CHARACTERISTICS OF PATIENTS WITH ACUTE APPENDICITIS AT RSUP DR. M. DJAMIL PADANG YEAR 2017-2019

Authors

  • Sherlia Desfina Universitas Baiturrahmah Padang
  • Muhamad Ivan Universitas Baiturrahmah Padang
  • Vina Tri Septiana Universitas Baiturrahmah Padang
  • Primadella Fegita Universitas Baiturrahmah Padang
  • Annisa Lidra Maribeth Universitas Baiturrahmah Padang

DOI:

https://doi.org/10.54209/jurnaleduhealth.v12i02.156

Keywords:

Acute appendicitis, modified Alvarado score, appendectomy

Abstract

Acute appendicitis is an abdominal emergency requiring immediate surgical intervention. Acute appendicitis is defined as acute inflammation of the appendix wall which is usually caused by obstruction of the appendix lumen. The development of an inflammatory process in acute appendicitis can result in perforation, abscess, illegality, peritonitis, or death if not managed properly. Objective: To determine the characteristics of acute appendicitis patients at DR. M. Djamil Padang in 2017 – 2019. Methods: The research design used was a categorical descriptive study with retrospective data collection methods. The population in this study were patients diagnosed with acute appendicitis at DR. M. Djamil Padang in 2017 – 2019 with 112 samples using total sampling technique. The research data were analyzed using the univariate test and presented in the form of frequency and percentage distribution tables. Results: Characteristics of acute appendicitis patients at RSUP DR. M. Djamil Padang, based on age, acute appendicitis mostly occurred in the late adolescent age group (17 – 25 years). Characteristics based on sex, acute appendicitis mostly occured in males – 64 people (57.1%). Characteristics based on modified Alvarado score at most with a score of 9 (Definite acute appendicitis) – 62 people (55.4%). The most characteristics based on the management of acute appendicitis was open appendectomy – 97 people (86.6%). Conclusion: The result of this study show that acute appendicitis in late adolescents with an age range of 17 – 25 years. Acute appendicitis mostly in males with the most modified Alvarado score with 9 scores and open appendectomy was the main choice.

References

Sunum A, Taklitlerinin K, Bulguları G. Imaging Findings of the Unusual Presentations , Associations and Clinical Mimics of Acute Appendicitis. 2017;198–203.

Ghorbani A, Forouzesh M, Kazemifar AM. Variation in Anatomical Position of Vermiform Appendix among Iranian Population: An Old Issue Which Has Not Lost Its Importance. Anat Res Int. 2014;2014:1–4.

Msolli MA, Beltaief K, Bouida W, Jerbi N, Grissa MH, Boubaker H, et al. Value of early change of serum C reactive protein combined to modified Alvarado score in the diagnosis of acute appendicitis. BMC Emerg Med. 2018;18(1):1–6.

Karami MY, Niakan H, Zadebagheri N, Mardani P, Shayan Z, Deilami I. Which one is better? Comparison of the acute inflammatory response, Raja Isteri Pengiran Anak Saleha Appendicitis and Alvarado scoring systems. Ann Coloproctol. 2017;33(6):227–31.

Sjamsuhidayat R, Jong D. Buku Ajar Ilmu Bedah Sjamsuhidayat-De Jong. 3rd ed. Sjamsuhidayat R, Jong D, editors. Jakarta: EGC; 2010. 756–762 p.

Zulfikar F, Budi P, Wiratmo. Studi Penggunaan Antibiotik pada Kasus Bedah Apendiks di Instalasi Rawat Inap RSD dr . Soebandi Jember Tahun 2013 ( The Use of Antibiotics in Case Studies Appendix Surgery in Inpatient Installation RSD dr . Soebandi Jember in 2013 ). e-Jurnal Pustaka Kesehat. 2015;3(1):44–9.

Imelda. Studi Penggunaan Antibiotika pada Kasus Bedah Apendiks. repository.unair.ac.id. 2007;(Apendisitis akut).

Yang Z, Sun F, Ai S, Wang J, Guan W, Liu S. Meta-analysis of studies comparing conservative treatment with antibiotics and appendectomy for acute appendicitis in the adult. BMC Surg. 2019;19(1):1–10.

Morgan. Karakteristik pasien apendisitis akut di RSUD DR. H. ABDUL MOELOEK PROVINSI LAMPUNG. J Chem Inf Model. 2019;53(9):1689–99.

Farahbakhsh F, Torabi M, Mirzaee M. A comparative study on the diagnostic validity of three scoring systems in the diagnosis of acute appendicitis in emergency centres. African J Emerg Med. 2020 Sep 1;10(3):132–5.

Suci P, Inzta A, Siti Mona A. Gambaran Hitung Leukosit Pre Operatif Pada Tiap-Tiap Tingkat Keparahan Apendisitis Akut Anak (Berdasarkan Klasifikasi Cloud) Di RSUD Arifin Achmad Provinsi Riau Periode Januari 2011-Desember 2012. J Chem Inf Model. 2019;53(9):1689–99.

