Accès ouvert déclaré
2024
article
Practice patterns and clinical outcomes in acute appendicitis differ in the elderly patient
Matteo Cimino, Alan Biloslavo, Hayato Kurihara, Gabriele Bellio, Matteo Porta, Silvia Fattori, Gary Alan Bass, Shahin Mohseni, Lewis J. Kaplan, Rebecka Ahl-Hulme, Yang Cao, Maximilian Peter Forssten, Isidro Martínez-Casas, Arvid Pourlotfi, Éanna J. Ryan, Matti Tolonen, Nayef Louri, Fatema Nedham, T. N. Walsh, Jamal Hashem, Martin Corbally, Abeer Farhan, Hamad Al Hamad, Rawan Elhennawy, Mariam AlKooheji, Manar AlYusuf, Wissal Aknouche, Anas A. Zeidan, Yusuf S. Alsaffar, Edgar Lipping, Peep Talving, Sten Saar, Katrina Graumann, Liis Kibuspuu, Eduard Harkov, Gisele Aaltonen, Iines S. Sillman, Sami Haapanen, Hanna Lampela, Henna Sammalkorpi, Sofia Eskola, Altti Laakso, Johan Back, Ulla Kettunen, Antti Nummi, Anika Szwedyc, Taina Nykänen, Rolle Rantala, Elisa Mäkäräinen, Sanna Meriläinen, Heikki Huhta, Jukka Rintala, K. Laitakari, Elina Lietzén, Paulina Salminen, Risto K. A. Rapola, Vahid Zangouri, Mohammad Y. Karami, Sedigheh Tahmasebi, Majid Akrami, Alireza Golchini, Faranak Bahrami, Sean M. Johnston, Sean T. Lim, Irele Ifijeh Ahonkhai, Eltahir Eltagani, Odhrán K. Ryan, Ailbhe O’Driscoll-Collins, A O’Neill, Zakya Penny, Orlaith Kelly, Carolyn Cullinane, Ian S. Reynolds, Helen Heneghan, Seán Martin, D. C. Winter, Matthew Davey, Maha Alkhattab, Aoïfe Lowery, Michael J. Kerin, Aisling Hogan, Martin S. Davey, Ke En Oh, Syed Mohammad Umar Kabir, Huilun Huan, Charlotte Aziz, Michael F. Sugrue, Jessica Ryan, Tara M. Connelly, Mohammad Alhazmi, Youssef Al-Mukhaizeem, Fiachra Cooke, Peter Neary, Arnold Hill, Michael R. Boland, Angus Lloyd, Frances Fallon, Eoin F. Cleere, James Toale, Patrick A. Boland, Michael Devine, Conor Keady, Sarah Hunter, M. Kevin Barry, Michael E. Kelly, Aidan T. O’Dowling, Ben Creavin, Dara O. Kavanagh, Paul Neary, Paul F. Ridgway, Cathleen McCarrick, Jarlath Bolger, Barry Maguire, Cian Keogh, Surbhi Chawla, John Conneely, Emilie McCormack, Ben Shanahan, Nicola Raftery, Darragh Rice, Niall James McInerney, Áine Stakelum, Jan Mares, Jonavan Tan, Mark Hanna, Ishwarya Balasubramanian, Christina Fleming, Guy Barsky, Gad Shaked, Simone Giudici, Martina Ceolin, Simona Mei, Francesca Mazzarella, Annalisa Zucca, Susanna Terranova, Nicolò de Manzini, Diego Visconti, Emanuele Doria, Mauro Santarelli, Giovanni Scotton, Francesca Notte, Giacomo Bertelli, Anna Malpaga, Giulia Armatura, Antonio Frena, Dario Tartaglia, Federico Coccolini, Camilla Cremonini, Enrico Cicuttin, Alessio Mazzoni, Massimo Chiarugi, Constança Azevedo, F Mendes, Luis Q. Faria, Carlos Nazario, Daniela Machado, Miguel Semião, Carlos Casimiro, José Pinto, Tiago Pavão, Raquel Pereira, Bruno Barbosa, Nádia Tenreiro, Catia Ferreira, Gonçalo Guidi, Daniela Martins, Clara Leal, Bruno Vieira, Luís S. Castro, Aldara Faria, Alberto Figueira, Mauro Sousa, Pedro Rodrigues, Rodrigo Roquette, Ricardo Ribeiro, Paulo Cardoso, Joana Domingues, Maria Isabel Manso, Rute Pereira, Tatiana Revez, Bogdan D. Dumbrava, Florin Turcu, Ionuţ Hutopilă, Bogdana Banescu, Gerald Filip, Cătălin Copăescu, Marcos Alba