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Complicated appendicitis increases the hospital length of stay

BACKGROUND: There are insufficient data from Saudi Arabia regarding appendectomy outcomes and hospital length of stay. Further, there is a need to compare the length of stay of Saudi patients and the literature. The purpose is to evaluate the surgical outcomes and hospital length of stay for complic...

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Autores principales: Alotaibi, Abdulrahman Muaod, Alfawaz, Mohammed, Felemban, Lina, Moshref, Leena, Moshref, Rana
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9178463/
https://www.ncbi.nlm.nih.gov/pubmed/35692621
http://dx.doi.org/10.1016/j.sopen.2022.05.006
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author Alotaibi, Abdulrahman Muaod
Alfawaz, Mohammed
Felemban, Lina
Moshref, Leena
Moshref, Rana
author_facet Alotaibi, Abdulrahman Muaod
Alfawaz, Mohammed
Felemban, Lina
Moshref, Leena
Moshref, Rana
author_sort Alotaibi, Abdulrahman Muaod
collection PubMed
description BACKGROUND: There are insufficient data from Saudi Arabia regarding appendectomy outcomes and hospital length of stay. Further, there is a need to compare the length of stay of Saudi patients and the literature. The purpose is to evaluate the surgical outcomes and hospital length of stay for complicated appendicitis and simple appendicitis. METHOD: This is a single-center retrospective review of patients who had undergone an appendectomy between 2016 and 2018. The patients were divided into 2 groups: complicated appendicitis versus simple appendicitis. RESULTS: Of 449 patients who underwent appendectomy, 60 (13.4%) had complicated appendicitis. The complicated appendicitis was significantly associated with increased age, pain duration, neutrophilia, high C-reactive protein, fecalith presence, and free fluid. The incidence rate of surgical site infection was 5.8% (identified in 26 patients). Compared to simple appendicitis, complicated appendicitis was associated more with wound infection (1.8% vs 10%, respectively, P = .001), postoperative collection (1.2% vs 11.6%, respectively, P = .001), and readmission within 30 days (2.3% vs 13.4%, respectively, P = .001). By multivariate analysis, factors associated more with increased hospitalization were pain duration (hazard ratio = 2.37, 95% confidence interval = 1.09–5.16, P = .029), operative time (hazard ratio = 2.09, 95% confidence interval = 1.04–4.21, P = .038), and complicated appendicitis (hazard ratio = 6.61, 95% confidence interval = 2.67–14.21, P = .001). CONCLUSION: Complicated appendicitis correlates with significant morbidity, readmission rate, and 6 times more hospital LOS than simple appendicitis. This review might help in appreciating the burden of complicated appendicitis on hospital length of stay, which needs allocating patients and planning the discharge day for hospitals with limited beds.
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spelling pubmed-91784632022-06-10 Complicated appendicitis increases the hospital length of stay Alotaibi, Abdulrahman Muaod Alfawaz, Mohammed Felemban, Lina Moshref, Leena Moshref, Rana Surg Open Sci Original Article BACKGROUND: There are insufficient data from Saudi Arabia regarding appendectomy outcomes and hospital length of stay. Further, there is a need to compare the length of stay of Saudi patients and the literature. The purpose is to evaluate the surgical outcomes and hospital length of stay for complicated appendicitis and simple appendicitis. METHOD: This is a single-center retrospective review of patients who had undergone an appendectomy between 2016 and 2018. The patients were divided into 2 groups: complicated appendicitis versus simple appendicitis. RESULTS: Of 449 patients who underwent appendectomy, 60 (13.4%) had complicated appendicitis. The complicated appendicitis was significantly associated with increased age, pain duration, neutrophilia, high C-reactive protein, fecalith presence, and free fluid. The incidence rate of surgical site infection was 5.8% (identified in 26 patients). Compared to simple appendicitis, complicated appendicitis was associated more with wound infection (1.8% vs 10%, respectively, P = .001), postoperative collection (1.2% vs 11.6%, respectively, P = .001), and readmission within 30 days (2.3% vs 13.4%, respectively, P = .001). By multivariate analysis, factors associated more with increased hospitalization were pain duration (hazard ratio = 2.37, 95% confidence interval = 1.09–5.16, P = .029), operative time (hazard ratio = 2.09, 95% confidence interval = 1.04–4.21, P = .038), and complicated appendicitis (hazard ratio = 6.61, 95% confidence interval = 2.67–14.21, P = .001). CONCLUSION: Complicated appendicitis correlates with significant morbidity, readmission rate, and 6 times more hospital LOS than simple appendicitis. This review might help in appreciating the burden of complicated appendicitis on hospital length of stay, which needs allocating patients and planning the discharge day for hospitals with limited beds. Elsevier 2022-05-20 /pmc/articles/PMC9178463/ /pubmed/35692621 http://dx.doi.org/10.1016/j.sopen.2022.05.006 Text en © 2022 The Authors https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Original Article
Alotaibi, Abdulrahman Muaod
Alfawaz, Mohammed
Felemban, Lina
Moshref, Leena
Moshref, Rana
Complicated appendicitis increases the hospital length of stay
title Complicated appendicitis increases the hospital length of stay
title_full Complicated appendicitis increases the hospital length of stay
title_fullStr Complicated appendicitis increases the hospital length of stay
title_full_unstemmed Complicated appendicitis increases the hospital length of stay
title_short Complicated appendicitis increases the hospital length of stay
title_sort complicated appendicitis increases the hospital length of stay
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9178463/
https://www.ncbi.nlm.nih.gov/pubmed/35692621
http://dx.doi.org/10.1016/j.sopen.2022.05.006
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