Ramadhanti A. Uji Sensitivitas dan Spesifitas Skor Alvarado terhadap Kejadian Apendisitis Akut di RSUD Tangerang Selatan Tahun 2015-2016. repository.uinjkt.ac.id. 2018;7:1–25.

Choi JY, Ryoo E, Jo JH, Hann T, Kim SM. Risk factors of delayed diagnosis of acute appendicitis in children: for early detection of acute appendicitis. Korean J Pediatr. 2016;59(9):368.

Chen Y, Yuan JQ, Guo SG, Yang ZJ. Single-port laparoscopic appendectomy using a needle-type grasping forceps for acute uncomplicated appendicitis in children: Case series. Int J Surg Case Rep. 2020;70(November 2019):216–20.

Schlottmann F, Reino R, Sadava EE, Campos Arbulú A, Rotholtz NA. Could an abdominal drainage be avoided in complicated acute appendicitis? Lessons learned after 1300 laparoscopic appendectomies. Int J Surg. 2016 Dec 1;36:40–3.

Akoh JA. Laparoscopic Appendectomy for Acute Appendicitis: How to Discourage Surgeons Using Inadequate Therapy. 2011;1(1):4–12.

Petroianu A. Diagnosis of acute appendicitis. Int J Surg. 2012;10(3):115–9.

Behrman R, Kliegman R, Arvin A. Ilmu Kesehatan Anak Nelson. 15th ed. Berhman, editor. Jakarta: EGC; 2000.

Acton R, Antonoff M, Marquez T. Pediatric Emergency Medicine Practice. Acute Appendicitis in childhood: Diagnosis and Treatment in the Millenium. Vol. 5. 2008. 1 p.

Agilinko J, Waraich N. The Alvarado score in acute appendicitis: A 3-year audit to evaluate the usefulness in predicting negative appendicectomies in ≤16 s at QHBFT. Eur J Mol Clin Med. 2017 Aug 23;2(0):12.

Chisthi MM, Surendran A, Narayanan JT. RIPASA and air scoring systems are superior to alvarado scoring in acute appendicitis: Diagnostic accuracy study. Ann Med Surg. 2020 Nov;59:138–42.

Nanjundaiah N, Mohammed A, Shanbhag V. A comparative study of RIPASA score and Alvarado score in the diagnosis of acute appendicitis. J Clin Diagnostic Res. 2014;8(11):NC03–5.

Abdulhamid AK, Sarker SJ. Is abdominal drainage after open emergency appendectomy for complicated appendicitis beneficial or waste of money? A single centre retrospective cohort study. Ann Med Surg. 2018;36(October):168–72.

Elis C, Tarigan Y, Sitohang R, Silitonga HA. Gambaran Penderita Apendisitis Perforasi Di Rumah Sakit Umum Daerah Kabanjahe Kabupaten Karo Tahun 2016. 2016;70–4.

Oguntola AS, Adeoti ML, Oyemolade TA. Appendicitis: Trends in incidence, age, sex, and seasonal variations in South-Western Nigeria. Ann Afr Med. 2010;9(4):213–7.

Amalia I. Gambaran Sosio-Demografi Dan Gejala Apendisitis Akut Di Rsu Kota Tangerang Selatan. Fakultas Kedokteran Dan Ilmu Kesehatan Universitas Islam Negeri Syarif Hidayahtullah Jakarta. 2016.

Kanumba ES, Mabula JB, Rambau P, Chalya PL. Modified Alvarado Scoring System as a diagnostic tool for Acute Appendicitis at Bugando Medical Centre, Mwanza, Tanzania. BMC Surg. 2011;11:1–5.

Craig S. Appendicitis. Medscape [Internet]. 2014; Available from: https://emedicine.medscape.com/article/773895-overview

Memon ZA, Irfan S, Fatima K, Iqbal MS, Sami W. Acute appendicitis: Diagnostic accuracy of Alvarado scoring system. Asian J Surg. 2013;36(4):144–9.

Zuriati R. Karakteristik Penderita Apendisitis akut Di RSUD Palembang Bari Periode Fakultas Kedokteran Universitas Muhammadiyah Palembang. 2016;

Apisarnthanarak P, Suvannarerg V, Pattaranutaporn P, Charoensak A, Raman SS, Apisarnthanarak A. Alvarado score: Can it reduce unnecessary CT scans for evaluation of acute appendicitis? Am J Emerg Med. 2015;33(2):266–70.

Kong VY, Der Linde S Van, Aldous C, Handley JJ, Clarke DL. The accuracy of the Alvarado score in predicting acute appendicitis in the black South African population needs to be validated. Can J Surg. 2014;57(4):121–5.

