Is There Any Association Between the Efficacy of Imaging Techniques and the Age of the Patient in the Diagnosis of Acute Appendicitis?
Aim: In this study, we aimed to assess whether there is any difference between the time and effectiveness seen in the diagnostic stage of acute appendicitis when an appropriate imaging method is selected for the patients in different age groups.Materials and Methods: During the 6-month period betwee...
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2017-09-01
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| Series: | Eurasian Journal of Emergency Medicine |
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http://akademikaciltip.com/archives/archive-detail/article-preview/s-there-any-association-between-the-efficacy-of-ma/21785
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| author | Sinem Doğruyol Vehbi Özaydın Burcu Azapoğlu Kaymak Fatma Sarı Doğan Seda Nur Bağdigen Togay Evrin |
| author_facet | Sinem Doğruyol Vehbi Özaydın Burcu Azapoğlu Kaymak Fatma Sarı Doğan Seda Nur Bağdigen Togay Evrin |
| author_sort | Sinem Doğruyol |
| collection | DOAJ |
| description | Aim: In this study, we aimed to assess whether there is any difference between the time and effectiveness seen in the diagnostic stage of acute appendicitis when an appropriate imaging method is selected for the patients in different age groups.Materials and Methods: During the 6-month period between October 1, 2015, and April 1, 2016, we retrospectively reviewed the files of patients who visited our emergency clinic, which is a third-step emergency department of a university hospital, and who then underwent operations at our hospital. Patients were evaluated according to their age: Group 1, 40 years and younger; Group 2, 40–60 years; Group 3, 60 years and older.Results:In this study, 97 patients (59.1%) were male and 67 patients (40.9%) were female. Their ages ranged from 19 to 86 years (mean age, 36.7±14.7 years). The percentage of patients who underwent only ultrasonography (US) was 52.3% in the first age group, 39.5% in the second age group, and 0.0% in the third age group (p<0.0001). The rates of patients who underwent only computerized tomography (CT) were 15.3% in the first age group, 28.9% in the second age group, and 60% in the third age group (p<0.0001). There was a statistically significant difference between the sensitivities of CT and US by age group (p<0.001).Conclusion: We believe that US should be the first method to be preferred in young and uncomplicated cases and that CT should be preferred in elderly patients with atypical presentations. |
| first_indexed | 2024-04-10T10:31:29Z |
| format | Article |
| id | doaj.art-e2851d4b8ffe4ba98f2909e679c9f2a6 |
| institution | Directory Open Access Journal |
| issn | 2149-5807 2149-6048 |
| language | English |
| last_indexed | 2024-04-10T10:31:29Z |
| publishDate | 2017-09-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Eurasian Journal of Emergency Medicine |
| spelling | doaj.art-e2851d4b8ffe4ba98f2909e679c9f2a62023-02-15T16:21:08ZengGalenos YayineviEurasian Journal of Emergency Medicine2149-58072149-60482017-09-0116312312710.5152/eajem.2017.5526513049054Is There Any Association Between the Efficacy of Imaging Techniques and the Age of the Patient in the Diagnosis of Acute Appendicitis?Sinem Doğruyol0Vehbi Özaydın1Burcu Azapoğlu Kaymak2Fatma Sarı Doğan3Seda Nur Bağdigen4Togay Evrin5 Department of Emergency Medicine, Medeniyet University Göztepe Training and Research Hospital, İstanbul, Turkey Department of Emergency Medicine, Medeniyet University Göztepe Training and Research Hospital, İstanbul, Turkey Department of Emergency Medicine, Medeniyet University Göztepe Training and Research Hospital, İstanbul, Turkey Department of Emergency Medicine, Medeniyet University Göztepe Training and Research Hospital, İstanbul, Turkey Department of Emergency Medicine, Medeniyet University Göztepe Training and Research Hospital, İstanbul, Turkey Department of Emergency Medicine, Ufuk University School of Medicine, Dr. Rıdvan Ege Training and Research Hospital, Ankara, Turkey Aim: In this study, we aimed to assess whether there is any difference between the time and effectiveness seen in the diagnostic stage of acute appendicitis when an appropriate imaging method is selected for the patients in different age groups.Materials and Methods: During the 6-month period between October 1, 2015, and April 1, 2016, we retrospectively reviewed the files of patients who visited our emergency clinic, which is a third-step emergency department of a university hospital, and who then underwent operations at our hospital. Patients were evaluated according to their age: Group 1, 40 years and younger; Group 2, 40–60 years; Group 3, 60 years and older.Results:In this study, 97 patients (59.1%) were male and 67 patients (40.9%) were female. Their ages ranged from 19 to 86 years (mean age, 36.7±14.7 years). The percentage of patients who underwent only ultrasonography (US) was 52.3% in the first age group, 39.5% in the second age group, and 0.0% in the third age group (p<0.0001). The rates of patients who underwent only computerized tomography (CT) were 15.3% in the first age group, 28.9% in the second age group, and 60% in the third age group (p<0.0001). There was a statistically significant difference between the sensitivities of CT and US by age group (p<0.001).Conclusion: We believe that US should be the first method to be preferred in young and uncomplicated cases and that CT should be preferred in elderly patients with atypical presentations. http://akademikaciltip.com/archives/archive-detail/article-preview/s-there-any-association-between-the-efficacy-of-ma/21785 Acute abdomencomputerized tomographyultrasonography |
| spellingShingle | Sinem Doğruyol Vehbi Özaydın Burcu Azapoğlu Kaymak Fatma Sarı Doğan Seda Nur Bağdigen Togay Evrin Is There Any Association Between the Efficacy of Imaging Techniques and the Age of the Patient in the Diagnosis of Acute Appendicitis? Eurasian Journal of Emergency Medicine Acute abdomen computerized tomography ultrasonography |
| title | Is There Any Association Between the Efficacy of Imaging Techniques and the Age of the Patient in the Diagnosis of Acute Appendicitis? |
| title_full | Is There Any Association Between the Efficacy of Imaging Techniques and the Age of the Patient in the Diagnosis of Acute Appendicitis? |
| title_fullStr | Is There Any Association Between the Efficacy of Imaging Techniques and the Age of the Patient in the Diagnosis of Acute Appendicitis? |
| title_full_unstemmed | Is There Any Association Between the Efficacy of Imaging Techniques and the Age of the Patient in the Diagnosis of Acute Appendicitis? |
| title_short | Is There Any Association Between the Efficacy of Imaging Techniques and the Age of the Patient in the Diagnosis of Acute Appendicitis? |
| title_sort | is there any association between the efficacy of imaging techniques and the age of the patient in the diagnosis of acute appendicitis |
| topic | Acute abdomen computerized tomography ultrasonography |
| url |
http://akademikaciltip.com/archives/archive-detail/article-preview/s-there-any-association-between-the-efficacy-of-ma/21785
|
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