ACUTE APPENDICITIS: EPIDEMIOLOGICAL TRENDS AND SEASONAL VARIATION IN SUBSET OF SOUTH WESTERN PART OF INDIA

Dr Thokchom Bishwajit Singh, Dr Raj Ratan

Abstract


Acute Appendicitis is the most common acute surgical condition of the abdomen. Many studies have observed variations in incidence as per age
group, sex and seasons. To describe and find possible differences in the incidences in different age group, gender and seasonal variations of acute
appendicitis south western part of India, we carried out a retrospective observational study of all patients with acute appendicitis admitted to
Command Hospital Pune.
Material & Methods: By using hospital discharge summary of patients who were admitted with the diagnosis of acute appendicitis from 01 Jan
2016 to 31 Dec 2017, we studied demographic features particularly date of admission, age, sex final diagnosis and histopathological reports of
these patients. All those patients with negative appendectomy were excluded from this study.
Results: During the observation period from Jan 2016 to 31 Dec 2017, 191 admitted with the diagnosis of acute appendicitis. Of these, 144 were
male and 47 were female. The age specific incidence of cute appendicitis has similar pattern in males and female. The incidence was highest in age
group 20-29 years in both genders. The youngest case recorded was 6 years of age and oldest 85 years of age. Significant seasonal effect was
observed and the occurrence was peak in pre-monsoon season and rainy season with minimal incidence in winter.
Conclusion: Acute appendicitis could occur in wide range of age with peak incidence in 20 to 40 years. The occurrence was peak in pre-monsoon
& Monsoon season.


Keywords


Acute Appendicitis, Appendectomy, Seasons (winter, Pre-monsoon, Monsoon & Post Monsoon), Www.worldweatheronline.com, Indian Mateorological Department (imd)

Full Text:

PDF

References


Liu CD, McFadden DW. Acute abdomen and appendix. In: Greenfield LJ, Mulholland MW, Zelenock GB, Oldham KT, Lillemoe KD, editors. Surgery: scientific principles and practice. 3rd ed. Philadelphia: Lippincott-Raven; 1997. p. 1246e61.

Blomqvist P, Ljung H, Nyren O, Ekbom A. Appendectomy in Sweden 1989e1993 assessed by the inpatient registry. J ClinEpidemiol 1998;51(10):859e65.

Al-Omran M, Mamdani MM, Mcleod RS. Epidemiologic features of acute appendicitis in Ontario, Canada. Can J Surg 2003;46(4):263e8.

Addis DG, Shaffer N, Fowler BS, Tauxe RV. The epidemiology of acute appendicitis and appendicectomy in the United States. Am J Epidemiol 1990;132:910-25.

Luckmann R, Davis P. The epidemiology of acute appendicitis in California: Racial, gender, and seasonal variation. Epidemiology 1991;2:323-30.

Wolkomir A, Kornak P, Elsakr M, McGovern P. Seasonal variation of acute appendicitis: A 56-year study. South Med J 1987;80:958-60.

Freud E, Pilpel D, Mares AJ. Acute appendicitis in childhood in the Negev region: Some epidemiological observations over an 11-year period (1973-1983). J PediatrGastroenterolNutr 1988;7:680-4.

Walker AR, Segal I. Appendicitis: an African perspective. J R Soc Med 1995;88:616-9.

Oldmeadow C, Wood I, Mengerson K, Visscher PM, Martin NG, Duffy DL. Investigation of the relationship between smoking and appendicitis in Australian twins. Ann Epidemiol 2008;18:631-6.

Alves JG, Figueiroa JN, Barros I. Does breast feedingprovide protection against acute appendicitis? A casecontrol study. Trop Doct 2008;38:235-6.

Martin DL, Gustafson TL. A cluster of true appendicitis cases. Am J Surg 1985;150:554-7.

Burkitt DP. The aetiology of appendicitis. Br J Surg 1971;58:695

Ashley DJ. Observations on the epidemiology of appendicitis. Gut 1967;8:533-8.

Noudeh YJ, Sadigh N, Ahmadnia AY. Epidemiologic features, seasonal variations and false positive rate of acute appendicitis in Shahr-e-Rey, Tehran. Int J Surg 2007:5:95-8.

Katzan M. Some observations in acute abdomen in children. S Afr Med J 1966;40:566-9.

Kwaasi AA, Tipirnemi P, Harfi H, Parhar RS, Alsedairy ST. Date palm (Phoenixdactylifera L) is a potent allergen. Ann Allergy 1992;68:78.

Khaeval AA, Birkenfeldt RR. Nature of the relation of acute appendicitis morbidity to meterological and heliogeophysical factors. VestnKhirIm I IGrek 1978;120:67-70.

Barker DJ, Morris J. Acute appendicitis, bathroom and diet in Britain and Iceland. BMJ 1988;296:953-5.

Badmos KB, Komolafe AO, Rotimi O. Schistosomiasis presenting as acute appendicitis. East Afr Med J 2006;83:528-32.

Adebamowo CA, Akang EE, Ladipo JK, AjaoOG.Schistosomiasis of the appendix. Br J Surg 1991;78:1219-21.

Jones BA, Demetriades D, Segal I, Burkitt DP. The prevalence of appendicealfecaliths in patients with and without appendicitis. A comparative study from Canada and South Africa. Ann Surg1985; 202: 80-82 [PMID: 2990360 DOI: 10.10 97/00000658-198507000-00013]

Adamidis D, Roma-Giannikou E, Karamolegou K, Tselalidou E, Constantopoulos A. Fiber intake and childhood appendicitis. Int J Food SciNutr2000; 51: 153-157 [PMID: 10945110 DOI:10.1080/09637480050029647]

Fitz RH. Perforating inflammation of the vermiform appendix with special reference to its early diagnosis and treatment. Am J Med Sci1886; 92: 321-346 [DOI: 10.1056/ NEJM193508082130601]

Oguntola A S, Adeoti M L, Oyemolade T A Appendicitis: Trends in incidence, age, sex, and seasonal variations in south-Western Nigeria. Ann Afr Med 2010;9;213-7


Refbacks

  • There are currently no refbacks.