Journal of The Korean Society of Emergency Medicine (대한응급의학회지)

The Korean Society of Emergency Medicine (대한응급의학회)
권호 표지

The comparative study of predictive factors for prolonged length of stays that adult patients with acute appendicitis in emergency department

응급의료센터를 방문한 성인 급성 충수염 환자에서 재실 기간의 연장을 예측하는 인자에 대한 비교연구

  • Jang, Young Jae (Department of Emergency Medicine, Konkuk University Medical Center, Konkuk University School of Medicine) ;
  • Kim, Sin Young (Department of Emergency Medicine, Konkuk University Medical Center, Konkuk University School of Medicine) ;
  • Hong, Dae Young (Department of Emergency Medicine, Konkuk University Medical Center, Konkuk University School of Medicine) ;
  • Baek, Kwang Je (Department of Emergency Medicine, Konkuk University Medical Center, Konkuk University School of Medicine) ;
  • Park, Sang O (Department of Emergency Medicine, Konkuk University Medical Center, Konkuk University School of Medicine) ;
  • Kim, Jong Won (Department of Emergency Medicine, Konkuk University Medical Center, Konkuk University School of Medicine) ;
  • Kim, Jin Yong (Department of Emergency Medicine, Konkuk University Chungju Hospital, Konkuk University School of Medicine) ;
  • Lee, Kyeong Ryong (Department of Emergency Medicine, Konkuk University Medical Center, Konkuk University School of Medicine)
  • 장영재 (건국대학교 의학전문대학원 응급의학교실) ;
  • 김신영 (건국대학교 의학전문대학원 응급의학교실) ;
  • 홍대영 (건국대학교 의학전문대학원 응급의학교실) ;
  • 백광제 (건국대학교 의학전문대학원 응급의학교실) ;
  • 박상오 (건국대학교 의학전문대학원 응급의학교실) ;
  • 김종원 (건국대학교 의학전문대학원 응급의학교실) ;
  • 김진용 (건국대학교 의과대학 충주병원 응급의학과) ;
  • 이경룡 (건국대학교 의학전문대학원 응급의학교실)
  • Received : 2018.06.04
  • Accepted : 2018.09.21
  • Published : 2018.12.31

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Abstract

Objective: This study examined the predictive factors for prolonged length of stays of adult patients with acute appendicitis (AA) in an emergency department (ED). Methods: This was a retrospectively clinical study including patients in an ED. All patients were diagnosed from the clinical symptoms and a typical physical examination, and had undergone a computed tomography (CT) evaluation on the ED visiting date. All data were collected from the electrical medical records. The clinical parameters analyzed were the laboratory data, including the white blood cell count with differential values, C-reactive protein (CRP) level, initial vital signs, duration of admission, coexisting perforation of the appendix in the CT findings. The relationship between the clinical parameters and length of stay was assessed. Results: A total of 547 patients with AA were enrolled in this study. Among them, there were 270 male patients with a mean age of $40.7{\pm}15.8years$. The baseline characteristics, initial clinical features, laboratory, and imaging studies results of 129 patients in the prolonged length of stay (pLOS) group, and 418 patients of the non-pLOS group in AA were compared. Multivariable logistic regression analysis revealed the predictive factors related to pLOS in AA to be as follows: age 40 years or older, body temperature over $37.3^{\circ}C$, CRP level greater than 5.0 mg/dL, and evidence of perforation in CT findings (P<0.001). Conclusion: If we check age, fever, CRP level and find evidence of perforation, it might be helpful for predicting the increasing period of length of hospital stay for patients with AA in ED.

Keywords

References

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