Prevalence of Appendicitis at Surgery Inpatient Department of a Secondary Care Hospital: A Descriptive Study

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Azhar Naufaldi Saputra
Sutan Malik Ibrahim
Ferdi Wiweko Ardianto

Abstract

Background: Appendicitis is an acute inflammation that occurs in the vermiform appendix. The incidence of appendicitis in Indonesia was reported at 5 per 1000 population with the number of cases reaching 10 million annually and was the highest incidence in ASEAN. The present study was conducted to assess the prevalence of Appendicitis in RST Tk.III Wijayakusuma Purwokerto.


Method: This was a descriptive cross-sectional study that determine the prevalence of appendicitis at RST Tk.III Wijayakusuma Purwokerto during January 2020 – December 2020.  Descriptive analysis was performed for age, sex, chief complaints, complications, laboratory tests of blood leucocytes, patient conditions on hospital discharge, and patient length of hospital stays (LOS). 


Result: The highest incidence in persons aged 10 – 19 (29.03%), that females had higher rates (51.61%), the most common presenting complain was pain in right lower abdomen with 93.54% , that 61.29% were developed the complications, the highest proportion were in the group of  blood leucocytes ≥10.000/mm3 about 83.87%, patients were planned for continuing in outpatient care with 87.09%, and the highest proportion were belonged to the LOS group of 4 – 5 days that 35.48%.


Conclusion: Our Study concluded that female were affected more by appendicitis, most common age for appendicitis was 10-19 years, the most presenting complain was pain in right lower abdomen that more developed in to complications with highest propotion were blood leucocytes ≥10.000/mm3 with patients were planned for continuing in outpatient care and the most LOS was 4-5 days.

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How to Cite
Saputra, A. N., Ibrahim, S. M., & Ardianto, F. W. . (2022). Prevalence of Appendicitis at Surgery Inpatient Department of a Secondary Care Hospital: A Descriptive Study . International Journal of Medical Science and Clinical Research Studies, 2(10), 1059–1063. https://doi.org/10.47191/ijmscrs/v2-i10-07
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References

I. Obsa MS, Adema BG, Shanka GM, Lake EA, Azeze GA, Fite RO. Prevalence of acute appendicitis among patient admitted for acute abdomen in Ethiopia: Systematic review and meta-analysis. International Journal of Surgery Open. 2020 Sep 23.

II. Bennett JE, Dolin R, Blaser MJ. Mandell, douglas, and bennett's principles and practice of infectious diseases: 2-volume set. Elsevier Health Sciences; 2014 Aug 28. Pp. 982-984.

III. Sarosi,G.A.Appendicitis in Sleisenger and Fordtrans Gastrointestinal and Liver Disease 10 edn, eds. M. Feldman, L.S. Friedman & L.J. Brandt, Saunders, United States of America.2016. pp.2112-2121.

IV. Padmi,C.I., Widarsa,I. Akurasi Total Hitung Leukosit dan Durasi Simtom sebagai Prediktor Perforasi Apendisitis pada Penderita Apendisitis Akut. Warmadewa Medical Journal, vol.2,no.2.2017.p.72.

V. Dinas Kesehatan Jawa Tengah. Profil Kesehatan Jawa Tengah Tahun 2018. Jawa Tengah: Dinkes Jawa Tengah.Lukman.2013.Intravena Terapi.Http//www.sehatgroup.com.2018.

VI. Sukmahayati S. Prevalensi apendisitis di RSUD Dr. Adjidarmo kabupaten lebak pada tahun 2016.

VII. Sellars H, Boorman P. Acute appendicitis. Surgery (Oxford). 2017 Aug 1;35(8):432-8.

VIII. Sjamsuhidajat R. Buku ajar ilmu bedah Sjamsuhidajat-de jong. Edisi ke-3. Jakarta: EGC. 2011:755 - 60.

IX. Inci E, Hocaoglu E, Aydin S, Palabiyik F, Cimilli T, Turhan AN, Aygün E. Efficiency of unenhanced MRI in the diagnosis of acute appendicitis: comparison with Alvarado scoring system and histopathological results. European journal of radiology. 2011 Nov 1;80(2):253-8.

X. Salminen P, Paajanen H, Rautio T, et al: Antibiotic therapy vs appendectomy for treatment of uncomplicated acute appendicitis: the APPAC randomized clinical trial. JAMA 2015 ;313:2340–2348.

XI. Iurii B, Vahtang G, Alin B. Acute appendicitis. The Moldovan Medical Journal. 2018;61(2).

XII. Sellars H, Boorman P. Acute appendicitis. Surgery (Oxford). 2017 Aug 1;35(8):432-8.

XIII. Bhangu A, Richardson C, Torrance A, et al. National Surgical Research Collaborative. Multicentre observational study of performance variation in provision and outcome of emergency appendicectomy.Br J Surg 2013; 100: 1240e52.

XIV. Sitepu BF. Hubungan Profil Leukosit dan Trombosit dengan Penyakit Apendisitis Akut dan Apendisitis Kronik di RS USU Tahun 2018.

XV. Dhillon NK, Barmparas G, Lin TL, Alban RF, Melo N, Yang AR, Margulies DR, Ley EJ. Unexpected complicated appendicitis in the elderly diagnosed with acute appendicitis. The American Journal of Surgery. 2019 Dec 1;218(6):1219-22.

XVI. Sembiring OA. Prevalensi Peritonitis pada Pasien Apendisitis di RSUP Haji Adam Malik periode 2017.

XVII. Sifri CD, Madoff LC. Appendicitis. InMandell, Douglas, and Bennett's principles and practice of infectious diseases 2015 Jan 1 (pp. 982-985). WB Saunders.

XVIII. Aritonang SG. Karakteristik Penderita Apendisitis yang Dirawat Inap di Rumah Sakit Putri Hijau Medan Tahun 2018.

XIX. Putra CB, Suryana SN. Gambaran prediktor perforasi pada penderita apendisitis di Rumah Sakit Umum Ari Canti Gianyar, Bali, Indonesia tahun 2018.