Increased incidence of complicated appendicitis in patients with neurodevelopmental disabilities

IF 2.7 3区医学 Q1 SURGERY

American journal of surgery Pub Date : 2025-03-26 DOI:10.1016/j.amjsurg.2025.116320

Daniela Feingold , Nupur Shridhar , Jianyou Liu , Srinivas H. Reddy , Dalia Alqunaibit , Edward Chao , Anna Liveris

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引用次数: 0

Abstract

Healthcare disparities that impact patients with disabilities are relatively understudied in surgery. We investigated whether patients with neurodevelopmental disabilities present more often with complicated appendicitis than do patients without disabilities by conducting a retrospective review of patients under the age of 50 presenting with acute appendicitis between 2016 and 2021 within the largest public hospital system in the United States. Patients with neurodevelopmental disabilities (NDD) were identified using ICD-10 codes for the most common diagnoses in this category and matched to controls in a 1:2 ratio based on age, gender, and race/ethnicity. Our results indicate that patients with NDD presented significantly more often with complicated appendicitis with an odds ratio of 2.15 (p = 0.003), had greater LOS, and more post-operative complications. These results point to a potential disparity that patients with disabilities may experience within emergency general surgery.

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来源期刊

American journal of surgery 医学-外科

CiteScore

5.00

自引率

6.70%

发文量

570

审稿时长

56 days

期刊介绍： The American Journal of Surgery® is a peer-reviewed journal designed for the general surgeon who performs abdominal, cancer, vascular, head and neck, breast, colorectal, and other forms of surgery. AJS is the official journal of 7 major surgical societies* and publishes their official papers as well as independently submitted clinical studies, editorials, reviews, brief reports, correspondence and book reviews.