Produção Nacional
Revisado por pares
Prospective Observational Study on acute Appendicitis Worldwide (POSAW)
2018; BioMed Central; Volume: 13; Issue: 1 Linguagem: Inglês
10.1186/s13017-018-0179-0
ISSN1749-7922
AutoresMassimo Sartelli, Gian Luca Baiocchi, Salomone Di Saverio, Francesco Ferrara, Francesco M. Labricciosa, Luca Ansaloni, Federico Coccolini, Deepak Vijayan, Ashraf Abbas, Hariscine K. Abongwa, John Agboola, Adamu Ahmed, Lali Akhmeteli, Nezih Akkapulu, Seçkin Akküçük, Fatih Altıntoprak, Aurelia L. Andreiev, Dimitrios Anyfantakis, Boyko Atanasov, Miklosh Bala, Dimitrios Balalis, Oussama Baraket, Giovanni Bellanova, Marcelo A. Beltrán, Renato Bessa Melo, Roberto Bini, Konstantinos Bouliaris, Daniele Brunelli, A Palacios Castillo, Marco Catani, Asri Che Jusoh, Alain Chichom‐Mefire, Gianfranco Cocorullo, Raúl Coimbra, Elif Çolak, S. Costa, Koray Daş, Samir Delibegović, Zaza Demetrashvili, Isidoro Di Carlo, Nadezda Kiseleva, Tamer El Zalabany, Mário Paulo Faro, Margarida Ferreira, Gustavo Pereira Fraga, Mahir Gachabayov, Wagih Ghnnam, Teresa Giménez Maurel, Georgios Gkiokas, Carlos Augusto Gomes, Ewen A. Griffiths, Ali Güner, Sanjay Gupta, Andreas Hecker, Élcio Shiyoiti Hirano, Adrien Montcho Hodonou, M Hut'an, Orestis Ioannidis, Arda Işık, Г Б Ивахов, Sumita Jain, Mantas Jokubauskas, Aleksandar Karamarković, Saila Kauhanen, Robin Kaushik, Alfie J. Kavalakat, Jakub Kenig, Vladimir Khokha, Desmond Khor, Dennis Kim, Jae Il Kim, Victor Kong, Konstantinos Lasithiotakis, Pedro Leão, Miguel León, Andrey Litvin, Varut Lohsiriwat, Eudaldo López-Tomassetti Fernández, Eftychios Lostoridis, J Maciel, Piotr Major, Ana Dimova, Dimitrios K. Manatakis, Athanasios Marinis, Aleix Martínez‐Pérez, Sanjay Marwah, Michael McFarlane, Cristian Meşină, Michał Pędziwiatr, Nikolaos Michalopoulos, Evangelos Misiakos, Ali Yasen Mohamedahmed, R Moldovanu, Giulia Montori, Raghuveer Mysore Narayana, Ionut Negoi, Ioannis Nikolopoulos, Giuseppe Novelli, Viktors Novikovs, Iyiade Olatunde Olaoye, Abdelkarim Omari, Carlos A. Ordóñez, Mouaqit Ouadii, Zeynep Özkan, Ajay Kumar Pal, Gian Marco Palini, Lars Ivo Partecke, Francesco Pata, Michał Pędziwiatr, Gerson Alves Pereira Júnior, Tadeja Pintar, Magdalena Pisarska, C.F. Ploneda-Valencia, Konstantinos Pouggouras, Vinod Prabhu, Ramakrishnapillai Padmakumar, Jean-Marc Regimbeau, Marianne Marchini Reitz, Daniel Rios-Cruz, Sten Saar, Boris Sakakushev, Charalampos Seretis, А. В. Сажин, Vishal G. Shelat, M Škrovina, Dmitry Smirnov, Charalampos Spyropoulos, Marcin Strzałka, Peep Talving, Ricardo Alessandro Teixeira Gonsaga, George Theobald, Gia Tomadze, Myftar Torba, Cristian Tranà, Jan Ulrych, Mustafa Y. Uzunoğlu, A Vasilescu, Savino Occhionorelli, Aurélien Venara, András Vereczkei, Nereo Vettoretto, N Vlad, Maciej Wałędziak, Tonguç Utku Yılmaz, Kuo‐Ching Yuan, Yunfeng Cui, Justas Žilinskas, Gérard Grelpois, Fausto Catena,
Tópico(s)Diverticular Disease and Complications
ResumoAcute appendicitis (AA) is the most common surgical disease, and appendectomy is the treatment of choice in the majority of cases. A correct diagnosis is key for decreasing the negative appendectomy rate. The management can become difficult in case of complicated appendicitis. The aim of this study is to describe the worldwide clinical and diagnostic work-up and management of AA in surgical departments. This prospective multicenter observational study was performed in 116 worldwide surgical departments from 44 countries over a 6-month period (April 1, 2016–September 30, 2016). All consecutive patients admitted to surgical departments with a clinical diagnosis of AA were included in the study. A total of 4282 patients were enrolled in the POSAW study, 1928 (45%) women and 2354 (55%) men, with a median age of 29 years. Nine hundred and seven (21.2%) patients underwent an abdominal CT scan, 1856 (43.3%) patients an US, and 285 (6.7%) patients both CT scan and US. A total of 4097 (95.7%) patients underwent surgery; 1809 (42.2%) underwent open appendectomy and 2215 (51.7%) had laparoscopic appendectomy. One hundred eighty-five (4.3%) patients were managed conservatively. Major complications occurred in 199 patients (4.6%). The overall mortality rate was 0.28%. The results of the present study confirm the clinical value of imaging techniques and prognostic scores. Appendectomy remains the most effective treatment of acute appendicitis. Mortality rate is low.
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