Seasonal Pattern of Acute Appendicitis in Central Anatolia

In Central Anatolia, the incidence of acute appendicitis increased during winter, while the rate of perforated appendicitis increased in summer and the rate of negative appendectomy increased in spring.

📌 3 Key Takeaways

🎯

Objective & Hypothesis:Objective: The most common cause of acute abdomen requiring surgical intervention globally is acute appendicitis (AA).

📊

Key Findings & Data:Materials and Methods: In this study, patients who underwent appendectomy with the diagnosis of (AA) between January 1, 2015 and January 1,2019 were evaluated retrospectively.

💡

Conclusion & Impact:In Central Anatolia, the incidence of acute appendicitis increased during winter, while the rate of perforated appendicitis increased in summer and the rate of negative appendectomy increased in spring.

🔬Design:Research Article

📍Scope:2015 Verileri

⚙️Variables:Domain Parameters

Özet

Objective: The most common cause of acute abdomen requiring surgical intervention globally is acute appendicitis (AA). In this study, we aimed to investigate how AA diagnosis is affected by seasonal changes in Central Anatolia. Materials and Methods: In this study, patients who underwent appendectomy with the diagnosis of (AA) between January 1, 2015 and January 1,2019 were evaluated retrospectively. We divided the patients into three groups based on their histopathological results: Group 1 Acute Appendicitis (AA), Group 2 Appendix vermiformis (AV) and Group 3 Perforated appendicitis (PA). Patients were evaluated concerning age, sex and season of operation. Results: Seven hundred ninety-five patients participated in our study. They were separated into the following groups: Group 1 (n=614), Group 2 (n=125), and Group 3 (n=56). Concerning the sex variable, no statistically significant differences were found between the groups (p=0.061). The mean age of the patients in the perforated appendicitis group was higher when compared to the other groups (p=0.001). When evaluated by season, it was seen that during winter, the patients in Group 1 were significantly higher than the patients in the other groups (p=0.009). In our study, acute appendicitis was most frequently diagnosed during winter (28.7%); appendix vermiformis was most frequently diagnosed during spring (32%) and perforated appendicitis was most frequently diagnosed during summer (41%). Conclusion: Although the diagnosis of acute appendicitis varies seasonally, age and seasonal changes may be effective in the frequency of acute appendicitis. In Central Anatolia, the incidence of acute appendicitis increased during winter, while the rate of perforated appendicitis increased in summer and the rate of negative appendectomy increased in spring.

🔖

Cite This Article

GÖK, M., TOPAL, U., ÖZ, A. B., AKYÜZ, M., DAL, F., İSLAM, D. G., DENİZ, K., SÖZÜER, E. (2020). Seasonal Pattern of Acute Appendicitis in Central Anatolia. Erciyes Medical Journal, Cilt: 42 - Sayı: 2, 207–212. https://ajindex.com/articles/151676

📄 Full Text PDF Viewer

Open in New Tab ↗

↗New Tab

📄

PDF görüntüleyici hazırlanıyor...

References (15)

Turner JR. The Gastrointestinal tract. Kumar V, Abbas A, Aster JC, Fausto N, editors. Robbins and Cotran Pathologic basis of disease. 8th ed. Philadelphia: Saunders; 2010.p.870–1
Karanikolić A, Karanikolić V, Djordjević L, Pešić I. Correlation between the season, temperature and atmospheric pressure with incidence and pathogenesis of acute appendicitis. Srp Arh Celok Lek 2016; 144(7- 8): 402–7
Alegbeleye BJ, Adisa CA, Keskin H. Epidemiologic Features of Acute Appendicitis in A Tropical African Population. WW Med 2019; 1(6): 202–11
Arslan S, Aydogdu B, Arslan MS, Zeytun H, Okur MH, Basuguy E, et al. Analysis of Risk Factors for Appendicitis in Children: A Multicenter Epidemiological Study. Dicle Med J 2016; 43(4): 556–60
Gao X, Colicino E, Shen J, Kioumourtzoglou MA, Just AC, NwanajiEnwerem JC, et al. Impacts of air pollution, temperature, and relative humidity on leukocyte distribution: An epigenetic perspective. Environment international 2019; 126: 395–405
Sato Y, Kojimahara N, Kiyohara K, Endo M, Yamaguchi N; Appendicitis study group of Mobi-kids Japan. Association between climatic elements and acute appendicitis in Japan. J Surg Res 2017; 211: 64–9
Sulu B, Günerhan Y, Palanci Y, Işler B, Cağlayan K. Epidemiological and demographic features of appendicitis and influences of several environmental factors. Ulus Travma Acil Cerrahi Derg 2010; 16(1): 38–42
Al-Omran M, Mamdani M, McLeod RS. Epidemiologic features of acute appendicitis in Ontario, Canada. Can J Surg 2003; 46(4): 263– 8
Uludağ Ö, Çağ S, Sabancı Ü, Kuşderci H, Abdullayev R. The Seasonal distribution of appendicitis. Sakarya Med J 2016; 6(3): 120–3
Bulut T, Arduçoğlu Merter A. The Retrospective Analysis of 2376 Appendectomy Specimens. F.Ü. Med J Health Sci 2017; 31(3): 105–9
Hanson KA, Jacob D, Alhaj Saleh A, Dissanaike S. In-hospital perforation risk in acute appendicitis: Age matters. Am J Surg 2020; 219(1): 65–70
Lyon C, Clark DC. Diagnosis of acute abdominal pain in older patients. Am Fam Physician 2006; 74(9): 1537–44
Tseng J, Cohen T, Melo N, Alban RF. Imaging utilization affects negative appendectomy rates in appendicitis: An ACS-NSQIP study. Am J Surg 2019; 217(6): 1094–8
Tamini N, Santurro L, Chiappetta MF, Gattuso I, Barbieri C, Fattori L, et al. Morbidity after negative appendectomy: a single-centre experience on 627 cases. Eur J Trauma Emerg Surg. 2019 Apr 30. doi: 10.1007/s00068-019-01138-w. [Epub ahead of print]
Anders