown to be a protective factor (RR 1.48 CI 1.07 - 2.04, P=0.01; and mean to high socioeconomic status (RR 0.71 CI 0.53 - 0.96, P= 0.03). Conclusions: The prevalence of complicated appendicitis was high and the significant associated factors were having an initial misdiagnosis and that the time since the onset of symptoms until arrival at the hospital is greater than 12 hours.
VL  - 12
IS  - 2
ER  -

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Author Information

Jorge Luis Sisalima Ortiz

Faculty of Medical Sciences, University Cuenca, Cuenca, Ecuador
Fernando Marcelo Cordova Neira

Faculty of Medical Sciences, University Cuenca, Cuenca, Ecuador

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APA Style

Jorge Luis Sisalima Ortiz, Fernando Marcelo Cordova Neira. (2023). Prevalence of Complicated Appendicitis and Associated Factors, in the Pediatric Surgery Service of the Vicente Corral Moscoso and Jose Carrasco Arteaga Hospitals. Science Journal of Clinical Medicine, 12(2), 18-22. https://doi.org/10.11648/j.sjcm.20231202.11

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ACS Style

Jorge Luis Sisalima Ortiz; Fernando Marcelo Cordova Neira. Prevalence of Complicated Appendicitis and Associated Factors, in the Pediatric Surgery Service of the Vicente Corral Moscoso and Jose Carrasco Arteaga Hospitals. Sci. J. Clin. Med. 2023, 12(2), 18-22. doi: 10.11648/j.sjcm.20231202.11

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AMA Style

Jorge Luis Sisalima Ortiz, Fernando Marcelo Cordova Neira. Prevalence of Complicated Appendicitis and Associated Factors, in the Pediatric Surgery Service of the Vicente Corral Moscoso and Jose Carrasco Arteaga Hospitals. Sci J Clin Med. 2023;12(2):18-22. doi: 10.11648/j.sjcm.20231202.11

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@article{10.11648/j.sjcm.20231202.11,
  author = {Jorge Luis Sisalima Ortiz and Fernando Marcelo Cordova Neira},
  title = {Prevalence of Complicated Appendicitis and Associated Factors, in the Pediatric Surgery Service of the Vicente Corral Moscoso and Jose Carrasco Arteaga Hospitals},
  journal = {Science Journal of Clinical Medicine},
  volume = {12},
  number = {2},
  pages = {18-22},
  doi = {10.11648/j.sjcm.20231202.11},
  url = {https://doi.org/10.11648/j.sjcm.20231202.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjcm.20231202.11},
  abstract = {Background: Acute appendicitis is the most common surgical emergency in children. It constitutes a diagnostic challenge. Studies indicate that the determining factor for appendicitis complications is patient attributable factors such as waiting times before receiving hospital care. Objective: Determine the prevalence of Complicated Appendicitis and Associated Factors, in the Pediatric Surgery Service of the Vicente Corral Moscoso and Jose Carrasco Arteaga Hospitals. Methods: Quantitative, cross-sectional analytical study. The universe was all patients admitted with a diagnosis of acute appendicitis at Vicente Corral Moscoso and José Carrasco Arteaga Hospitals, May 2018 - April 2019. The association between variables was determined by Chi-square and the intensity of association by RP with 95% CI and P-value Results: A total of 267 patients with a diagnosis of acute appendicitis were analyzed. The prevalence of acute appendicitis was 38.2%. Associated factors were initial misdiagnosis (RR 1.57 CI 1.16 - 2.14, P=0.01), and time from symptom onset to hospital arrival greater than 12 hours (RR 2.19 CI 1.34 - 3.59, P PZ0.01 revious medical assessments were shown to be a protective factor (RR 1.48 CI 1.07 - 2.04, P=0.01; and mean to high socioeconomic status (RR 0.71 CI 0.53 - 0.96, P= 0.03). Conclusions: The prevalence of complicated appendicitis was high and the significant associated factors were having an initial misdiagnosis and that the time since the onset of symptoms until arrival at the hospital is greater than 12 hours.},
 year = {2023}
}

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TY  - JOUR
T1  - Prevalence of Complicated Appendicitis and Associated Factors, in the Pediatric Surgery Service of the Vicente Corral Moscoso and Jose Carrasco Arteaga Hospitals
AU  - Jorge Luis Sisalima Ortiz
AU  - Fernando Marcelo Cordova Neira
Y1  - 2023/07/31
PY  - 2023
N1  - https://doi.org/10.11648/j.sjcm.20231202.11
DO  - 10.11648/j.sjcm.20231202.11
T2  - Science Journal of Clinical Medicine
JF  - Science Journal of Clinical Medicine
JO  - Science Journal of Clinical Medicine
SP  - 18
EP  - 22
PB  - Science Publishing Group
SN  - 2327-2732
UR  - https://doi.org/10.11648/j.sjcm.20231202.11
AB  - Background: Acute appendicitis is the most common surgical emergency in children. It constitutes a diagnostic challenge. Studies indicate that the determining factor for appendicitis complications is patient attributable factors such as waiting times before receiving hospital care. Objective: Determine the prevalence of Complicated Appendicitis and Associated Factors, in the Pediatric Surgery Service of the Vicente Corral Moscoso and Jose Carrasco Arteaga Hospitals. Methods: Quantitative, cross-sectional analytical study. The universe was all patients admitted with a diagnosis of acute appendicitis at Vicente Corral Moscoso and José Carrasco Arteaga Hospitals, May 2018 - April 2019. The association between variables was determined by Chi-square and the intensity of association by RP with 95% CI and P-value Results: A total of 267 patients with a diagnosis of acute appendicitis were analyzed. The prevalence of acute appendicitis was 38.2%. Associated factors were initial misdiagnosis (RR 1.57 CI 1.16 - 2.14, P=0.01), and time from symptom onset to hospital arrival greater than 12 hours (RR 2.19 CI 1.34 - 3.59, P PZ0.01 revious medical assessments were shown to be a protective factor (RR 1.48 CI 1.07 - 2.04, P=0.01; and mean to high socioeconomic status (RR 0.71 CI 0.53 - 0.96, P= 0.03). Conclusions: The prevalence of complicated appendicitis was high and the significant associated factors were having an initial misdiagnosis and that the time since the onset of symptoms until arrival at the hospital is greater than 12 hours.
VL  - 12
IS  - 2
ER  -

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