التفاصيل البيبلوغرافية
| العنوان: |
Seasonal and day of the week variations of perforated appendicitis in US children. |
| المؤلفون: |
Yi Deng, Chang, David, Yiyi Zhang, Webb, Jennifer, Gabre-Kidan, Alodia, Abdullah, Fizan, Deng, Yi, Chang, David C, Zhang, Yiyi |
| المصدر: |
Pediatric Surgery International; Jul2010, Vol. 26 Issue 7, p691-696, 6p, 4 Charts |
| مصطلحات موضوعية: |
APPENDICITIS, AMERICAN children, APPENDIX diseases, MULTIVARIATE analysis |
| مصطلحات جغرافية: |
UNITED States |
| مستخلص: |
Purpose: The present study aimed to determine whether children with perforated appendicitis were more likely to present during specific days of the week or seasons of the year.Methods: After obtaining IRB exemption, a retrospective, population-based study of patients <18 with ICD9 codes of acute (540.9) or perforated (540.0, 540.1) appendicitis in the Kids' Inpatient Database (KID) was performed. Univariate and multivariate analyses were performed analyzing patient and hospital factors.Results: A total of 31,457 children were identified with acute appendicitis, of whom 10,524 (33.5%) were perforated. Mondays [odds ratio (OR): 1.16; 95% Confidence Interval (CI): 1.05-1.28] were significant for increased likelihood as day of presentation with perforation in US children more than any other day of the week. In seasonal analysis, fall (OR: 1.12; 95% CI: 1.04-1.21) and winter (OR: 1.11; 95% CI: 1.03-1.20) were at higher odds for perforation at presentation. Patients with Medicaid (OR: 1.22; 95% CI: 1.03-1.43) and those uninsured (OR: 1.50; 95% CI: 1.16-1.93) were more likely to present with perforation.Conclusion: Perforated appendicitis was more likely to present on Mondays in US children. Although appendicitis is most common in summer months, rates of perforated appendicitis were highest in fall and winter. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
