Prospective Observational Study on acute Appendicitis Worldwide (POSAW)

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dc.authoridMarinis, Athanasios/0000-0001-6423-6651
dc.authoridTorres Sanchez, Maria Teresa/0000-0003-4265-4945
dc.authoridCoimbra, Raul/0000-0002-3759-6851
dc.authoridMOHAMEDAHMED, Ali Yasen Y./0000-0002-1219-7571
dc.authoridDelibegovic, Samir/0000-0003-0525-3288
dc.authoridMesina, Cristian/0000-0002-5133-2131
dc.authoridKaushik, Robin/0000-0002-5822-3149
dc.contributor.authorSartelli, Massimo
dc.contributor.authorBaiocchi, Gian L.
dc.contributor.authorDi Saverio, Salomone
dc.contributor.authorFerrara, Francesco
dc.contributor.authorLabricciosa, Francesco M.
dc.contributor.authorAnsaloni, Luca
dc.contributor.authorCoccolini, Federico
dc.date.accessioned2024-09-18T19:50:19Z
dc.date.available2024-09-18T19:50:19Z
dc.date.issued2018
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractBackground: 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.en_US
dc.identifier.doi10.1186/s13017-018-0179-0
dc.identifier.issn1749-7922
dc.identifier.pmid29686725en_US
dc.identifier.scopus2-s2.0-85045390535en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.urihttps://doi.org/10.1186/s13017-018-0179-0
dc.identifier.urihttps://hdl.handle.net/20.500.12483/7350
dc.identifier.volume13en_US
dc.identifier.wosWOS:000431369700001en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherBmcen_US
dc.relation.ispartofWorld Journal of Emergency Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAcute appendicitisen_US
dc.subjectDiagnosisen_US
dc.subjectManagementen_US
dc.subjectSurgeryen_US
dc.subjectAntibioticsen_US
dc.titleProspective Observational Study on acute Appendicitis Worldwide (POSAW)en_US
dc.typeArticleen_US

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