Warning: Undefined variable $zfal in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 525
Deprecated: str_replace(): Passing null to parameter #3 ($subject) of type array|string is deprecated in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 525
Warning: Undefined variable $sterm in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 530
 free
Warning: Undefined variable $sterm in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 531
 free
 free
 
English Wikipedia
Nephropedia Template TP (
Twit Text
DeepDyve
Pubget Overpricing |  
l�ll
The impact of diagnostic delay on the course of acute appendicitis Cappendijk VC; Hazebroek FWArch Dis Child 2000[Jul]; 83 (1): 64-6BACKGROUND: The diagnosis of acute appendicitis is often delayed, which may complicate the further course of the disease. AIMS: To review appendectomy cases in order to determine the incidence of diagnostic delay, the underlying factors, and impact on the course of the disease. METHODS: Records of all children who underwent appendectomy from 1994 to 1997 were reviewed. The 129 cases were divided into group A (diagnostic period within 48 hours) and group B (diagnostic period 48 hours or more). RESULTS: In the group with diagnostic delay, significantly more children had first been referred to a paediatrician rather than to a surgeon. In almost half of the cases in this group initial diagnosis was not appendicitis but gastroenteritis. The perforation rate in group A was 24%, and in group B, 71%. Children under 5 years of age all presented in the delayed group B and had a perforation rate of 82%. The delayed group showed a higher number of postoperative complications and a longer hospitalisation period. CONCLUSIONS: Appendicitis is hard to diagnose when, because of a progressing disease process, the classical clinical picture is absent. The major factor in diagnostic delay is suspected gastroenteritis. Early surgical consultation in a child with deteriorating gastroenteritis is advised. Ultrasonographs can be of major help if abdominal signs and symptoms are non-specific for appendicitis.|Adolescent[MESH]|Age Factors[MESH]|Appendicitis/complications/*diagnosis/surgery[MESH]|Child[MESH]|Child, Preschool[MESH]|Diagnosis, Differential[MESH]|Diarrhea/etiology[MESH]|Female[MESH]|Gastroenteritis/diagnosis[MESH]|Humans[MESH]|Infant[MESH]|Intestinal Perforation/etiology[MESH]|Length of Stay[MESH]|Male[MESH]|Postoperative Complications[MESH]|Prognosis[MESH]|Referral and Consultation[MESH]|Retrospective Studies[MESH]|Rupture, Spontaneous/etiology[MESH]|Time Factors[MESH] |