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Journal of Gastrointestinal Surgery

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01-04-2015 | Original Article

Acute Appendicitis in the Elderly in the Twenty-First Century

Authors: Lior Segev, Andrei Keidar, Ilan Schrier, Shlomi Rayman, Nir Wasserberg, Eran Sadot

Published in: Journal of Gastrointestinal Surgery | Issue 4/2015

Abstract

Background

The incidence of appendicitis in the elderly has risen. Older age is an independent predictor of poor surgical outcome. Herein, we present the most comprehensive single institution study to describe the natural history and outcome of appendicitis in elderly patients.

Methods

A review of 1898 consecutive patients who underwent appendectomy between 2004 and 2007 was performed. The elderly patients were defined as older than 68 years.

Results

The median age of the entire cohort was 25 years, and 55 % were males. The elderly group included 68 patients (3.6 %). On comparison by age, the elderly group had a significantly longer delay from symptom onset to admission (50 vs 31 h, P = 0.01) and from admission to surgery, a longer operative time and hospital stay, and higher rates of postoperative complications and complicated appendicitis.

Conclusion

The current study demonstrated several unique characteristics of the elderly population with acute appendicitis, which include poor outcome and longer time intervals to diagnosis and treatment. In order to improve the poor outcome of the elderly population with appendicitis, prospective trials are necessary.

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Title: Acute Appendicitis in the Elderly in the Twenty-First Century
Authors: Lior Segev
Andrei Keidar
Ilan Schrier
Shlomi Rayman
Nir Wasserberg
Eran Sadot
Publication date: 01-04-2015
Publisher: Springer US
Published in: Journal of Gastrointestinal Surgery / Issue 4/2015
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI: https://doi.org/10.1007/s11605-014-2716-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Acute Appendicitis in the Elderly in the Twenty-First Century

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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