Year 2020, Volume 4 , Issue 8, Pages 631 - 635 2020-08-01

Dil engeli, komplike apandisit için bir risk faktörü müdür? Geriye dönük kohort çalışma
Is language disability a risk factor for complicated appendicitis? A retrospective cohort study

Dursun Özgür KARAKAŞ [1] , Metin YEŞİLTAŞ [2] , Berk GÖKÇEK [3] , Seracettin EĞİN [4] , Semih HOT [5]


Amaç: Akut apandisit en sık acil cerrahi hastalık ve komplike apandisit sağlık kuruluşlarına erişebilme göstergesidir. Son on yılda göçlerin artması ile dil engeli sağlık için önemli hale gelmiştir. Dil engelinin komplike apandisit için risk faktörü olarak değerlendirmeyi amaçladık. Yöntemler: Ocak 2014’den Aralık 2018 tarihleri arasında akut apandisit nedeni ile opere edilen hastalar geriye dönük değerlendirildi. Hastaların yaş, cinsiyet, dil engeli (DE) (var (Y) yok (V)), drenaj uygulanması, patolojisi (apandiks çapı, şiddeti komplike olan (KA), komplike olmayan (KOA), ve lokal peritonit varlığı), C-Reaktif Proteini (CRP), beyaz küre (BK), nötrofil yüzdesi (Nöt%), ultrasonografi (US) ve bilgisayarlı tomografi (BT) sonuçları istatistiksel olarak değerlendirildi. Bulgular: Altı yüz yirmi sekiz hasta çalışmaya dahil edildi. %15,1’i (n=95) Y, ve %12’si (n=74) KA idi. DE ve şiddet açısından yaş ve cinsiyet farkı istatistiksel olarak anlamlı saptanmadı (sırasıyla P=0,15, P=0,24 ve P=0,2, P=0,21). Drenaj, lokal peritonit, CRP, BK ve Nöt% KA grubunda anlamlı olarak yüksek saptandı (sırasıyla P<0,001, P<0,001, P<0,001, P=0,009, ve P<0,001). Drenaj, apandiks çapı, CRP ve Nöt% seviyesi Y gurunda anlamlı olarak yüksek saptandı (sırasıyla P=0,01, P=0,04, P=0,007 ve P=0,046). KA oranı Y grubunda daha fazla olmasına rağmen (%17 karşı %11) istatistiksel olarak anlamlı (P=0,72). US ve BT’nin yalancı negatiflik oranı KA’lı Y grubunda daha yüksek saptandı (%56,2 karşı %37,5). Sonuç: Bu çalışma dil engelinin; yüksek drenaj oranı, apandiks çapı, CRP ve Nöt% seviyeleri ile komplike apandisit için bir risk faktörü olabileceğini göstermiştir.
Aim: Acute appendicitis is the most common emergent surgical disease and complicated appendicitis is an indicator of disrupted access to healthcare. Language disability has become more important in the healthcare sector with increasing migration in the last decade. We aimed to evaluate language disability as a risk factor for complicated appendicitis. Methods: From January 2014 to December 2018, patients who were operated for acute appendicitis were evaluated retrospectively. Patients’ age, gender, language disability (LD) (no (C) or yes (F)), whether surgical drainage was required, pathological findings (appendix diameter, severity as uncomplicated (UCA) or complicated (CA), and presence of local peritonitis), levels of C-Reactive Protein (CRP), White Blood Cells (Wbc), Neutrophil% (Neu%), and ultrasonography (USG) and computed tomography (CT) results were noted and compared. Results: Six hundered twenty-eight patients were included in the study, among which 15.1% (n=95) were considered F, and 12% (n=74) were CA. Age and gender did not significantly differ in terms of LD and severity (P=0.15, P=0.24 and P=0.2, P=0.21, respectively). Drainage requirement, local peritonitis, levels of CRP, Wbc, and Neu% were significantly higher in the CA group (P<0.001, P<0.001, P<0.001, P=0.009, and P<0.001, respectively). Drainage, appendix diameter, levels of CRP, and Neu% were significantly higher in the F group (P=0.01, P=0.04, P=0.007, and P=0.046, respectively). CA rate was insignificantly higher in the F group (17% vs 11%) (P=0.72). The false-negative ratio of USG and CT was higher in F patients with CA (56.2% vs. 37.5%). Conclusion: This study showed that language disability could be a risk factor for complicated appendicitis with higher drainage ratio, appendix diameter, levels of CRP, and Neu%.
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Primary Language en
Subjects Surgery
Journal Section Research article
Authors

