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| Epidemiological survey and analysis of related influencing factors of children with perforated appendicitis in Taizhou area |
| JIN Lihong1 ZHANG Linjuan2 YU Linjun1 HU Wenhui3▲ |
1.Department of Pediatric Surgery, Taizhou Hospital of Zhejiang Province, Zhejiang Province, Taizhou 317000, China;
2.Gastrointestinal Anorectal Pediatric Surgery, Taizhou Central Hospital (Taizhou University Hospital), Zhejiang Province, Taizhou 318000, China;
3.Pediatric Internal Medicine, Taizhou Hospital of Zhejiang Province, Zhejiang Province, Taizhou 317000, China
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Abstract Objective To investigate the epidemiological survey and related high-risk factors of perforated appendicitis in children in Taizhou area, and to provide a basis for effective clinical treatment of perforated appendicitis in children. Methods The clinical data of 529 children with appendicitis hospitalized in pediatric surgery from January 2017 to December 2021 in Taizhou Hospital of Zhejiang Province, Enze Medical Hospital, and Taizhou Central Hospital, Zhejiang Province were selected and divided into 123 cases in the perforated group and 406 cases in the non-perforated group according to whether they were perforated, and the clinical indicators of both groups were collected for independent risk factor analysis of the occurrence of perforated appendicitis. Results There was no statistically significant difference between the two groups when comparing fever, chills, anorexia, abdominal pain, diarrhea, metastatic right lower abdominal pain, abdominal pressure and muscle tension, slow movement, and body anterior drive (P＜0.05). The time from onset to surgery, first ultrasound examination, rural proportion of household registration, CT report, and intraoperative finding of appendicular fecal stone, and body mass index were higher in the perforated group than those in the non-perforated appendicitis group, and the differences were statistically significant (P＜0.05). Multifactorial logistic results showed that time from onset to surgery (OR[95%CI]: 2.259[1.449-3.519]), first ultrasound examination (OR[95%CI]: 2.347[1.402-3.930]), CT report and intraoperative finding of appendiceal fecal stone (OR[95%CI]: 2.076[1.337-3.225]), and body mass index (OR[95%CI]: 1.943[1.188-3.178]) were risk factors for the development of perforated appendicitis in children (P＜0.05). Conclusion Perforated appendicitis in children has several high-risk factors, and health care providers should pay attention to the above-mentioned signs and ancillary tests during the treatment process to avoid progression to critical illness.
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