Factores asociados a apéndice blanca en pacientes apendicectomizados Hospitales Vicente Corral Moscoso y José Carrasco Arteaga. 2018

Abstract

Background: the appendectomy is the most frequent surgery in the emergency services, currently there are no specific data, signs or symptoms that prevent the surgeon from falling into the error of removing a normal appendix. Objective: to determine the frequency and factors associated with white appendix patients older than 16 years undergoing appendectomy at the José Carrasco and Vicente Corral Moscoso Hospitals in the city of Cuenca. Methods and Techniques: A cross-sectional analytical study was conducted, with 432 patients who met the inclusion criteria. The data were collected using a form, its tabulation was performed using SPSS 20 software. Quantitative variables were analyzed with average and standard deviation, qualitative variables with frequency and percentage; In addition, for the associated factors, a bivariate analysis was performed using Odds Ratio with 95% CI and multivariate logistic regression with a value of p <0.05. Results: the frequency of white appendectomy was 9.3%, predominantly in women between 25 and 39 years old; the factors associated with statistical significance were, not presenting a Mac Burney sign 8.79% (OR 10.26; 95% CI 1.40–74.93; p 0.04), being female (OR 2.19; 95% CI 1.11-4.31; p 0.016), absence of hypersensitivity (OR 13.65; 95% CI 3.96-47.08; p 0.00) and living in rural areas (OR 2.816; 95% CI 1.54 - 25,208; p 0,021). Conclusions: the frequency of white appendectomy was similar to that reported in the literature, the associated factors were, being female, absence of hypersensitivity, showing no sign of Mac Burney and residing in rural areas.