Delay of surgery in acute appendicitis**
References (25)
- et al.
The avoidable excesses in the management of perforated appendicitis in children
J Pediatr Surg
(1986) - et al.
Active observation in acute abdominal pain
Am J Surg
(1986) - et al.
Acute appendicitis: prospective trial concerning diagnostic accuracy and complications
Am J Surg
(1981) - et al.
The influence of gender and use of barium enema on morbidity in acute appendicitis
Am J Emerg Med
(1989) - et al.
The continuing challenge of perforating appendicitis
Surg Gynecol Obstet
(1980) - et al.
Deaths from acute appendicitis: a review of twenty one cases in Scotland from 1974 to 1979
J Royal Coll Surg Edin
(1986) Acute abdominal pain in children
J Royal Soc Med
(1980)- et al.
Surgical emergencies and manpower
Ann R Coll Surg
(1984) - et al.
L'appendicite acuta nei pazienti al di sotto dei 5 anni d'eta e al di sopra dei 60 G
Chir
(1990)
Intensive in-hospital observation: a safe way to decrease unnecessary appendectomy
Am Surg
Appendicitis near its centenary
Ann Surg
Cited by (144)
Risk Factors for Perforated Appendicitis in the Acute Care Surgery Era—Minimizing the Patient's Delayed Presentation Factor
2019, Journal of Surgical ResearchInfluence of Time to Appendectomy and Operative Duration on Hospital Cost in Children with Uncomplicated Appendicitis
2018, Journal of the American College of SurgeonsCitation Excerpt :To date, few data have been published examining the relationship of TTA and OD on hospital cost and cost variation among hospitals. Earlier studies examining treatment delay and outcomes have focused largely on the risk of complicated appendicitis developing,9-25 with only a few studies considering cost and resource use end points.26-28 In a single-center study of 453 children undergoing appendectomy for appendicitis by Dhupar and colleagues,28 delay longer than 2 hours between case booking and incision was associated with a 39% increase in hospital cost.
In-hospital delay of surgery increases the rate of complicated appendicitis in patients presenting with short duration of symptoms: a retrospective cohort study
2022, European Journal of Trauma and Emergency Surgery
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This is still much to be learned from this imperfect clinical diagnosis of appendicitis that is not necessarily technology dependent. This report from Israel indicates that patient delay is a more serious factor than physician delay.