Comparing Proposed Algorithm and Current Practice in the Evaluation of Suspected Appendicitis

Launched by SINGAPORE GENERAL HOSPITAL · Oct 24, 2017

Keywords

ClinConnect Summary

Acute appendicitis is one of the most common causes of acute abdominal pain requiring surgical intervention, with a lifetime risk of 8.6% for males and 6.7% for females. Historically, negative appendectomy rates of more than 20% were considered the norm. This is no longer acceptable in the current era, as despite low complication rates in the setting of negative appendectomy, conditions such as incisional hernias, intestinal obstruction secondary to adhesions and stump leakages can still result in significant morbidity.

Computed Tomography (CT) scan has emerged as the dominant imaging moda...

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Patients between the ages of 21 to 80 who are admitted to Singapore General Hospital and Sengkang Health for suspected appendicitis based on admission diagnosis from the Emergency Department
• Exclusion Criteria:
• • Patients who are pregnant
• • Patients below 21 or above 80 years of age
• • Patients with generalized peritonitis on presentation
• • Patients with palpable right iliac fossa mass on presentation
• • Patients with evidence of acute confusional state/dementia
• • Patients at high risk of surgery (ASA\>4) from the study
• • Patients who are immunocompromised (on chemotherapy, steroids etc.)