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Retrospective study of patients submitted to appendectomy in a tertiary hospital: is there a difference between the public and supplementary health system?
Corrêa Neto, Isaac José Felippe; Gambi, Robles Amanda; Nishiyama, Victor Keniti Gomes; Arita, Sany Tomomi de Almeida Rocha; Sperandio, Gabriel Fiorot Cruz; Nishikawa, Lia Yumi Omori; Pinto, Rodrigo Ambar; Robles, Laercio.
Afiliación
  • Corrêa Neto, Isaac José Felippe; Faculdade Santa Marcelina. Medical Propaedeutics and General Surgery. Department of Semiology. São Paulo. BR
  • Gambi, Robles Amanda; Hospital Santa Marcelina. Service of Colon and Rectal Surgery. Department of General Surgery. São Paulo. BR
  • Nishiyama, Victor Keniti Gomes; Hospital Santa Marcelina. Service of Colon and Rectal Surgery. Department of General Surgery. São Paulo. BR
  • Arita, Sany Tomomi de Almeida Rocha; Hospital das Clínicas. Faculty of Medicine. Department of Surgery of the Digestive Systemand Coloproctology. São Paulo. BR
  • Sperandio, Gabriel Fiorot Cruz; Hospital Santa Marcelina. Department of General Surgery. Services of General Surgery and Coloproctology. São Paulo. BR
  • Nishikawa, Lia Yumi Omori; Hospital Santa Marcelina. Department of General Surgery. Services of General Surgery and Coloproctology. São Paulo. BR
  • Pinto, Rodrigo Ambar; Hospital das Clínicas. Faculty of Medicine. Department of Surgery of the Digestive Systemand Coloproctology. São Paulo. BR
  • Robles, Laercio; Hospital Santa Marcelina. Service of Colon and Rectal Surgery. Department of General Surgery. São Paulo. BR
J. coloproctol. (Rio J., Impr.) ; 44(1): 27-32, 2024. tab, graf
Article en En | LILACS | ID: biblio-1558296
Biblioteca responsable: BR545.3
ABSTRACT

Introduction:

Appendicitis is the surgical disease with the highest prevalence in emergency rooms. Its clinical and/or surgical complications are associated with the time course of symptoms, age, comorbidities, and stages of the disease.

Objectives:

To analyze the demographic and clinical data of patients who underwent appendectomy for acute appendicitis in a tertiary referral hospital in the city of São Paulo and compare these data between services provided by the Public and Supplementary Health System.

Methodology:

Retrospective analysis of data from electronic medical records of patients over 14 years old who underwent appendectomy for acute appendicitis at Hospital Santa Marcelina, both in the Public and Supplementary Health Systems from January 2015 to December 2017.

Results:

A total of 536 patients were analyzed, 354 (66%) of whom were male with a general mean age of 29.85 years (14-81 years). The mean time from symptoms to seeking medical care was 53.84 hours. Regarding the phases of acute appendicitis, a greater number of cases of complicated disease was observed in patients operated on in the Public Health System (p < 0.0001), as well as the time course of symptoms (p = 0.0005) and

Conclusion:

There was a predominance of male patients undergoing appendectomy for acute appendicitis, with longer time course of symptoms in those operated on in the Public Health System and a predominance of appendicitis in advanced stages (3 and 4) in this group. However, in this group there was no significant increase in the rate of postoperative infection, and the length of stay was shorter than that of patients operated on in the Supplementary Health System. (AU)
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Texto completo: 1 Colección: 01-internacional Base de datos: LILACS Asunto principal: Apendicectomía / Hospitales Privados / Hospitales Públicos Límite: Adolescent / Adult / Aged / Aged80 / Humans Idioma: En Revista: J. coloproctol. (Rio J., Impr.) Asunto de la revista: Cirurgia / Doen‡as Retais / Doen‡as do Colo / GASTROENTEROLOGIA / Cirurgia Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Brasil
Texto completo
Añadir a Mi BVS
Imprimir
XML
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: LILACS Asunto principal: Apendicectomía / Hospitales Privados / Hospitales Públicos Límite: Adolescent / Adult / Aged / Aged80 / Humans Idioma: En Revista: J. coloproctol. (Rio J., Impr.) Asunto de la revista: Cirurgia / Doen‡as Retais / Doen‡as do Colo / GASTROENTEROLOGIA / Cirurgia Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Brasil