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Sci Rep ; 10(1): 2028, 2020 02 06.
Artigo em Inglês | MEDLINE | ID: mdl-32029830

RESUMO

The most common surgical emergency is suspected acute appendicitis, the lifetime risk of acute appendicitis is estimated to be 8.6% for men and 6.7% for women, with a male to female ratio of 1.4:1; correct diagnosis can be made in 70-80% of patients after the operations about 32% of appendectomies revealed normal appendices and meanwhile appendectomy has a considerable morbidity and mortality. The aim is to explore potential morbidity and mortality associated with negative appendectomy. Prospective case series study, including 5847 patients, who were suspected to have acute appendicitis over a period of five years from 1st December 2013 to 30th November 2018, in emergency department of Sulaimani Teaching Hospital. All the collected data were collected, organized then analyzed by Statistical Package for the Social Sciences version 21. Morbidity in the patients with negative appendectomies occurred in patients in the form of 90 (01.91%) wound infection, 48 (01.02%) intestinal obstruction and last 15 (00.32%) patients developed septicemia. While mortality in negative appendectomy patients was 21, (00.45%). Negative appendectomies have high rates of morbidity and mortality, knowing real rates may help in considering various policies and may be helpful to elude avoidable complications and potential mortality.


Assuntos
Apendicectomia/efeitos adversos , Apendicite/diagnóstico , Obstrução Intestinal/epidemiologia , Sepse/epidemiologia , Infecção da Ferida Cirúrgica/epidemiologia , Adolescente , Adulto , Apendicectomia/mortalidade , Apendicite/cirurgia , Criança , Erros de Diagnóstico , Serviço Hospitalar de Emergência/estatística & dados numéricos , Feminino , Mortalidade Hospitalar , Hospitais de Ensino/estatística & dados numéricos , Humanos , Obstrução Intestinal/etiologia , Iraque/epidemiologia , Estudos Longitudinais , Masculino , Uso Excessivo dos Serviços de Saúde/estatística & dados numéricos , Pessoa de Meia-Idade , Estudos Prospectivos , Sepse/etnologia , Infecção da Ferida Cirúrgica/etiologia , Adulto Jovem
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