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The 1998 Normal Appendectomy and Perforated Appendicitis Rate in Manila Doctors Hospital

 

 

Reynaldo O. Joson, MD, MHA, MHPEd, MS Surg

 

Abstract

 

Background of Study:

This paper is part of the quality assurance activities of Manila Doctors Hospital on patients with acute nontraumatic right lower quadrant (RLQ) abdominal pain.

 

Objectives:

 

General Objective:

To gather statistical data on the normal appendectomy and perforated appendicitis rates as part of a quality assurance activity in Manila Doctors Hospital.

 

Specific Objectives:

1. To determine and compare the normal appendectomy rate of Manila Doctors Hospital with global rates.

 

2. To determine and compare the perforated appendicitis rate of Manila Doctors Hospital with global rates.

 

Research Design: Descriptive-Survey

Methodology:

The 1998 records of the Operating Room and Surgical Pathology of the Manila Doctors Hospital were reviewed as to normal appendectomy and perforated appendicitis rates.

 

Results:

 

Table 1. 1998 Normal appendectomy and perforated appendicitis rate in Manila Doctors Hospital.

 

Time Frame

Total No. of Appendices Removed

Total No. of Appendices with Histopath Study

Normal Rate

Perforating Rate

1998

156

90

14%

12 21.8%

 

 

Table 2. Global normal appendectomy and perforated appendicitis rates.

 

Author

N

Time Frame

% Male

Mean Age (yr)

Normal Rate

Perforating Rate

Babcock

1662

1936-1955

NA

NA

NA

25

Mittlepunkt

1000

1960-1964

67

43

NA

24

Lewis

1000

1963-1973

64

NA

20

21

Siberman

1013

1976-1978

NA

NA

15

19

Pieper

1018

1972-1976

49

22

32

20

Maxwell

844

1985-1987

77

24

13

18

Andersson

3029

1984-1989

49

21

31

16

Hale

4950

1992-1993

64

26

13

24

Hale DA, Molloy M, Pearl RH, Schutt DC, Jaques DP. Appendectomy: A contemporary appraisal. Ann Surg 1997; 225:3, 253-61.

 

 

Conclusion:

 

Although the Manila Doctors Hospital statistics on normal appendectomy and perforated appendicitis rates fall within the global ranges, the authors feel that the rates can still be improved. Future research should be done on how to improve the negative appendectomy and perforated appendicitis rates to achieve a better quality care for MDH patients with acute appendicitis.