Appendicitis is a common and urgent surgical illness with protean manifestations, generous overlap with other clinical syndromes, and significant morbidity, which increases with diagnostic delay. No single sign, symptom, or diagnostic test accurately confirms the diagnosis of appendiceal inflammation in all cases.
Incidence of appendicitis is lower in cultures with a higherintake of dietary fiber. Dietary fiber is thought to decrease the viscosity of feces, decrease bowel transit time, and discourage formation of fecaliths, which predispose individuals to obstructions of the appendiceal lumen.
Appendicitis occurs in 7% of the Cuba population, with an incidence of 1.1 cases per 1000 people per year. Some familial predisposition exists.
The overall mortality rate of0.2-0.8% is attributable to complications of the disease rather than to surgical intervention.
Mortality rate rises above 20% in patients older than 70 years, primarily because of diagnostic and therapeutic delay.
Perforation rate is higher among patients younger than 18 years and patients older than 50 years, possibly because of delays in diagnosis. Appendiceal perforation is associated with anincrease in morbidity and mortality rates.
The incidence of appendicitis is approximately 1.4 times greater in men than in women. The incidence of primary appendectomy is approximately equal in both sexes.
Incidence of appendicitis gradually rises from birth, peaks in the late teen years, and gradually declines in the geriatric years.
For this we decided to carry out the current research.GENERAL OBJECTIVE
❖ Describing the behavior of acute appendicitis in the Hospital Dr. Gustavo Aldereguia Lima during the year 2008.
➢ To quantify Acute Appendicitis cases during the year 2008.
➢ Identifying the principal symptoms presented by patients with acute appendicitis.
➢ Classifying the cases according to age and sex.
➢ Classifying thecases according to anatomo-pathology type.
MATERIAL AND METHOD
In order to accomplish the investigation we made a descriptive, transverse and
retrospective study of patients operated with diagnosis of acute appendicitis in the period of January to December 2008 at the Hospital General Dr Gustavo Aldereguia Lima in Cienfuegos.
In order to accomplish such purpose we worked withstatistics and pathology department of the hospital in order to check correspondent clinical records and to obtain the result of the exam,.
The universe of work was shaped of 228 clinical records with the diagnosis of acute appendicitis. They disposed of 14 not to adjust to the objectives of this work, and they kept 214 clinical records with a positive diagnosis of acute appendicitis.
A list wasmanufactured with personal identity and quantitative and qualitative variables that patients present, like pre-operative signs and symptoms, the type of anesthesia used in the surgical procedure, the operative time, the post operatory stay, complications, the CBC results and the anatomopathologic positive result.
When the collecting stage was concluded, obtained data were processed and expressed inpercentage moral values and exposed in tables, the statistical methods of square chi and percentage value, which were applicable they compared with national and foreign literature.
DISCUSSION OF RESULTS
The table 1 shows the percentage distribution for age groups of patients included in the study.
|Age |Number of patients |%|
|0-10 |21 |9,8 |
|11-20 |47 |21,9 |
|21-30 |66 |30,8...