Patient Time and In-hospital Delay of Surgery Association With Complicated Appendicitis

NCT ID: NCT04689906

Last Updated: 2021-01-05

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

3137 participants

Study Classification

OBSERVATIONAL

Study Start Date

2006-12-01

Study Completion Date

2017-08-01

Brief Summary

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This is a retrospective observational study with its main aim of evaluating possible factors associated with complicated appendicitis. Current literature supports time from symptom onset until registration as the main and maybe only determinant of the outcome if patients are operated on within 24 hours. We wish to evaluate whether this is true in all patients, or there are subgroups in which time from registration to operation is associated with complicated appendicitis.

Detailed Description

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The data to be analyzed is that of patients operated on acutely for suspected appendicitis within 10 years in one medical center. Patients undergoing interval or incidental appendectomies will not be included. The endpoint to be evaluated is complicated appendicitis (gangrenous, abscess, perforated). The independent variables will include mainly sex, age, patient time (time from symptom onset to registration), hospital time (time from registration to operation), and missed diagnosis.

Conditions

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Acute Appendicitis

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Interventions

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surgery

This is a retrospective study that includes patients operated for suspicion of acute appendicitis

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* male and female patients of all ages who underwent appendectomy of acute appendicitis in a single medical center between December 1, 2006, and December 31, 2016

Exclusion Criteria

* interval appendectomy,
* incidental appendectomy,
* appendectomy after failed antibiotic treatment for either acute appendicitis or peri-appendicular abscess
* patients with a non-inflamed appendix
* those in whom symptom onset before hospitalization was not noted.
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hillel Yaffe Medical Center

OTHER_GOV

Sponsor Role collaborator

Rambam Health Care Campus

OTHER

Sponsor Role lead

Responsible Party

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Itamar Ashkenazi MD

Staff Physician

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Itamar Ashkenazi, MD

Role: PRINCIPAL_INVESTIGATOR

Rambam Health Care Campus

References

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Ashkenazi I, Zeina AR, Olsha O. Early ultrasound in acute appendicitis avoids CT in most patients but delays surgery and increases complicated appendicitis if nondiagnostic - A retrospective study. Am J Surg. 2020 Apr;219(4):683-689. doi: 10.1016/j.amjsurg.2019.05.013. Epub 2019 May 25.

Reference Type BACKGROUND
PMID: 31153584 (View on PubMed)

Ashkenazi I, Zeina AR, Olsha O. In-hospital delay of surgery increases the rate of complicated appendicitis in patients presenting with short duration of symptoms: a retrospective cohort study. Eur J Trauma Emerg Surg. 2022 Oct;48(5):3879-3886. doi: 10.1007/s00068-022-01912-3. Epub 2022 Feb 24.

Reference Type DERIVED
PMID: 35211772 (View on PubMed)

Other Identifiers

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HTVSPTAPP1

Identifier Type: -

Identifier Source: org_study_id

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