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Larger Physique as a Risk Factor for Infantile Appendicitis: A Retrospective Study
The clinical features and risk factors of acute appendicitis in infants are unclear. Our aim was to evaluate the association between anthropometrics and the occurrence of infantile appendicitis. This was a retrospective study of infants (<6 years of age) and school-age children (6–10 years of age...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8788474/ https://www.ncbi.nlm.nih.gov/pubmed/35076592 http://dx.doi.org/10.3390/pediatric14010004 |
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author | Nishimura, Katsuhiro Terui, Keita Mise, Naoko Matsuura, Gen Nakata, Mitsuyuki Komatsu, Shugo Saito, Takeshi Hishiki, Tomoro |
author_facet | Nishimura, Katsuhiro Terui, Keita Mise, Naoko Matsuura, Gen Nakata, Mitsuyuki Komatsu, Shugo Saito, Takeshi Hishiki, Tomoro |
author_sort | Nishimura, Katsuhiro |
collection | PubMed |
description | The clinical features and risk factors of acute appendicitis in infants are unclear. Our aim was to evaluate the association between anthropometrics and the occurrence of infantile appendicitis. This was a retrospective study of infants (<6 years of age) and school-age children (6–10 years of age) of Asian ethnicity who required hospitalization for appendicitis at our two participating institutions between 2004 and 2018. The Z-score for height, body weight, and body mass index (BMI) was compared between the two groups, as well as between patients presenting with perforated and non-perforated appendicitis. The analysis included data from 73 infants and 362 school-age children. Z-scores were greater in infants than in school-age children for height (0.37 versus −0.03, p = 0.003) and body weight (0.12 versus −0.36, p = 0.023), with no between-group difference for the Z-score of BMI. There was no difference in Z-scores for height, weight, and BMI between the perforated and non-perforated appendicitis infant groups. Infants presenting with acute appendicitis were characterized by a larger physique but with normal proportion. This trend was not observed in school-age children. Therefore, larger infants presenting with abdominal pain should be screened for appendicitis. |
format | Online Article Text |
id | pubmed-8788474 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-87884742022-01-26 Larger Physique as a Risk Factor for Infantile Appendicitis: A Retrospective Study Nishimura, Katsuhiro Terui, Keita Mise, Naoko Matsuura, Gen Nakata, Mitsuyuki Komatsu, Shugo Saito, Takeshi Hishiki, Tomoro Pediatr Rep Article The clinical features and risk factors of acute appendicitis in infants are unclear. Our aim was to evaluate the association between anthropometrics and the occurrence of infantile appendicitis. This was a retrospective study of infants (<6 years of age) and school-age children (6–10 years of age) of Asian ethnicity who required hospitalization for appendicitis at our two participating institutions between 2004 and 2018. The Z-score for height, body weight, and body mass index (BMI) was compared between the two groups, as well as between patients presenting with perforated and non-perforated appendicitis. The analysis included data from 73 infants and 362 school-age children. Z-scores were greater in infants than in school-age children for height (0.37 versus −0.03, p = 0.003) and body weight (0.12 versus −0.36, p = 0.023), with no between-group difference for the Z-score of BMI. There was no difference in Z-scores for height, weight, and BMI between the perforated and non-perforated appendicitis infant groups. Infants presenting with acute appendicitis were characterized by a larger physique but with normal proportion. This trend was not observed in school-age children. Therefore, larger infants presenting with abdominal pain should be screened for appendicitis. MDPI 2022-01-04 /pmc/articles/PMC8788474/ /pubmed/35076592 http://dx.doi.org/10.3390/pediatric14010004 Text en © 2022 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 Nishimura, Katsuhiro Terui, Keita Mise, Naoko Matsuura, Gen Nakata, Mitsuyuki Komatsu, Shugo Saito, Takeshi Hishiki, Tomoro Larger Physique as a Risk Factor for Infantile Appendicitis: A Retrospective Study |
title | Larger Physique as a Risk Factor for Infantile Appendicitis: A Retrospective Study |
title_full | Larger Physique as a Risk Factor for Infantile Appendicitis: A Retrospective Study |
title_fullStr | Larger Physique as a Risk Factor for Infantile Appendicitis: A Retrospective Study |
title_full_unstemmed | Larger Physique as a Risk Factor for Infantile Appendicitis: A Retrospective Study |
title_short | Larger Physique as a Risk Factor for Infantile Appendicitis: A Retrospective Study |
title_sort | larger physique as a risk factor for infantile appendicitis: a retrospective study |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8788474/ https://www.ncbi.nlm.nih.gov/pubmed/35076592 http://dx.doi.org/10.3390/pediatric14010004 |
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