Comparison of the accuracy of acute appendicitis diagnosis in appendectomies patients at Shahid Beheshti Hospital in Qom with global standards

Kachoie, Ahmad; Hoseini, Sedigheh; Biderafsh, Azam; Kamalian, Iman; Madani, Saeed; Noori, Enayatollah

Document Type : Original Article

Authors

¹ Associate Professor, Department of Surgery, School of Medicine, Qom University of Medical Sciences, Qom, Iran

² Medical student in General Medicine, Student Research Committee, Qom University of Medical Sciences, Qom, Iran

³ PhD student in Epidemiology, Faculty of Health, Tehran University of Medical Sciences, Tehran, Iran

⁴ Assistant Professor, Department of Surgery, School of Medicine, Qom University of Medical Sciences, Qom, Iran

⁵ General Practitioner, Qom University of Medical Sciences, Qom, Iran (Corresponding Author)

Abstract

Introduction: The accuracy of the diagnosis of acute appendicitis has been agreed at 85%. Based on this and considering that appendectomy is one of the most common surgeries in Shahid Beheshti Educational and Medical Center in Qom, we decided to compare the accuracy of acute appendicitis diagnosis with the agreed standard in patients undergoing appendectomy in this center.
Materials and Methods: This was a retrospective cross-sectional study. It was performed in Shahid Beheshti Hospital in Qom in 2015-2016. Sampling was done by simple random method. Information including sex and age as well as patient pathology diagnosis and complications such as gangrene and appendix perforation were entered into the checklist and analyzed by SPSS software.
Results: In the present study, 250 people were studied, 167 (66.8%) were male and 83 (33.2%) were female. The mean age of patients with acute appendicitis was 23 years and those with other diagnoses had a mean age of 21 years. Also, 167 (66.8%) of them were male and only 83 (33.2%) were female. In this study, out of 250 patients who underwent appendectomy with a diagnosis of acute appendicitis, 194 (77.6%) had a diagnosis of acute appendicitis in pathology and 56 (22.4%) had another diagnosis. The diagnosis of acute appendicitis was 45.5% in women and 44.6% in men, which did not differ much.
Conclusion: Considering these findings and the lower accuracy of appendicitis diagnosis than the agreed standard, it can be concluded that a number of appendectomy procedures, especially appendectomy in women, were unnecessary. It is necessary to examine more carefully before the operation.
Received

Keywords

Main Subjects

Anesthesiology

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Journal of Sabzevar University of Medical Sciences

Comparison of the accuracy of acute appendicitis diagnosis in appendectomies patients at Shahid Beheshti Hospital in Qom with global standards

References

References

Volume 27, Issue 5
November and December 2020
Pages 692-697

Comparison of the accuracy of acute appendicitis diagnosis in appendectomies patients at Shahid Beheshti Hospital in Qom with global standards

References

References

Volume 27, Issue 5November and December 2020Pages 692-697

Volume 27, Issue 5
November and December 2020
Pages 692-697