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Prospective Observational Study on acute Appendicitis Worldwide (POSAW)

Article scientifique 2018 Anglais

Résumé

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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Sartelli, M., Baiocchi, G., Saverio, S., Ferrara, F., Labricciosa, F., Ansaloni, L., Coccolini, F., Vijayan, D., Abbas, A., Abongwa, H., Agboola, J., Ahmed, A., Akhmeteli, L., Akkapulu, N., Akküçük, S., Altıntoprak, F., Andreiev, A., Anyfantakis, D., Bala, M., Balalis, D., Baraket, O., Bellanova, G., Beltrán, M., Melo, R., Bini, R., Bouliaris, K., Brunelli, D., Castillo, A., Jusoh, A., Chichom‐Mefire, A., Cocorullo, G., Coimbra, R., Çolak, E., Costa, S., Daş, K., Delibegović, S., Demetrashvili, Z., Carlo, I., Kiseleva, N., Zalabany, T., Faro, M., Ferreira, M., Fraga, G., Gachabayov, M., Ghnnam, W., Maurel, T., Gkiokas, G., Gomes, C., Griffiths, E., Güner, A., Gupta, S., Hecker, A., Hirano, É., Hodonou, A., Hut'an, M., Ioannidis, O., Işık, A., Ивахов, Г., Jain, S., Jokubauskas, M., Karamarković, A., Kauhanen, S., Kaushik, R., Kavalakat, A., Kenig, J., Khokha, V., Khor, D., Kim, D., Kim, J., Kong, V., Lasithiotakis, K., Leão, P., León, M., Litvin, A., Lohsiriwat, V., Fernández, E., Lostoridis, E., Maciel, J., Major, P., Dimova, A., Manatakis, D., Marinis, A., Martínez‐Pérez, A., Marwah, S., McFarlane, M., Meșină, C., Pędziwiatr, M., Misiakos, E., Mohamedahmed, A., Moldovanu, R., Montori, G., Narayana, R., Negoi, I., Nikolopoulos, I., Novelli, G., Novikovs, V., Olaoye, I. (2018). Prospective Observational Study on acute Appendicitis Worldwide (POSAW). https://doi.org/10.1186/s13017-018-0179-0

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Auteur(s)

Massimo Sartelli Gian Luca Baiocchi Salomone Di Saverio Francesco Ferrara Francesco M. Labricciosa Luca Ansaloni Federico Coccolini Deepak Vijayan Ashraf Abbas Hariscine K. Abongwa John Agboola Adamu Ahmed Lali Akhmeteli Nezih Akkapulu Seçkin Akküçük Fatih Altıntoprak Aurelia L. Andreiev Dimitrios Anyfantakis Miklosh Bala Dimitrios Balalis Oussama Baraket Giovanni Bellanova Marcelo A. Beltrán Renato Bessa Melo Roberto Bini Konstantinos Bouliaris Daniele Brunelli A Palacios Castillo Asri Che Jusoh Alain Chichom‐Mefire Gianfranco Cocorullo Raúl Coimbra Elif Çolak Sílvia Costa Koray Daş Samir Delibegović Zaza Demetrashvili Isidoro Di Carlo Nadezda Kiseleva Tamer El Zalabany Mário Paulo Faro Margarida Ferreira Gustavo Pereira Fraga Mahir Gachabayov Wagih Ghnnam Teresa Giménez Maurel Georgios Gkiokas Carlos Augusto Gomes Ewen A. Griffiths Ali Güner Sanjay Gupta Andreas Hecker Élcio Shiyoiti Hirano Adrien M. Hodonou M Hut'an Orestis Ioannidis Arda Işık Г. Б. Ивахов Sumita Jain Mantas Jokubauskas Aleksandar Karamarković Saila Kauhanen Robin Kaushik Alfie J. Kavalakat Jakub Kenig Vladimir Khokha Desmond Khor Dennis Kim Jae Il Kim Victor Kong Konstantinos Lasithiotakis Pedro Leão Miguel León Andrey Litvin Varut Lohsiriwat Eudaldo López-Tomassetti Fernández Eftychios Lostoridis J Maciel Piotr Major Ana Dimova Dimitrios K. Manatakis Athanasios Marinis Aleix Martínez‐Pérez Sanjay Marwah Michael McFarlane Cristian Meșină Michał Pędziwiatr Evangelos Misiakos Ali Yasen Mohamedahmed R Moldovanu Giulia Montori Raghuveer Mysore Narayana Ionut Negoi Ioannis Nikolopoulos Giuseppe Novelli Viktors Novikovs Iyiade Olaoye

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