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ANALYSIS OF FACTORS THAT AFFECT DELAY IN DIAGNOSIS OF ACUTE APPENDICITIS, AFFECTING THE MORBIDITY AND MORTALITY OF PATIENTS

Dr Usama Yousaf, Dr Manzar Yaqoob, Dr Waleed Bakht Yar Khan

Introduction: Acute appendicitis is one of the commonest abdominal emergencies and appendectomy is one of the commonest emergency procedures performed all over the world. Aims and objectives: The basic aim of the study is to analyse the factors that affect delay in diagnosis of acute appendicitis, affecting the morbidity and mortality of patients. Material and methods: This cross sectional study was conducted at Services Hospital, Lahore during 2018 to 2019. The demographics, preoperative data, and postoperative information were obtained from the electronic medical records. The data collected included the patient's characteristics, symptoms at presentation (e.g., abdominal pain, migrating pain, nausea, vomiting, diarrhea, fever, and anorexia), temperature, history of any recent prior medical visit, admission course, duration of symptoms, physical examinations. Results: The data was collected from 50 patients. There was no difference in sex (P=0.134), age distribution (P=0.463), and BMI (P=0.419) in both genders. The delayed group had a higher mean value in CRP, but there was no significant difference between the 2 groups. In addition, the other laboratory results were insignificant. The delayed group's hospital day was significantly longer (P=0.001) than the nondelayed group. The PAS and complication cases showed no differences between the 2 groups. Conclusion: It is concluded that patients who underwent an appendectomy had a delayed diagnosis of appendicitis. The risk factors of a delayed diagnosis of appendicitis were found to be seasonal variations, prior medical visits, admission course, symptom duration, fever, diarrhea and CRP.

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