Evaluación del manejo intrahospitalario de casos de apendicitis aguda y caracterización del perfil demográfico del paciente que se presenta con cuadro de abdomen agudo en el Hospital de los Valles, en el período enero 01 - diciembre 31, 2014

摘要

Introduction. Appendicitis is one of the most common pathologies that require surgical intervention. The incidence rate is around 8%, with a peak presentation between 10-30 years of age. Appendicitis can manifest itself through several clinical scenarios, with a wide range of signs and symptoms – there are even several evaluation scores that help the clinician confirm or rule out the diagnosis. Aside from clinical criteria, surgeons can use other diagnostic tests, such is the case of blood tests used to quantify the degree of inflammation or imaging studies - the most commonly used are CT (computed tomography) scans and ultrasound (US). The main purpose of this study is to evaluate the surgical and inpatient management of appendicitis, including the demographic profile of the patients who presented an acute abdomen diagnosis at Hospital de los Valles-Quito (HDLV). Objectives. Determine the concordance between trans-surgical appendicitis categories established by the surgeon vs the histopathological diagnosis for all the patients that received treatment at HDLV for acute appendicitis in the period from January 1st to December 31st 2014. Asses as part of the inpatient management: the most frequent diagnostic tools used, rate of conversion from laparoscopic appendectomy to open appendectomy, average time of laparoscopic appendectomy, length of hospital stay, antibiotic scheme used according to appendicitis category, most frequent complications, and re-admission rates in the first 30 days post-op.....