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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...

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Autores principales: Nishimura, Katsuhiro, Terui, Keita, Mise, Naoko, Matsuura, Gen, Nakata, Mitsuyuki, Komatsu, Shugo, Saito, Takeshi, Hishiki, Tomoro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
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.
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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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