Predictors of Perforated Appendix among Children
Kamlesh Kumar Jha*, Shilpa Singh, Shruti Trehan, Gregory E Gilbert, Aisha Mohammed, Moon Hee Hur, Joseph Uricchio, Shama Shirazi, Pragya Jha and Romeen Lavani
Department of Pediatrics, Saint Anthony Hospital, USA
- *Corresponding Author:
- Kamlesh Kumar Jha
Department of Pediatrics
Division of Neonatology
Saint Anthony Hospital
2875 W 19th Street
Chicago, Illinois 60623, USA
E-mail: [email protected]
Received Date: Dec 19, 2016 Accepted Date: Jan 16, 2017 Published Date: Jan 18, 2017
Citation: Jha KK, Singh S, Trehan S, Gilbert GE, Mohammed A, et al. (2017) Predictors of Perforated Appendix among Children. Pediatr Ther 7: 310. doi:10.4172/2161-0665.1000310
Copyright: © 2017 Jha KK, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.
Objective: This study explores whether nominal demographics, symptoms, signs and laboratory predictors can determine a perforated appendix in pediatric population at an urban community hospital. Methods: A retrospective analysis was performed including variables such as demographics, clinical signs, symptoms and laboratory predictors. The patient population consisted of all children between the ages of 0 and 18 years who were treated for acute appendicitis between January 2014-December 2014. Patients with perforated appendicitis were identified using coding data. Results: During the 1-year period, 74 patients were treated for appendicitis. Using correlation and logistic regression, nineteen variables were assessed for any relationship to a ruptured appendix in these patients. No substantial correlations were detected. Conclusions: There have been reports of racial and socioeconomic disparities with regards to perforated appendicitis in children. However, there is not enough evidence in the literature that supports the prediction of perforated appendix based on clinical and laboratory values. This study, at Saint Anthony Hospital, found no correlation between socioeconomic status, clinical presentation, laboratory values and ruptured appendix.