Ozsoy Z, YenidoGan E. Evaluation of the Alvarado scoring system in the management of acute appendicitis. Turkish J Surg. 2017;33(3):200–4.

Nshuti R, Kruger D, Luvhengo TE. Clinical presentation of acute appendicitis in adults at the Chris Hani Baragwanath academic hospital. Int J Emerg Med. 2014;7(1):1–6.

Ting HW, Wu JT, Chan CL, Lin SL, Chen MH. Decision model for acute appendicitis treatment with decision tree technology-a modification of the alvarado scoring system. J Chinese Med Assoc. 2010 Aug;73(8):401–6.

Perez KS, Allen SR. Complicated Appendicitis and Considerations for Interval Appendectomy. 2018;35–41.

Memon, S I, S S. Acute Appendicitis: Diagnostic accuracy of Alvarado scoring system. Asia J Surgery, 36,144-149. 2013;

Kim EY, Lee JW, Chung NG, Cho B, Kim HK, Chung JH. Acute appendicitis in children with acute leukemia: Experiences of a single institution in Korea. Yonsei Med J. 2012;53(4):781–7.

Tanrikulu C Sen, Karamercan MA, Tanrikulu Y, Ozturk M, Yuzbasioglu Y, Coskun F. The predictive value of Alvarado score, inflammatory parameters and ultrasound imaging in the diagnosis of acute appendicitis. Turkish J Surg. 2016;32(2):115–21.

Fitrianda MI. Perbedaan Jumlah Leukosit pada Pasien Apendisitis Non-Perforasi dan Apendisitis Perforasi di RSD dr. Soebandi Jember. 2013;

Wagner M, Tubre DJ. Evolution and Current Trends in the Management of Acute Appendicitis. 2018;98:1005–23.

Arroyo-Rangel C, Limon IO, Vera AG, Guardiola PM, Sanchez-Valdivieso EA. Sensitivity, Specifity and reliability of the RIPASA Scale in the Diagnosis of Acute Appendicitis in Relation to the Scale of Alvarado. Cir Esp. 2018;96(3):149–54.

Frountzas M, Stergios K, Kopsini D, Schizas D, Kontzoglou K, Toutouzas K. Alvarado or RIPASA score for diagnosis of acute appendicitis? A meta-analysis of randomized trials. Vol. 56, International Journal of Surgery. Elsevier Ltd; 2018. p. 307–14.

Subono. Perbedaan Lama Rawat Inap dan Biaya Perawatan Antara Terapi Teknik Konvensional dan Laparoskopi Pada Pasien Apendisitis di RSUD Dr. Moewardi. 2011;3(12):2008–10.

Shimoda M, Maruyama T, Nishida K, Suzuki K, Tago T, Shimazaki J, et al. Comparison of clinical outcome of laparoscopic versus open appendectomy, single center experience. Heliyon. 2018;4(5):e00635.

Kupeli AH, Ozdemir M, Topuz S, Sozutek A, Paksoy T. A rare cause of acute abdomen in adults: Parasitic infection-related acute appendicitis. Turkish J Surg. 2015;31(3):180–1.

Jeon BG, Kim HJ, Jung KH, Kim SW, Park JS, Kim KH, et al. Prolonged operative time in laparoscopic appendectomy: Predictive factors and outcomes. Int J Surg. 2016;36:225–32.

Finnerty BM, Wu X, Giambrone GP, Gaber-Baylis LK, Zabih R, Bhat A, et al. Conversion-to-open in laparoscopic appendectomy: A cohort analysis of risk factors and outcomes. Int J Surg. 2017;40:169–75.

Beckermann J, Walker A, Grewe B, Appel A, Manz J. Mesenteric venous thrombosis complicating acute appendicitis: A case series. Int J Surg Case Rep. 2020;73:100–4.

Obsa MS, Adema BG, Shanka GM, Lake EA, Azeze GA, Fite RO. Prevalence of acute appendicitis among patient admitted for acute abdomen in Ethiopia: Systematic review and meta-analysis. Int J Surg Open. 2020 Sep;

Tsai CC, Lee SY, Huang FC. Laparoscopic versus open appendectomy in the management of all stages of acute appendicitis in children: A retrospective study. Pediatr Neonatol. 2012;53(5):289–94.

Becker P, Fichtner-Feigl S, Schilling D. Clinical management of appendicitis. Visc Med. 2018;34(6):453–8.

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Published

2022-02-03

How to Cite

Desfina, S., Muhamad Ivan, Vina Tri Septiana, Primadella Fegita, & Annisa Lidra Maribeth. (2022). CHARACTERISTICS OF PATIENTS WITH ACUTE APPENDICITIS AT RSUP DR. M. DJAMIL PADANG YEAR 2017-2019. Jurnal EduHealth, 12(02), 72–83. https://doi.org/10.54209/jurnaleduhealth.v12i02.156

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