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Prospective Observational Study on acute Appendicitis Worldwide (POSAW)

Massimo Sartelli 1 Gian L. Baiocchi Salomone Di Saverio 2 Francesco Ferrara Francesco M. Labricciosa Luca Ansaloni 3 Federico Coccolini 4 Deepak Vijayan Ashraf Abbas Hariscine K. Abongwa John Agboola Adamu Ahmed Lali Akhmeteli Nezih Akkapulu Seckin Akkucuk Fatih Altintoprak Aurelia L. Andreiev Dimitrios Anyfantakis Boiko Atanasov Miklosh Bala 5 Dimitrios Balalis Oussama Baraket Giovanni Bellanova Marcelo Beltran 6 Renato Bessa Melo Roberto Bini 7 Konstantinos Bouliaris Daniele Brunelli 8, 9 Adrian Castillo Marco Catani 10 Asri Che Jusoh Alain Chichom-Mefire 11 Gianfranco Cocorullo Raul Coimbra Elif Colak Silvia Costa Koray Das Samir Delibegovic Zaza Demetrashvili Isidoro Di Carlo Nadezda Kiseleva Tamer El Zalabany Mario Faro Margarida Ferreira 12 Gustavo P. Fraga Mahir Gachabayov Wagih M. Ghnnam Teresa Gimenez Maurel Georgios Gkiokas Carlos A. Gomes Ewen Griffiths Ali Guner Sanjay Gupta Andreas Hecker Elcio S. Hirano Adrien Hodonou Martin Hutan Orestis Ioannidis Arda Isik Georgy Ivakhov Sumita Jain Mantas Jokubauskas Aleksandar Karamarkovic Saila Kauhanen Robin Kaushik Alfie Kavalakat Jakub Kenig Vladimir Khokha Desmond Khor Dennis Kim Jae I. Kim Victor Kong Konstantinos Lasithiotakis Pedro Leao 13 Miguel Leon 14 Andrey Litvin Varut Lohsiriwat Eudaldo Lopez-Tomassetti Fernandez Eftychios Lostoridis James Maciel Piotr Major Ana Dimova Dimitrios Manatakis Athanasio Marinis Aleix Martinez-Perez Sanjay Marwah Michael Mcfarlane Cristian Mesina Nickos Michalopoulos Evangelos Misiakos Ali Mohamedahmed Radu Moldovanu Giulia Montori Raghuveer Mysore Narayana Ionut Negoi Ioannis Nikolopoulos Giuseppe Novelli 15 Viktors Novikovs Iyiade Olaoye Abdelkarim Omari Carlos A. Ordonez Mouaqit Ouadii Zeynep Ozkan Ajay Pal 16 Gian M. Palini Lars I. Partecke Francesco Pata Michal Pedziwiatr Gerson A. Pereira Junior Tadeja Pintar Magdalena Pisarska Cesar F. Ploneda-Valencia Konstantinos Pouggouras Vinod Prabhu Padmakumar Ramakrishnapillai Jean-Marc Regimbeau 17, 18 Marianne Reitz Daniel Rios-Cruz Sten Saar Boris Sakakushev Charalampos Seretis Alexander Sazhin Vishal Shelat Matej Skrovina Dmitry Smirnov Charalampos Spyropoulos Marcin Strzalka Peep Talving Ricardo A. Teixeira Gonsaga George Theobald Gia Tomadze Myftar Torba Cristian Trana Jan Ulrych Mustafa Y. Uzunoglu Alin Vasilescu Savino Occhionorelli Aurelien Venara 19, 20 Andras Vereczkei Nereo Vettoretto Nutu Vlad Maciej Waledziak Tonguc U. Yilmaz Kuo-Ching Yuan Cui Yunfeng Justas Zilinskas Gerard Grelpois 18 Fausto Catena
Abstract : Background: Acute appendicitis (AA) is the most common surgical disease, and appendectomy is the treatment of choice in the majority of cases. A correct diagnosis is key for decreasing the negative appendectomy rate. The management can become difficult in case of complicated appendicitis. The aim of this study is to describe the worldwide clinical and diagnostic work-up and management of AA in surgical departments. Methods: This prospective multicenter observational study was performed in 116 worldwide surgical departments from 44 countries over a 6-month period (April 1, 2016-September 30, 2016). All consecutive patients admitted to surgical departments with a clinical diagnosis of AA were included in the study. Results: A total of 4282 patients were enrolled in the POSAW study, 1928 (45%) women and 2354 (55%) men, with a median age of 29 years. Nine hundred and seven (21.2%) patients underwent an abdominal CT scan, 1856 (43.3%) patients an US, and 285 (6.7%) patients both CT scan and US. A total of 4097 (95.7%) patients underwent surgery; 1809 (42.2%) underwent open appendectomy and 2215 (51.7%) had laparoscopic appendectomy. One hundred eighty-five (4.3%) patients were managed conservatively. Major complications occurred in 199 patients (4.6%). The overall mortality rate was 0.28%. Conclusions: The results of the present study confirm the clinical value of imaging techniques and prognostic scores. Appendectomy remains the most effective treatment of acute appendicitis. Mortality rate is low.
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https://hal-u-picardie.archives-ouvertes.fr/hal-03636193
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Soumis le : samedi 9 avril 2022 - 14:35:32
Dernière modification le : vendredi 22 avril 2022 - 11:42:06

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Massimo Sartelli, Gian L. Baiocchi, Salomone Di Saverio, Francesco Ferrara, Francesco M. Labricciosa, et al.. Prospective Observational Study on acute Appendicitis Worldwide (POSAW). World Journal of Emergency Surgery, 2018, 13, ⟨10.1186/s13017-018-0179-0⟩. ⟨hal-03636193⟩

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