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Am J Surg. 2011 Sep;202(3):286-90. doi: 10.1016/j.amjsurg.2010.08.017.

Acute appendicitis--not just for the young.

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  • 1Department of Surgery, University of Louisville, Louisville, KY, USA. briang.harbrecht@louisville.edu

Abstract

BACKGROUND:

The incidence of appendicitis is highest in young patients, but the number of elderly patients with appendicitis appears to be increasing. The authors evaluated a statewide experience to assess the effect of age on resource utilization and outcomes for this common disease.

METHODS:

All discharges from Kentucky hospitals for appendicitis were identified. Patients from rehabilitation hospitals, those with inflammatory bowel disease, and those undergoing incidental appendectomy were excluded.

RESULTS:

Young (aged ≤ 29 years) and middle-aged (aged 30-64 years) patients each constituted 45% of all patients with appendicitis. Length of stay, hospital charges, and frequency of complicated appendicitis all increased with age. Although elderly patients (aged ≥ 80 years) underwent laparoscopic appendectomy as frequently (60%) as younger patients, they were more likely to undergo complicated open procedures.

CONCLUSIONS:

Older patients represent a substantial population of patients with appendicitis, with more complicated operative procedures, increased lengths of stay, and increased resource utilization.

Copyright © 2011 Elsevier Inc. All rights reserved.

PMID:
21871982
[PubMed - indexed for MEDLINE]
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