Epidemiological Analysis Of Appendicitis In A Rural Tertiary Care Hospital, Tamilnadu
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Date
2018-07
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International Research and Publications in Medical Sciences
Abstract
Aim: The aim was to study the 2-years of epidemiological analysis of acute appendicitis in a rural medical college, Perambalur, Tamilnadu. Materials and Methods: This is a retrospective study of patients, who were admitted with a diagnosis of appendicitis over a period of 2 years excluding negative appendectomy cases. Totally, 469 cases were diagnosed as an acute appendicitis, on clinical suspicion and investigations during this period. We reviewed and studied these cases regarding incidence of appendicitis in different age groups, sex, according to dietary pattern and seasonal trend. Results: Occurrence of appendicitis was the highest in the 31-40 years age group, which constituted 31.56%, followed by 21-30 years age group, which constituted 27.29%. The incidence of appendicitis between the age group 11 and 20 years constituted 20.68%, while between 51 and 60 years age group it was 8.32%. I first decade it was 4.48% andabove 60 years age group it was 4.05%. The youngest case recorded was 8 years of age and the oldest was 72 years of age. In this study,the occurrence of appendicitis, the incidents were marginally higher in female (42.86%) than male (57.14%). The occurrence of appendicitis was maximum in the summer and low in the rainy season. Conclusion: Acute appendicitis should be suspected irrespective of age, sex and socioeconomic status of the individual. Age-specific occurrence, sex ratio of appendicitis give the impression that epidemiologic features of acute appendicitis are different with worldwide data. It is difficult to diagnose appendicitis in young children, young women and elderly people. Total leukocyte count, urine microscopy, ultrasonography and computed tomography abdomen should be used as a diagnostic aid in doubtful cases in association with physical findings, but it does not replace the clinical skills of a general surgeon.
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Keywords
Epidemiology, appendicitis, rural setup.
Citation
M.S. G. Mohandhas, D.A., M.S Vijayan. EPIDEMIOLOGICAL ANALYSIS OF APPENDICITIS IN A RURAL TERTIARY CARE HOSPITAL, TAMILNADU. International Research and Publications in Medical Sciences. 2018 Jul-Dec; 2018 Jul-Dec: 1-7