Valmorisco, Isabel Manzano Martín, Rocio Martín García de Arboleya, José Ortega Seda, Pablo Rodríguez González, José Antonio Becerra Toro, Enrique Rodríguez Lara, Jose Antonio González Minchón, Juan José Segura‐Sampedro, Sebastián Jerí‐McFarlane, Alejandro Gil-Catalán, Andrea Craus‐Miguel, Laura Fernandez‐Vega, Xavier González-Argenté, Mercedes Estaire-Gómez, Borja Camacho Fernández-Pacheco, Rebeca Vitón-Herrero, Elisa Jimenez-Higuera, Alejandro Barbero, José M. Valverde, Enrique Colás‐Ruiz, Maria del Mar Escales-Oliver, Olga Claramonte-Bellmunt, Marta Castro-Suárez, Naila Pagès-Valle, José Andrés Cifuentes-Ródenas, Marta Merayo Alvarez, José Luis Michi Campos, Luis Alejandro García González, Beatriz Carrasco Aguilera, Jaime Iturbe Menéndez, José L. Rodicio, Carmen Rodríguez Haro, S. O’Sullivan, Mariana García Virosta, María Hernández O’Reilly, Izaskun Balciscueta Coltell, Javier Lorenzo-Perez, Sonia Martínez Alcaide, Susana Martinez-Ramos, Maria Sebastian-Fuertes, Laura Gomez-Romer, María Pelloni, Aida Cristina Rahy-Martín, Andrés Felipe Yepes-Cano, Julio Reguera-Rosal, José Antonio López-Ruiz, Beatriz Marenco, Marina Retamar-Gentil, Estela Romero-Vargas, Angeles Gil-Olarte, Aitor Landaluce-Olavarria, Begoña Estraviz‐Mateos, Jose-Mario De Francisco-Rios, Aitor Sainz-Lete, Ane Emaldi-Abasolo, Manolo Leon-Valarezo, Claudia Cristina Lopes Moreira, Aintzane Lizarazu, Araceli Rodriguez Gonzalez, Iñigo Augusto Ponce, Ignacio Maria Goena Iglesias, Cristina González-Prado, Guillermo Cabriada García, Beatriz López, Michelle C. Otero, Nerea Muñoz‐Plaza, Alberto Palomo, Fernando Mendoza‐Moreno, Manuel Díez‐Alonso, Francisca García‐Moreno, Belén Matías‐García, Enrique Ovejero‐Merino, Ana Quiroga‐Valcárcel, Luis Sánchez‐Guillén, Inmaculada Oller-Navarro, Álvaro Soler-Silva, Antonio Francisco Sanchís-López, Francisco Blanco‐Antona, Luis Muñoz‐Bellvís, Jaime López‐Sánchez, Sonsoles Garrosa-Muñoz, Beatriz Barón-Salvador, Juan Manuel Nieto-Arranz, Andrea Campos‐Serra, Raquel Gràcia-Roman, Anna Muñoz-Campaña, Carla Zerpa-Martin, Andrea Torrecilla-Portoles, Tessa Landa, Virginia Durán Muñoz‐Cruzado, Felipe Pareja-Ciuró, Daniel Aparicio-Sánchez, Eduardo Perea del Pozo, Sandra Dios‐Barbeito, Carlos Javier García-Sánchez, Antonio Jesús Garcia‐Moriana, Víctor Turrado-Rodriguez, Roser Termes-Serra, Paula González‐Atienza, Xavier Morales-Sevillano, Alba Torroella, César Ginestà, Alfredo Escartín, Ferney David Gómez Báez, Ana Pinillos, Jaume Ortega, Eric Gutierrez, Estela Membrilla-Fernández, Francisco Ocho-Segarra, Ana María González-Castillo, Amalia Pelegrina-Manzano, Juan Guzmán-Ahumada, Juan Jose Sancho-Insenser, María Lourdes García-Jiménez, Laura Castro-Diez, Manuel González-Bermúdez, Mónica Torres-Díaz, Carla Madarro Pena, Angélica Blanco Rodríguez, Dhanisha Trivedi, Souheil Reda, Hans Edvardsson, Lisa Strömmer, Eva-Corina Caragounis, Karin Sillén, Sofia Warfvinge, Fredrik Bergstedt, Philip Enström, Harald Olsson, Anders Rosemar, Nathalie Young, Agnieszka Popowicz, Johanna Lerström, Johanna Jäderbo, Folke Hammarqvist, Hanna Zacharias, Maria B. Wikström, Anna Stene Hurtsén, Haytham Bayadsi, Emma