Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
This study aims to compare the morbidity, mortality, postoperative length of stay and 30 days readmission rate of acute appendicitis patients who had appendectomy within 8 hrs of visiting the emergency room with those who had surgery after that period. We hypothesised that delayed appendectomy was associated with worse outcomes. This retrospective analysis of all patients with the diagnosis of acute appendicitis at a single community hospital affiliated with a university was conducted from March 2022‐2023. The study population was divided into two groups based on the length of time before the intervention: Early appendectomy (group 1), which included patients who underwent surgery within 8 hrs and delayed appendectomy (group 2), which included patients who underwent surgery after that point. A total of 175 patients met the inclusion requirements for the study population over the course of the 12 months trial period. Within 8 hrs of their arrival at the ED, 100 patients (57.1%) underwent early appendectomy, while 75 patients (42.8%) did so after that time. The age was 42.2 ±17.5years on average. We examined that perioperative morbidity (6.7% vs. 9.8%, p = 0.483) and the 30 days readmission rate (2.7% vs. 4.9%, p = 0.544) did not differ significantly between the two groups. The postoperative duration of stay did not differ significantly between the 2 groups: Median (IQR) 19.5 (11.5‐40.5) vs. 20.0 (11.25‐58.5) hours, p = 0.68. Our results concluded that an 8 hrs delay in the appendectomy did not lead to longer postoperative stays, an increase in mortality or morbidity, or a higher 30 days readmission rate, of patients with acute appendicitis.
How to cite this article:
Prince Gupta and Nisha . A comparitive study of early versus delayed emergency appendectomy.
DOI: https://doi.org/10.36478/10.59218/makrjms.2023.72.77
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2023.72.77