Factors Associated with Ruptured Appendicitis in Acute Appendicitis Patients at The Surgery Department, Thung Song Hospital, Nakhon Si Thammarat

Abstract

Introduction: Acute appendicitis is a common cause of acute abdominal pain in emergency department (ED). Major complication is ruptured appendicitis which affects both physical complications and cost of treatment.

Objectives:  To determine the ratio of ruptured appendicitis and explore factors associated with ruptured appendicitis in acute appendicitis patients at the department of surgery, Thung Song Hospital.

Materials and Methods: A retrospective descriptive study was conducted in all patients who admitted in Thung Song Hospital, with the diagnosis of acute appendicitis or ruptured appendicitis from 1^st October 2015 to 30^th September 2016. The cases were diagnosed as acute appendicitis or rupture appendicitis underwent appendectomy at Thung Song Hospital. The questionnaire was developed with the accepted validity using to collect data from electronic medical record. 

Results: The result showed that 18.7% of acute appendicitis having ruptured appendicitis. The majority of the ruptured were male (57.4%) and age over 60 years (43.59%). Age was significantly associated with ruptured appendicitis (P < 0.05). The rest of variables: gender, educational level, career, native district, body weight, chronic disease, refer in, waiting time for surgery and surgical time were not associated with the ruptured appendicitis.

Conclusions: The study suggested that the surgical system should shorten the waiting time for surgery, especially for those who are over 60 years old.