Jansson, Nils Brunstrom, Ellen B. Malers, Per Loftås, A. Möller, Elena Atanasova, Simone N. Zwicky, Beat Schnüriger, Olga Rutka, A Kattakayam, Mushfique Alam, John V. Taylor, Andrei Mihailescu, Eszter T. Karip, Ehtisham Zeb, Adam O’Connor, Goran Pokusevski, Mansoor Khan, Charlotte Florance, Christie Swaminathan, Shameen Jaunoo, Mohammed Sajid, Caoimhe C. Duffy, John Rees, Mark J. Seamon, Niels D. Martin, Ian J. McCurry, Emily A. Vail, Bradford C. Bormann, Daniel C. Cullinane, Jaswin Sawhney, Jonathan Dreifus, Forest R. Sheppard, Raúl Coimbra, Paul Albini, Sara Edwards
5Citations signalées — pas une note de qualité
4Institutions déclarées
2Pays d’affiliation déclarés
Résumé fourni par la source
BACKGROUND: Appendicitis is the most frequent global abdominal surgical emergency. An ageing population, who often exhibit atypical symptoms and delayed presentations, challenge conventional diagnostic and treatment paradigms. OBJECTIVES: This study aims to delineate disparities in presentation, management, and outcomes between elderly patients and younger adults suffering from acute appendicitis. METHODS: This subgroup analysis forms part of ESTES SnapAppy, a time-bound multi-center prospective, observational cohort study. It includes patients aged 15 years and above who underwent laparoscopic appendectomy during a defined 90-day observational period across multiple centers. Statistical comparisons were performed using appropriate tests with significance set at p < 0.05. RESULTS: The study cohort comprised 521 elderly patients (≥65 years) and 4,092 younger adults (18-64 years). Elderly patients presented later (mean duration of symptoms: 7.88 vs. 3.56 days; p < 0.001) and frequently required computed tomography (CT) scans for diagnosis (86.1% vs. 54.0%; p < 0.001). The incidence of complicated appendicitis was higher in the elderly (46.7% vs. 20.7%; p < 0.001). Delays in surgical intervention were notable in the elderly (85.0% operated within 24 h vs. 88.7%; p = 0.018), with longer operative times (71.1 vs. 60.3 min; p < 0.001). Postoperative complications were significantly higher in the elderly (27.9% vs. 12.9%; p < 0.001), including severe complications (6.9% vs. 2.4%; p < 0.001) and prolonged hospital stays (7.9 vs. 3.6 days; p < 0.001). CONCLUSIONS: Our findings highlight significant differences in the clinical course and outcomes of acute appendicitis in the elderly compared to younger patients, suggesting a need for age-adapted diagnostic pathways and treatment strategies to improve outcomes in this vulnerable population.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Practice patterns and clinical outcomes in acute appendicitis differ in the elderly patient
- Date Crossref
- 10/08/2024
- Éditeur
- Springer Science and Business Media LLC
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude et ne compte pas comme une seconde source scientifique indépendante.
Institutions déclarées
Une affiliation ne permet pas de déduire la nationalité d’un auteur.
Sujets associés
Appendicitis Diagnosis and ManagementIntraperitoneal and Appendiceal MalignanciesDiverticular Disease and Complications