Is the increased incidence of pathologically proven acute appendicitis more likely seen in elderly patients? A retrospective cohort study
Is the increased incidence of pathologically proven acute appendicitis more likely seen in elderly patients? A retrospective cohort study
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DOI：
10.1080/13685538.2021.1911990
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发表时间：
2021-01-01
期刊：
影响因子：
2.6
通讯作者：
Hasbahceci, Mustafa
中科院分区：
文献类型：
--
作者：
Sisik, Abdullah;Kudas, Ilyas;Hasbahceci, Mustafa
目的阑尾炎虽然是一种年轻人的疾病，但据推测其发病率在老年人中有所增加。在这项研究中，它的目的是评估阑尾炎的老年患者（>= 60岁）在整个10-yearperiod.MethodsAll的成年患者手术治疗急性阑尾炎的年度变化进行回顾性分析，病理分析，性别，年龄和比例的患者年龄在60岁或以上，在每年的基础。在整个研究years.ResultsThere有3296例患者的平均年龄为30.42 +/- 12岁的平均年龄和年龄在60岁或以上的老年患者的比例的变异被视为主要outcomes.性别分布相似（p = 0.636）。在整个研究期间，患者的平均年龄呈显著正相关（p = 0.043）。按年龄60岁分层，老年患者的百分比显著增加，从2007年的0.93%增加到2016年的4.28%（p = 0.019）。因此，预计在不久的将来，所有外科医生都更有可能面对老年阑尾炎患者。
AimAlthough appendicitis is a disease of the young, it has been speculated that its incidence has increased among the elderly people. In this study, it was aimed to evaluate annual changes of appendicitis seen in older patients (>= 60 years) throughout a 10-year period.MethodsAll adult patients who were surgically treated for acute appendicitis were retrospectively analyzed with respect to pathological analysis, gender, age and proportion of the patients aged 60 or over in an annual base. Variability in the mean age and proportion of the older patients aged 60 or over throughout the study years were regarded as the main outcomes.ResultsThere were 3296 patients with a mean age of 30.42 +/- 12 years. Distribution of gender was similar (p = 0.636). There was a significant positive correlation in the mean age of the patients throughout the study years (p = 0.043). Stratification by the age of 60 yielded a significant increase in percent of the older patients, from 0.93% at 2007 to 4.28% at 2016 (p = 0.019).ConclusionsThe mean age of the patients with acute appendicitis is going to increase. Therefore, it is expected that all surgeons are more likely to be confronted with elderly patients with appendicitis in the near-future.