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老年人更有可能出现经病理证实的急性阑尾炎发病率增加的情况吗?一项回顾性队列研究。

Is the increased incidence of pathologically proven acute appendicitis more likely seen in elderly patients? A retrospective cohort study.

机构信息

Department of General Surgery, Adem Yavuz Str, Umraniye Education and Research Hospital, University of Health Sciences, Istanbul, Turkey.

Department of General Surgery, Faculty of Medicine, Istinye University, Istanbul, Turkey.

出版信息

Aging Male. 2021 Dec;24(1):1-7. doi: 10.1080/13685538.2021.1911990.

DOI:10.1080/13685538.2021.1911990
PMID:33877020
Abstract

AIM

Although appendicitis is a disease of the young, it has been speculated that its incidence has increased among the elderly people. In this study, it was aimed to evaluate annual changes of appendicitis seen in older patients (≥60 years) throughout a 10-year period.

METHODS

All adult patients who were surgically treated for acute appendicitis were retrospectively analyzed with respect to pathological analysis, gender, age and proportion of the patients aged 60 or over in an annual base. Variability in the mean age and proportion of the older patients aged 60 or over throughout the study years were regarded as the main outcomes.

RESULTS

There were 3296 patients with a mean age of 30.42 ± 12 years. Distribution of gender was similar ( = 0.636). There was a significant positive correlation in the mean age of the patients throughout the study years ( = 0.043). Stratification by the age of 60 yielded a significant increase in percent of the older patients, from 0.93% at 2007 to 4.28% at 2016 ( = 0.019).

CONCLUSIONS

The mean age of the patients with acute appendicitis is going to increase. Therefore, it is expected that all surgeons are more likely to be confronted with elderly patients with appendicitis in the near-future.

摘要

目的

尽管阑尾炎是一种年轻人的疾病,但有人推测其在老年人中的发病率有所增加。本研究旨在评估 10 年间老年(≥60 岁)患者阑尾炎的年度变化。

方法

回顾性分析了所有因急性阑尾炎接受手术治疗的成年患者的病理分析、性别、年龄以及每年≥60 岁患者的比例。研究期间平均年龄和≥60 岁老年患者比例的变化是主要观察结果。

结果

共有 3296 名患者,平均年龄为 30.42±12 岁。性别分布相似( = 0.636)。患者平均年龄在整个研究期间呈显著正相关( = 0.043)。按 60 岁分层,≥60 岁老年患者的比例从 2007 年的 0.93%显著增加到 2016 年的 4.28%( = 0.019)。

结论

急性阑尾炎患者的平均年龄将会增加。因此,预计未来所有外科医生都更有可能遇到患有阑尾炎的老年患者。

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Is the increased incidence of pathologically proven acute appendicitis more likely seen in elderly patients? A retrospective cohort study.老年人更有可能出现经病理证实的急性阑尾炎发病率增加的情况吗?一项回顾性队列研究。
Aging Male. 2021 Dec;24(1):1-7. doi: 10.1080/13685538.2021.1911990.
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