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Seasonal Variation and Severity of Acute Abdomen in Japan: A Nine-Year Retrospective Analysis

The seasonal incidence of acute abdomens, such as appendicitis, is reportedly more common in summer but is reported less frequently in Asia. Additionally, seasonal variations in the severity of acute abdomens have been evaluated insufficiently. This study evaluated the seasonal variations in the inc...

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Autores principales: Yoshimoto, Hidero, Yamakawa, Kazuma, Umemura, Yutaka, Fujii, Kensuke, Nakamura, Eriko, Taniguchi, Kohei, Tanaka, Keitaro, Takasu, Akira, Uchiyama, Kazuhisa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8709094/
https://www.ncbi.nlm.nih.gov/pubmed/34945818
http://dx.doi.org/10.3390/jpm11121346
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author Yoshimoto, Hidero
Yamakawa, Kazuma
Umemura, Yutaka
Fujii, Kensuke
Nakamura, Eriko
Taniguchi, Kohei
Tanaka, Keitaro
Takasu, Akira
Uchiyama, Kazuhisa
author_facet Yoshimoto, Hidero
Yamakawa, Kazuma
Umemura, Yutaka
Fujii, Kensuke
Nakamura, Eriko
Taniguchi, Kohei
Tanaka, Keitaro
Takasu, Akira
Uchiyama, Kazuhisa
author_sort Yoshimoto, Hidero
collection PubMed
description The seasonal incidence of acute abdomens, such as appendicitis, is reportedly more common in summer but is reported less frequently in Asia. Additionally, seasonal variations in the severity of acute abdomens have been evaluated insufficiently. This study evaluated the seasonal variations in the incidence and severity of acute abdomens in Japan. This retrospective observational study used a multicenter database containing data from 42 acute hospitals in Japan. We included all patients diagnosed with acute appendicitis, diverticulitis, cholecystitis, and cholangitis between January 2011 and December 2019. Baseline patient data included admission date, sequential organ failure assessment score, presence of sepsis, and disseminated intravascular coagulation. We enrolled 24,708 patients with acute abdomen. Seasonal admissions for all four acute abdominal diseases were the highest in summer [acute appendicitis, (OR = 1.35; 95% CI = 1.28–1.43); diverticulitis, (OR = 1.23; 95% CI = 1.16–1.31; cholecystitis (OR = 1.23; 95% CI = 1.11–1.36); and cholangitis (OR = 1.23; 95% CI = 1.12–1.36)]. The proportion of patients with sepsis and disseminated intravascular coagulation as well as the total SOFA score for each disease, did not differ significantly across seasons. Seasonal variations in disease severity were not observed.
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spelling pubmed-87090942021-12-25 Seasonal Variation and Severity of Acute Abdomen in Japan: A Nine-Year Retrospective Analysis Yoshimoto, Hidero Yamakawa, Kazuma Umemura, Yutaka Fujii, Kensuke Nakamura, Eriko Taniguchi, Kohei Tanaka, Keitaro Takasu, Akira Uchiyama, Kazuhisa J Pers Med Article The seasonal incidence of acute abdomens, such as appendicitis, is reportedly more common in summer but is reported less frequently in Asia. Additionally, seasonal variations in the severity of acute abdomens have been evaluated insufficiently. This study evaluated the seasonal variations in the incidence and severity of acute abdomens in Japan. This retrospective observational study used a multicenter database containing data from 42 acute hospitals in Japan. We included all patients diagnosed with acute appendicitis, diverticulitis, cholecystitis, and cholangitis between January 2011 and December 2019. Baseline patient data included admission date, sequential organ failure assessment score, presence of sepsis, and disseminated intravascular coagulation. We enrolled 24,708 patients with acute abdomen. Seasonal admissions for all four acute abdominal diseases were the highest in summer [acute appendicitis, (OR = 1.35; 95% CI = 1.28–1.43); diverticulitis, (OR = 1.23; 95% CI = 1.16–1.31; cholecystitis (OR = 1.23; 95% CI = 1.11–1.36); and cholangitis (OR = 1.23; 95% CI = 1.12–1.36)]. The proportion of patients with sepsis and disseminated intravascular coagulation as well as the total SOFA score for each disease, did not differ significantly across seasons. Seasonal variations in disease severity were not observed. MDPI 2021-12-10 /pmc/articles/PMC8709094/ /pubmed/34945818 http://dx.doi.org/10.3390/jpm11121346 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Yoshimoto, Hidero
Yamakawa, Kazuma
Umemura, Yutaka
Fujii, Kensuke
Nakamura, Eriko
Taniguchi, Kohei
Tanaka, Keitaro
Takasu, Akira
Uchiyama, Kazuhisa
Seasonal Variation and Severity of Acute Abdomen in Japan: A Nine-Year Retrospective Analysis
title Seasonal Variation and Severity of Acute Abdomen in Japan: A Nine-Year Retrospective Analysis
title_full Seasonal Variation and Severity of Acute Abdomen in Japan: A Nine-Year Retrospective Analysis
title_fullStr Seasonal Variation and Severity of Acute Abdomen in Japan: A Nine-Year Retrospective Analysis
title_full_unstemmed Seasonal Variation and Severity of Acute Abdomen in Japan: A Nine-Year Retrospective Analysis
title_short Seasonal Variation and Severity of Acute Abdomen in Japan: A Nine-Year Retrospective Analysis
title_sort seasonal variation and severity of acute abdomen in japan: a nine-year retrospective analysis
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8709094/
https://www.ncbi.nlm.nih.gov/pubmed/34945818
http://dx.doi.org/10.3390/jpm11121346
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