This 5-year study on pediatric (< 18 years old) non-traumatic abdominal surgeries establishes local demographic and clinical profiles, and correlates these factors for risk of complicated appendicitis (rupture, abscess or phlegmon formation). Patient data on clinico-demographic profiles, type of surgery, and indications for surgery were collected. Chi-Square was done to determine risk of complicated appendicitis in terms age and sex. A total 826 cases were included. The mean age of males was 11.08 years and 12.53 years for females (male:female ratio 1.51). Majority of the cases were acute appendicitis (677 cases or 84.5%). Appendicitis cases were categorically divided into two: uncomplicated (suppurative or congestive) and complicated. Ratio of uncomplicated to complicated is 1.23. The rest of the cases were intestinal obstruction, congenital, intestinal perforation, intestinal bleeding and biliary problems. Most congenital surgeries were for infants (< 2 years), while acquired cases were noted in older patients. No reported infantile appendicitis. The risk of complicated appendicitis during childhood was significantly higher compared to adolescence (OR 1.69, [95% CI 1.17-2.47], p- 0.005) and males have a higher risk compared to females. (OR 2.01 [95% CI 1.47-2.75], p- < 0.001). In conclusion, appendicitis is the most common indication for surgery in children. There is a higher risk for complicated cases among males and those of younger age groups.
| Published in | American Journal of Pediatrics (Volume 8, Issue 4) |
| DOI | 10.11648/j.ajp.20220804.11 |
| Page(s) | 196-200 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2022. Published by Science Publishing Group |
Appendicitis, Pediatric Surgery, Non-traumatic Abdomen, Intestinal Perforation
| [1] | Neblett III, W. W., Pietsch, J. B., & Holcomb Jr, G. W. (1988). Acute abdominal conditions in children and adolescents. Surgical Clinics of North America, 68 (2), 415-430. |
| [2] | Reust, C. E., & Williams, A. (2016). Acute abdominal pain in children. Am Fam Physician, 93 (10), 830-836. |
| [3] | Makin, E., & Davenport, M. (2016). Evaluation of the acute abdomen. Paediatrics and Child Health, 26 (6), 231-238. |
| [4] | de Guzman, L. (2019, December 10). PH ranks 106th in attest UN Human Development Index. Retrieved from http://cnnphilippines.com |
| [5] | Collaborative, G. (2016). Determinants of morbidity and mortality following emergency abdominal surgery in children in low-income and middle-income countries. BMJ global health, 1 (4), e000091. |
| [6] | Horn, C. B., Tian, D., Bochicchio, G. V., & Turnbull, I. R. (2018). Incidence, demographics, and outcomes of nonoperative management of appendicitis in the United States. Journal of Surgical Research, 223, 251-258. |
| [7] | Buckius, M. T., McGrath, B., Monk, J., Grim, R., Bell, T., & Ahuja, V. (2012). Changing epidemiology of acute appendicitis in the United States: study period 1993–2008. Journal of Surgical Research, 175 (2), 185-190. |
| [8] | Banerjee, R., Prasad, A., & Gupta, S. (2019). Clinical spectrum of acute abdomen in children admitted to pediatric emergency department: A prospective study. Current Medicine Research and Practice, 9 (2), 49-52. |
| [9] | Singh, M., Kadian, Y. S., Rattan, K. N., & Jangra, B. (2014). Complicated appendicitis: analysis of risk factors in children. African Journal of Paediatric Surgery, 11 (2), 109. |
| [10] | Engin, O., Muratli, A., Ucar, A. D., Tekin, V., Calik, B., & Tosun, A. (2012). The importance of fecaliths in the aetiology of acute appendicitis. Chirurgia (Bucur), 107 (6), 756-60. |
| [11] | Flum, D. R., Morris, A., Koepsell, T., & Dellinger, E. P. (2001). Has misdiagnosis of appendicitis decreased over time?: a population-based analysis. Jama, 286 (14), 1748-1753. |
| [12] | Bratu, I., Martens, P. J., Leslie, W. D., Dik, N., Chateau, D., & Katz, A. (2008). Pediatric appendicitis rupture rate: disparities despite universal health care. Journal of pediatric surgery, 43 (11), 1964-1969. |
| [13] | Jablonski, K. A., & Guagliardo, M. F. (2005). Pediatric appendicitis rupture rate: a national indicator of disparities in healthcare access. Population health metrics, 3 (1), 4. |
APA Style
Johann Paulo Suico Guzman. (2022). Clinical Profile of Non-traumatic Acute Abdominal Surgeries in the Pediatric Patients: A Philippine Regional Experience. American Journal of Pediatrics, 8(4), 196-200. https://doi.org/10.11648/j.ajp.20220804.11
ACS Style
Johann Paulo Suico Guzman. Clinical Profile of Non-traumatic Acute Abdominal Surgeries in the Pediatric Patients: A Philippine Regional Experience. Am. J. Pediatr. 2022, 8(4), 196-200. doi: 10.11648/j.ajp.20220804.11
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Download@article{10.11648/j.ajp.20220804.11,
author = {Johann Paulo Suico Guzman},
title = {Clinical Profile of Non-traumatic Acute Abdominal Surgeries in the Pediatric Patients: A Philippine Regional Experience},
journal = {American Journal of Pediatrics},
volume = {8},
number = {4},
pages = {196-200},
doi = {10.11648/j.ajp.20220804.11},
url = {https://doi.org/10.11648/j.ajp.20220804.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20220804.11},
abstract = {This 5-year study on pediatric (p- 0.005) and males have a higher risk compared to females. (OR 2.01 [95% CI 1.47-2.75], p- < 0.001). In conclusion, appendicitis is the most common indication for surgery in children. There is a higher risk for complicated cases among males and those of younger age groups.},
year = {2022}
}
TY - JOUR T1 - Clinical Profile of Non-traumatic Acute Abdominal Surgeries in the Pediatric Patients: A Philippine Regional Experience AU - Johann Paulo Suico Guzman Y1 - 2022/10/11 PY - 2022 N1 - https://doi.org/10.11648/j.ajp.20220804.11 DO - 10.11648/j.ajp.20220804.11 T2 - American Journal of Pediatrics JF - American Journal of Pediatrics JO - American Journal of Pediatrics SP - 196 EP - 200 PB - Science Publishing Group SN - 2472-0909 UR - https://doi.org/10.11648/j.ajp.20220804.11 AB - This 5-year study on pediatric (p- 0.005) and males have a higher risk compared to females. (OR 2.01 [95% CI 1.47-2.75], p- < 0.001). In conclusion, appendicitis is the most common indication for surgery in children. There is a higher risk for complicated cases among males and those of younger age groups. VL - 8 IS - 4 ER -
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