Orcid: 0000-0002-2466-9855
Author: Dursun Özgür KARAKAŞ (Primary Author)
Institution: SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, İSTANBUL OKMEYDANI SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ
Country: Turkey


Orcid: 0000-0002-2080-1572
Author: Metin YEŞİLTAŞ
Institution: SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, İSTANBUL OKMEYDANI SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ
Country: Turkey


Orcid: 0000-0001-9989-4152
Author: Berk GÖKÇEK
Institution: SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, İSTANBUL OKMEYDANI SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ
Country: Turkey


Orcid: 0000-0002-4090-5205
Author: Seracettin EĞİN
Institution: SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, İSTANBUL OKMEYDANI SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ
Country: Turkey


Orcid: 0000-0001-9623-356X
Author: Semih HOT
Institution: SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, İSTANBUL OKMEYDANI SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ
Country: Turkey


Supporting Institution yok
Dates

Publication Date : August 1, 2020

Bibtex @research article { josam770774, journal = {Journal of Surgery and Medicine}, issn = {}, eissn = {2602-2079}, address = {jsurgmed@gmail.com}, publisher = {Fatih BAŞAK}, year = {2020}, volume = {4}, pages = {631 - 635}, doi = {10.28982/josam.770774}, title = {Is language disability a risk factor for complicated appendicitis? A retrospective cohort study}, key = {cite}, author = {Karakaş, Dursun Özgür and Yeşi̇ltaş, Metin and Gökçek, Berk and Eği̇n, Seracettin and Hot, Semih} }
APA Karakaş, D , Yeşi̇ltaş, M , Gökçek, B , Eği̇n, S , Hot, S . (2020). Is language disability a risk factor for complicated appendicitis? A retrospective cohort study . Journal of Surgery and Medicine , 4 (8) , 631-635 . DOI: 10.28982/josam.770774
MLA Karakaş, D , Yeşi̇ltaş, M , Gökçek, B , Eği̇n, S , Hot, S . "Is language disability a risk factor for complicated appendicitis? A retrospective cohort study" . Journal of Surgery and Medicine 4 (2020 ): 631-635 <http://jsurgmed.com/en/pub/issue/56401/770774>
Chicago Karakaş, D , Yeşi̇ltaş, M , Gökçek, B , Eği̇n, S , Hot, S . "Is language disability a risk factor for complicated appendicitis? A retrospective cohort study". Journal of Surgery and Medicine 4 (2020 ): 631-635
RIS TY - JOUR T1 - Is language disability a risk factor for complicated appendicitis? A retrospective cohort study AU - Dursun Özgür Karakaş , Metin Yeşi̇ltaş , Berk Gökçek , Seracettin Eği̇n , Semih Hot Y1 - 2020 PY - 2020 N1 - doi: 10.28982/josam.770774 DO - 10.28982/josam.770774 T2 - Journal of Surgery and Medicine JF - Journal JO - JOR SP - 631 EP - 635 VL - 4 IS - 8 SN - -2602-2079 M3 - doi: 10.28982/josam.770774 UR - https://doi.org/10.28982/josam.770774 Y2 - 2020 ER -
EndNote %0 Journal of Surgery and Medicine Is language disability a risk factor for complicated appendicitis? A retrospective cohort study %A Dursun Özgür Karakaş , Metin Yeşi̇ltaş , Berk Gökçek , Seracettin Eği̇n , Semih Hot %T Is language disability a risk factor for complicated appendicitis? A retrospective cohort study %D 2020 %J Journal of Surgery and Medicine %P -2602-2079 %V 4 %N 8 %R doi: 10.28982/josam.770774 %U 10.28982/josam.770774
ISNAD Karakaş, Dursun Özgür , Yeşi̇ltaş, Metin , Gökçek, Berk , Eği̇n, Seracettin , Hot, Semih . "Is language disability a risk factor for complicated appendicitis? A retrospective cohort study". Journal of Surgery and Medicine 4 / 8 (August 2020): 631-635 . https://doi.org/10.28982/josam.770774
AMA Karakaş D , Yeşi̇ltaş M , Gökçek B , Eği̇n S , Hot S . Is language disability a risk factor for complicated appendicitis? A retrospective cohort study. J Surg Med. 2020; 4(8): 631-635.
Vancouver Karakaş D , Yeşi̇ltaş M , Gökçek B , Eği̇n S , Hot S . Is language disability a risk factor for complicated appendicitis? A retrospective cohort study. Journal of Surgery and Medicine. 2020; 4(8): 631-635.