Influence of Clinical, Laboratory and Intraoperative Parameters on Postoperative Complications in Geriatric Patients with Acute Appendicitis: A Cross-Sectional Analysis

Franco-Alva A.; Caballero-Alvarado J.; Zavaleta-Corvera C. · Pirogov Russian Journal of Surgery (2024) · DOI: 10.17116/hirurgia2024111106

Resumen

Objective. To determine the impact of clinical, laboratory, and intraoperative variables on postoperative complications in patients over 50 years of age with acute appendicitis. Material and methods. An observational, analytical, cross-sectional study included patients over 50 years old who underwent surgery for acute appendicitis. The sample included 206 patients, and clinical, laboratory, and surgical data were collected from medical records. The Clavien—Dindo classification was used to estimate postoperative complications. Data were analyzed using SPSS software v.28. Results. Postoperative morbidity rate was 30.09%. Clinical variables such as age, male gender, duration of illness, presence of type 2 diabetes (DM2), and arterial hypertension (HTA), along with laboratory variables such as leukocyte count, Neutrophil-to-Lymphocyte Ratio (NLR), blood glucose, creatinine, and C-reactive protein (CRP), were significantly associated with postoperative complications (p<0.05). In addition, intraoperative variables such as surgery time, ASA III score, perforated appendicitis, peritonitis, laparoscopic appendectomy and hospital stay were significantly associated with postoperative complications (p<0.05). Conclusion. This study highlights the importance of various clinical, laboratory, and intraoperative variables in predicting postoperative complications in patients over 50 years old with acute appendicitis. ASA III score, CRP, perforated appendicitis, and surgery time are associated with postoperative complications.

Instituciones: Universidad Privada Antenor Orrego