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2012, Number 3

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Rev Med MD 2012; 3.4 (3)

Epidemiological characteristics in acute appendicitis: comparison of two populations served in the same hospital

Chávez–Ruiz R, Cano-Muñoz I, Flores-González AE, Rodríguez-Baca AB

Language: Spanish
References: 39
Page: 142-147
PDF size: 547.40 Kb.


ABSTRACT

Background: There is not a specific population at risk for appendicitis, the change in the population attending a hospital is a unique opportunity to study differences in the presentation of different pathological entities.
Objective: To compare different variables of two types of populations (over health insurance and social security ISSSTELEON) treated at the Hospital San Jose Tec de Monterrey with a diagnosis of acute appendicitis, confirmed by ultrasound (USG) and Computed Tomography simple or proven (TC).
Methods: This study was observational and descriptive. We evaluated the records of patients admitted to hospital San José- Tec de Monterrey, in which a diagnosis of acute appendicitis and was confirmed by ultrasound or CT Scan single or contrasted. We included the population served one year before and one year after September 1, 2010, when he began to receive patients ISSSTELEON.
Results: We compared two populations using the Student t test for independent samples and found no statistically significant differences in the following categories: age, hospital stay, appendiceal diameter, leukocyte count, weight, height, body mass index and temperature, obtaining values of p› 0.05 in all cases. The population in ISSSTELEON group was younger by two years or so, about the personal family history and disease, had less history of cancer and diabetes and more heart, in your habits, showed less susceptibility to smoking, the higher rate diabetic and hypertensive lower. Significant finding was demonstrated as an increase in the proportion of patients with alcoholism from 21.2% to 35.8%, with p ‹0.05.
Conclusions: Changing population seen in our hospital was not associated with significant changes in the presentation and factors associated with developing appendicitis. Projecting a higher level of alcohol consumption, and tendency to more advanced stages in the natural history of appendicitis.


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