Appendiceal inflammation affects the length of stay following appendicectomy amongst children:a myth or reality?

作     者：Khurram Siddique Shirin Mirza Gandra Harinath 

作者机构：Department of General SurgeryEast Kent Hospitals University NHS Foundation TrustKent CT13NGUnited Kingdom Public Health Solutions(Research&Development Organization)Islamabad 44000Pakistan 

出 版 物：《Frontiers of Medicine》 (医学前沿（英文版）)

年 卷 期：2013年第7卷第2期

页      面：264-269页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

基　　金：Research & Development Organization Central Manchester University Hospitals NHS Foundation Trust 

主　　题：appendiceal inflammation post-operative stay paediatrics 

摘      要：The effect of the severity of appendiceal inflammation on post-operative stay in children following appendicectomy has shown conflicting *** study was conducted to determine the association between the severity of appendiceal inflammation and post-operative stay amongst children undergoing open appendicectomy.A retrospective cohort study was conducted at a District General Hospital for two years.A total of 204 patients were included in the study with an age range between 3 and 16 *** were 54.9%while the rest were *** age was 12.5±3 *** association of the severity of appendiceal inflammation and post-operative stay was assessed by multivariable Cox Proportional hazards *** post-operative stay was 2.32 days(95%CI 2.14–2.51).Macroscopically perforated appendix,histological inflammation and post-operative complications were significantly associated with post-operative stay on univariable analysis(P0.05).Whereas,the multivariable analysis showed that the post-operative stay was significantly prolonged only in case of either perforated appendix or post-operative complications while it remained unaffected by the histological inflammation.