Elgabsi Miri, Malkiely Gal, Weiss Tal, Tchernin Neev, Kessel Boris, Zilbermints Veacheslav
Division of Surgery, Hillel Yaffe Medical Center, Hadera 3820302, Israel.
Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa 3200003, Israel.
J Clin Med. 2025 Aug 9;14(16):5635. doi: 10.3390/jcm14165635.
While the severity of acute appendicitis is routinely evaluated, the significance of its morphological characteristics remains underexplored. This study aimed to evaluate the clinical impacts of appendiceal dimensions. This retrospective study included patients who underwent appendectomy. Data on demographics, appendiceal morphology, time from admission to surgery, postoperative complications, and readmission rates were analyzed. Statistical tests, including correlation analysis and multivariate regression, were used. -value ≤ 0.05 was considered statistically significant. Appendix diameter demonstrated positive correlations with age, complicated appendicitis, and surgery duration. Multivariate analysis showed that appendix diameter was found to be a significant predictor of readmission rates, regardless of clinical factors, and has a significant positive association with age in both univariate/multivariate analyses. Our findings demonstrate the significance of appendicular morphology in the prediction of readmission rates and the importance of age-specific diagnostic thresholds. The observed age-related changes may warrant re-evaluation of recent diagnostic criteria.
虽然急性阑尾炎的严重程度会定期评估，但其形态学特征的重要性仍未得到充分探索。本研究旨在评估阑尾尺寸的临床影响。这项回顾性研究纳入了接受阑尾切除术的患者。分析了人口统计学数据、阑尾形态、入院至手术的时间、术后并发症及再入院率。使用了包括相关性分析和多变量回归在内的统计检验。P值≤0.05被认为具有统计学意义。阑尾直径与年龄、复杂性阑尾炎及手术时长呈正相关。多变量分析显示，无论临床因素如何，阑尾直径都是再入院率的重要预测指标，且在单变量/多变量分析中均与年龄呈显著正相关。我们的研究结果表明阑尾形态在预测再入院率方面具有重要意义，以及特定年龄诊断阈值的重要性。观察到的与年龄相关的变化可能需要重新评估近期的诊断标准。
