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10.5152/UCD.2015.3031

http://scihub22266oqcxt.onion/10.5152/UCD.2015.3031
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C4771424!4771424!26985166
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suck abstract from ncbi


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pmid26985166      Ulus+Cerrahi+Derg 2016 ; 32 (1): 37-42
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  • Risk factors for the development of complicated appendicitis in adults #MMPMID26985166
  • Naderan M; Babaki AES; Shoar S; Mahmoodzadeh H; Nasiri S; Khorgami Z
  • Ulus Cerrahi Derg 2016[]; 32 (1): 37-42 PMID26985166show ga
  • Objective:: To investigate the patient?s history and physical examination information to find out risk factors associated with complicated appendicitis. Material and Methods:: Two hundred patients who were admitted with complicated appendicitis (including abscess, phlegmon, and generalized peritonitis) were retrieved from our database. Two hundred patients with non-complicated acute appendicitis were randomly selected from the same period. These two groups were compared in terms of demographic characteristics, past medical history, and presenting symptoms. We made a multivariate analysis model using binary logistic regression and backward stepwise elimination. Results:: Based on multivariate analysis, risk factors for complicated appendicitis included presenting with epigastric pain (OR=3.44), diarrhea (OR=23.4) or malaise (OR=49.7), history of RLQ pain within the past 6 months (OR=4.93), older age (OR=1.04), being married (OR=2.52), lack of anorexia (OR=4.63) and longer interval between onset of symptoms and admission (OR=1.46). Conversely, higher (academic) education was associated with decreased odds for complicated appendicitis (OR=0.26). Conclusion:: Our findings suggest that a surgeon?s clinical assessment is more reliable to make a judgment. ?Bedside evaluation? is a useful, cheap, quick and readily available method for identifying those at risk for developing complicated acute appendicitis.
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