Factors Related between Acute Appendicitis and Ruptured Appendicitis in Pathum Thani Hospital

Abstract

Appendicitis is a common problem in patients of surgery department. The objective of this retrospective study was to determine correlations between acute appendicitis and ruptured appendicitis. Pathological findings in the year 2006 were used to classify the patients into 2 groups, acute appendicitis 150 cases and ruptured appendicitis 150 cases. The data were analyzed by descriptive statistics, chi-square test, and multiple logistic regression. The results revealed that differences between both groups were body temperature above 37.5 ˚C, white blood cell over 15,000 cells/mm3, neutrophil > 75%, occurrence time of pain until reaching the hospital, waiting time before operation, occurrence time of pain until operation and length of stay in hospital. Factor that should be controllable since it is the factor about the operator is waiting time before operation. Based on clinical practice guideline, reducing waiting time before operation should be encouraged and, therefore, result in reducing the occurrence of ruptured appendicitis.