The Amount of Comorbidities as a Single Parameter Has No Effect in Predicting the Outcome in Appendicitis Patients Older than 60 Years

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dc.authoridIbis, Cem/0000-0002-5602-375X
dc.authorwosidIbis, Cem/AAE-3388-2020
dc.contributor.authorIbis, Cem
dc.contributor.authorAlbayrak, Dogan
dc.contributor.authorHatipoglu, Ahmet R.
dc.contributor.authorTuran, Nesrin
dc.date.accessioned2024-06-12T10:50:31Z
dc.date.available2024-06-12T10:50:31Z
dc.date.issued2010
dc.departmentTrakya Üniversitesien_US
dc.description.abstractBackground: Retrospective analysis of acute appendicitis patients older than 60 and statistical evaluation of the association between the accompanying illnesses, severity of peritonitis, morbidity, and mortality rates. Introduction: Although acute appendicitis is not frequent among aged populations, accompanying comorbidities of the geriatric patients are always fear factors before an emergency abdominal surgery even for acute appendicitis. Methods: The data of the 27 patients older than 60 years who underwent appendectomy were retrospectively analyzed. The patients were grouped according to the total number of their comorbidities, Mannheim peritonitis index scores, and the period between the onset of abdominal pain and the admission to the hospital. Results: The mean age of the patients was 73 years. The morbidity and mortality rates were statistically significantly higher in perforated cases. The comparison of patients with <= 1 comorbidity with patients with >= 2 comorbidities did not show any statistical difference in morbidity and mortality. The sensitivity, specificity, positive predictive value, and negative predictive values for mortality in geriatric acute appendicitis patients with Mannheim peritonitis index scores greater than 26 were found to be 75%, 86%, 50%, and 95%, respectively. Discussion: Retrospective evaluation of geriatric patients with acute appendicitis, according to the total number of their comorbidities, surprisingly revealed no statistical difference between groups. We thought that a high Mannheim peritonitis index score is a more reliable criteria than the total number of comorbidities in predicting the prognosis of patients with acute appendicitis in the geriatric population.en_US
dc.identifier.doi10.1097/SMJ.0b013e3181ce0e20
dc.identifier.endpage206en_US
dc.identifier.issn0038-4348
dc.identifier.issn1541-8243
dc.identifier.issue3en_US
dc.identifier.pmid20134382en_US
dc.identifier.scopus2-s2.0-77949417877en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage202en_US
dc.identifier.urihttps://doi.org/10.1097/SMJ.0b013e3181ce0e20
dc.identifier.urihttps://hdl.handle.net/20.500.14551/18034
dc.identifier.volume103en_US
dc.identifier.wosWOS:000278289200006en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofSouthern Medical Journalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAcute Appendicitisen_US
dc.subjectComorbidityen_US
dc.subjectGeriatricsen_US
dc.subjectPeritonitis Indexen_US
dc.subjectMannheim Peritonitis-Indexen_US
dc.subjectSuspected Acute Appendicitisen_US
dc.subjectComputed-Tomographyen_US
dc.subjectHelical Cten_US
dc.subjectValidationen_US
dc.subjectSurgeryen_US
dc.titleThe Amount of Comorbidities as a Single Parameter Has No Effect in Predicting the Outcome in Appendicitis Patients Older than 60 Yearsen_US
dc.typeArticleen_US

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