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The Role of Doctors and Patients in Appendicitis Perforation.

Abstract In this study, we aimed to determine factors that cause appendix perforations and to identify the role of physicians and patients in contributing to the cause of these perforations. This study was conducted between April 2010 and May 2015 and included 64 patients with perforated appendicitis. Patients' medical records were examined for factors that might have contributed to perforation, and the roles of patients and physicians in perforation appendicitis were evaluated. The perforation rate of patients with appendicitis was 16.0 per cent. The average duration from symptom onset to hospital admission was 4.4 days (29 patients were admitted to hospital within two days, 35 were admitted later). In total, 38 patients had visited a different hospital before admission. Furthermore, six out of 26 patients who had not visited any other hospital had consumed analgesics. Factors contributing to appendix perforation included misdiagnosis at the patient's initial visit (56.0%), delayed admission to hospital (11.0%), and use of analgesics (9.0%). The cause of perforation was mostly physician-related in children and adults, and patient-related in older adults.
PMID
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Authors

Mayor MeshTerms

Physician's Role

Keywords
Journal Title the american surgeon
Publication Year Start




PMID- 28424136
OWN - NLM
STAT- MEDLINE
DA  - 20170420
DCOM- 20170501
LR  - 20170501
IS  - 1555-9823 (Electronic)
IS  - 0003-1348 (Linking)
VI  - 83
IP  - 4
DP  - 2017 Apr 01
TI  - The Role of Doctors and Patients in Appendicitis Perforation.
PG  - 390-393
AB  - In this study, we aimed to determine factors that cause appendix perforations and
      to identify the role of physicians and patients in contributing to the cause of
      these perforations. This study was conducted between April 2010 and May 2015 and 
      included 64 patients with perforated appendicitis. Patients' medical records were
      examined for factors that might have contributed to perforation, and the roles of
      patients and physicians in perforation appendicitis were evaluated. The
      perforation rate of patients with appendicitis was 16.0 per cent. The average
      duration from symptom onset to hospital admission was 4.4 days (29 patients were 
      admitted to hospital within two days, 35 were admitted later). In total, 38
      patients had visited a different hospital before admission. Furthermore, six out 
      of 26 patients who had not visited any other hospital had consumed analgesics.
      Factors contributing to appendix perforation included misdiagnosis at the
      patient's initial visit (56.0%), delayed admission to hospital (11.0%), and use
      of analgesics (9.0%). The cause of perforation was mostly physician-related in
      children and adults, and patient-related in older adults.
FAU - Ozturk, Alaattin
AU  - Ozturk A
FAU - Korkmaz, Mevlit
AU  - Korkmaz M
FAU - Atalay, Talha
AU  - Atalay T
FAU - Karakose, Yuksel
AU  - Karakose Y
FAU - Akinci, Omer Faruk
AU  - Akinci OF
FAU - Bozer, Mikdat
AU  - Bozer M
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Am Surg
JT  - The American surgeon
JID - 0370522
RN  - 0 (Analgesics)
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Analgesics/therapeutic use
MH  - Appendectomy
MH  - Appendicitis/*complications/*diagnosis/surgery
MH  - Child
MH  - Child, Preschool
MH  - Delayed Diagnosis/*adverse effects
MH  - Diagnostic Errors
MH  - Female
MH  - Humans
MH  - Intestinal Perforation/*diagnosis/*etiology/surgery
MH  - Male
MH  - Middle Aged
MH  - Patient Admission
MH  - *Physician's Role
MH  - Risk Factors
MH  - Time Factors
EDAT- 2017/04/21 06:00
MHDA- 2017/05/02 06:00
CRDT- 2017/04/21 06:00
PST - ppublish
SO  - Am Surg. 2017 Apr 1;83(4):390-393.

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