Prevalencia de apendicitis complicada y factores asociados, en el servicio de cirugía pediátrica de los hospitales Vicente Corral Moscoso y José Carrasco Arteaga. mayo 2018 -abril 2019

Abstract

Background: Acute appendicitis is the most common surgical emergency in children. It constitutes a diagnostic challenge. Studies indicate that the determining factor for appendicitis complications is patient-attributable factors such as waiting times before receiving hospital care. Objective: Determine the prevalence of acute appendicitis and associated factors in pediatric surgery services at Vicente Corral Moscoso and José Carrasco Arteaga Hospitals between May 2018 and April 2019. Methodology: Quantitative, cross-sectional analytical study. The universe was all patients admitted with a diagnosis of acute appendicitis at Vicente Corral Moscoso and José Carrasco Arteaga Hospitals, May 2018 - April 2019. The association between variables was determined by Chi-square and the intensity of association by RP with 95% CI and P-value < to 0.05 as significant. Results: A total of 267 patients with a diagnosis of acute appendicitis were analyzed. The prevalence of acute appendicitis was 38.2%. Associated factors were initial misdiagnosis (RR 1.57 CI 1.16 - 2.14, p 0.01), and time from symptom onset to hospital arrival greater than 12 hours (RR 2.19 CI 1.34 - 3.59, p 0.00). Previous medical assessments were shown to be a protective factor (RR 1.48 CI 1.07 - 2.04, p 0.01; and mean to high socioeconomic status (RR 0.71 CI 0.53 - 0.96, p 0.03). Conclusions: The prevalence of complicated appendicitis was high and it relates to certain factors