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Tag: Appendicitis

Preoperative imaging

Surgery for Uncomplicated Appendicitis Typically Yields Satisfactory Outcomes

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Current surgical practice in U.S. adults involves presurgery imaging, laparoscopic approach
Patients with uncomplicated appendicitis undergoing nonoperative management are more likely to have an appendicitis-associated readmission and to develop an abscess

Harms ID’d With Nonoperative Management of Appendicitis

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Higher likelihood of readmission, developing abscess; more follow-up needed in year after admission
The cumulative incidence of appendicitis recurrence within five years is 39.1 percent among patients with uncomplicated acute appendicitis initially treated with antibiotics

Initial Abx Feasible Alternative for Uncomplicated Appendicitis

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At five years, cumulative incidence of appendicitis recurrence 39.1 percent with antibiotic treatment
More severe presentations of complicated appendicitis are associated with worse outcomes and greater resource use among pediatric patients

Resource Use Greater for More Severe Pediatric Appendicitis

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Findings suggest need for reimbursement to have severity adjustment, especially in underserved areas
The pediatric appendicitis risk calculator accurately quantifies the risk for appendicitis in a validation cohort of patients with acute abdominal pain

Novel Pediatric Appendicitis Risk Calculator Accurately IDs Risk

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Calculator had near perfect calibration in validation sample; high degree of discrimination
There is a learning curve among novice emergency medicine residents in using emergency ultrasonography to diagnose acute appendicitis

Significant Ultrasound Practice Needed to Diagnose Appendicitis

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Residents need to diagnose at least 20 cases of appendicitis via ultrasound to achieve competency
Avoiding surgery and treating appendicitis with antibiotics alone may be a safe approach for many children

Antibiotics Could Be Alternative to Surgery for Appendicitis

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Findings from review of uncomplicated appendicitis cases
For patients with acute appendicitis

Single-Incision Laparoscopic Appendectomy Preferable

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Shorter hospital duration, return to activity versus three-incision laparoscopic appendectomy
For pediatric patients

Decision Support Tools Cut CT Use in Pediatric Appendicitis Workup

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Lower proportions of CT in passive, active intervention time periods versus historical control
Appendicitis should be considered for older adults presenting with abdominal pain or nonspecific symptoms

Appendicitis Should Be Considered Among Elderly

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Two cases reported of seniors with atypical presentation, including nonspecific symptoms