[Influence of Clinical, Laboratory and Intraoperative Parameters on Postoperative Complications in Geriatric Patients with Acute Appendicitis: A Cross-Sectional Analysis].

Q4 Medicine
A Franco-Alva, J Caballero-Alvarado, C Zavaleta-Corvera
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引用次数: 0

Abstract

Objective: To determine the impact of clinical, laboratory, and intraoperative variables on postoperative complications in patients over 50 years of age with acute appendicitis.

Material and methods: An observational, analytical, cross-sectional study included patients over 50 years old who underwent surgery for acute appendicitis. The sample included 206 patients, and clinical, laboratory, and surgical data were collected from medical records. The Clavien-Dindo classification was used to estimate postoperative complications. Data were analyzed using SPSS software v.28.

Results: Postoperative morbidity rate was 30.09%. Clinical variables such as age, male gender, duration of illness, presence of type 2 diabetes (DM2), and arterial hypertension (HTA), along with laboratory variables such as leukocyte count, Neutrophil-to-Lymphocyte Ratio (NLR), blood glucose, creatinine, and C-reactive protein (CRP), were significantly associated with postoperative complications (p<0.05). In addition, intraoperative variables such as surgery time, ASA III score, perforated appendicitis, peritonitis, laparoscopic appendectomy and hospital stay were significantly associated with postoperative complications (p<0.05).

Conclusion: This study highlights the importance of various clinical, laboratory, and intraoperative variables in predicting postoperative complications in patients over 50 years old with acute appendicitis. ASA III score, CRP, perforated appendicitis, and surgery time are associated with postoperative complications.

[临床、实验室和术中参数对老年急性阑尾炎患者术后并发症的影响:横断面分析]。
摘要确定临床、实验室和术中变量对 50 岁以上急性阑尾炎患者术后并发症的影响:这是一项观察性、分析性、横断面研究,研究对象包括因急性阑尾炎而接受手术的 50 岁以上患者。样本包括 206 名患者,并从病历中收集了临床、实验室和手术数据。采用克拉维恩-丁多分类法估算术后并发症。数据使用 SPSS 软件 v.28 进行分析:术后发病率为 30.09%。年龄、男性性别、病程、是否患有 2 型糖尿病(DM2)和动脉高血压(HTA)等临床变量以及白细胞计数、中性粒细胞与淋巴细胞比值(NLR)、血糖、肌酐和 C 反应蛋白(CRP)等实验室变量与术后并发症显著相关(ppConclusion:本研究强调了各种临床、实验室和术中变量在预测 50 岁以上急性阑尾炎患者术后并发症方面的重要性。ASA III评分、CRP、穿孔性阑尾炎和手术时间与术后并发症有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Khirurgiya
Khirurgiya Medicine-Medicine (all)
CiteScore
0.70
自引率
0.00%
发文量
161
期刊介绍: Хирургия отдельных областей сердце, сосуды легкие пищевод молочная железа желудок и двенадцатиперстная кишка кишечник желчевыводящие пути печень
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