Prevalence and out come of perforated appendix among cases Ofoperatedappendicitisatjush,From2012-2015

Abstract

Background: Appendicitis is recognized worldwide as the commonestsurgical emergencyandappendectomyisthecommonestemergencysurgicalprocedure.Its managementbecomesmorechallengingwhenthepatientpresentswithperforated appendicitis.Thedifficultyindistinguishingappendicitisfrom othercommoncauses ofabdominal pain andtheincrease inmorbidityandmortalityaccompanying perforatedappendixmakesitanimportantconcernforphysicians. Unrecognizedperforatedappendixleadingtolifethreateningconditioniscommonin developingcountries,especiallyinSub-saharancountriesincludingEthiopia. The burdenofappendicitisinEthiopiaisnotclearlyknownbutsomehospitalstudieshave shownthatitisanimportantcauseofmorbidityandmortality. Objective:purposeofthisstudyistoassesstheprevalenceandoutcomeofperforated appendixoperatedinJUSH. Method:Retrospectiverecordreview fromORlog-books,admissionrecordsandcardsof subjectswhounderwentoperationandintra-operativelyfoundtohaveperforatedappendixin JUSHbetweenSeptember1/2013toSeptember1/2015wasdone.Threedatacollectors wererecruited,trainedandparticipatedinthedatacollection.Thedatawereenteredand analyzedusingSPSSversion20-computersoftware.Descriptivestatisticslikefrequency, measuresofcentraltendencywerecomputedandpresentedusing tables. Results:Recordsof184patientswereavailableandincludedinthestudy.InthisstudyMale constitutedthemajority130(70.7%)andfemale54(29.3).Outof54females5ofthemwere pregnantand49werenot.Theagerangesfrom5-76yearswithmeanageof26.40years.Most ofthecaseswerefromrural128(69.6%)thanurban56(30.4%).Accordingtothisstudy,there areseveralvariablesthatarepredictiveofpooroutcomeinpatientswithappendicitis.Late presentation,extremisofages,preoperativetreatmentwithantibioticsduetowrongdiagnosis, presentationwithgeneralizedperitonitisandpresenceofcomorbidconditionliketypetwoDM andHIV/AIDSarethemostpredictiveofdeath.