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Factors associated with ruptured appendicitis in patients at Thungsong Hospital, Nakhon Si Thammarat province |
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| รหัสดีโอไอ | |
| Creator | Chomduan Watcharamon |
| Title | Factors associated with ruptured appendicitis in patients at Thungsong Hospital, Nakhon Si Thammarat province |
| Publisher | Office of Academic Medical Journal, Region 11 |
| Publication Year | 2568 |
| Journal Title | Region 11 Medical Journal |
| Journal Vol. | 39 |
| Journal No. | 2 |
| Page no. | 103-115 |
| Keyword | Appendicitis, Associated factors, Ruptured appendicitis, Risk factors |
| URL Website | https://he02.tci-thaijo.org/index.php/Reg11MedJ |
| Website title | https://he02.tci-thaijo.org/index.php/Reg11MedJ/issue/view/18767 |
| ISSN | 3088-2435 |
| Abstract | Background: Appendicitis is a common cause of acute abdominal pain that leads patients to the emergency room. When complicated by perforated appendicitis, gangrenous appendicitis, or periappendiceal abscess, it poses greater risks, increases hospital stay, and raises treatment costs.Objective: To identify factors associated with complicated appendicitis in patients at Thung Song Hospital, Nakhon Si Thammarat.Methods: This case-control study analyzed medical records of 380 patients diagnosed with appendicitis and who underwent surgery between January 1, 2021, and December 31, 2023. The study included 190 patients with complicated appendicitis (perforated, gangrenous, or periappendiceal abscess) as the case group, and 190 with uncomplicated appendicitis (inflammatory or suppurative) as the control group. The data were analyzed using descriptive statistics, chi-square test, and multiple logistic regression (p-value < 0.05).Results: Among the 883 patients studied, 26.05% had ruptured appendicitis. Seven significant factors associated with complicated appendicitis were as follows: 1) Underlying diseases (OR = 18.302), 2) Localized guarding (OR = 4.690), 3) Generalized guarding (OR = 35.098), 4) WBC ? 15,000/?L (OR = 122.733), 5) Neutrophils ? 75% (OR = 3.378, 6) Alvarado score ? 7 (OR = 12.236), and 7) Pre-hospital time ? 12 hours (OR = 4.176).Conclusion: Factors linked to complicated appendicitis include underlying diseases, localized or generalized guarding, elevated WBC ? 15,000/?L, Neutrophils ? 75%, Alvarado score ? 7, and prolonged pre-hospital time ? 12 hours. Improving awareness and access to timely medical care can reduce the risk of complicated appendicitis. |
