Predictive Value of Clinical and CT Scan Findings for Complicated Appendicitis: A Retrospective Analysis.

BACKGROUND

Appendicitis is a common surgical emergency condition. Its timely and accurate diagnosis is crucial to prevent complications like perforation and abscess formation. However, distinguishing between uncomplicated and complicated appendicitis can be challenging. Clinical and imaging findings are often used, but their predictive value is still debatable. The objective of the study is to identify the predictive value of clinical and computed tomography (CT) scan findings for complicated appendicitis in patients who underwent appendectomy.

METHODS

A retrospective analysis of data from a cohort of patients who underwent appendectomy in a tertiary governmental hospital was conducted. The study population included patients from varied demographic backgrounds, excluding those who were immunocompromised or had an appendectomy for reasons other than appendicitis. Data analysis was conducted using SPSS (IBM Corp., Armonk, NY, USA).

RESULTS

Out of 256 patients, 57.4% were male and the majority were of Saudi origin (74.6%). A significant difference in the distribution of Alvarado scores between groups with complicated (6, IQR: 5-7) and uncomplicated appendicitis (5, IQR: 4-6) was observed. The logistic regression analysis revealed symptom duration, Alvarado score, and the presence of cecal and ileum thickness in CT scan as significant predictors for complicated appendicitis.

CONCLUSION

Symptom duration, Alvarado score, and the presence of cecal and ileum thickness in CT scan are significant predictors for complicated appendicitis. Healthcare professionals should consider these predictors when assessing patients with suspected appendicitis to facilitate early identification and management of potential complications. Further research is required to validate these predictors in different populations and settings.