Table 1 Clinical and laboratory characteristics
From: Outcomes of acute appendicitis in patients younger than age 4: a descriptive study
n (%) | |
|---|---|
Age in months, p50 (p25–p75) | 36 (28–43) |
Time to consultation (days), p50 (p25–p75) | 2 (1–3) |
Symptoms | |
Parent referred abdominal pain | 67 (89) |
Fever | 59 (79) |
Emesis | 59 (79) |
Hyporexia | 42 (56) |
Diarrhea | 27 (36) |
Irritability | 24 (32) |
Respiratory symptoms | 5 (7) |
Dysuria | 5 (7) |
Physical examination | |
Pain on abdominal palpation (location) | 74 (99) |
Right iliac fossa | 49 (66) |
Lower hemiabdomen | 13 (18) |
General | 11 (15) |
Left iliac fossa | 1 (1) |
Peritoneal irritationa | 56 (75) |
General | 14 (19) |
Local | 42 (56) |
Dehydration (DHT)a | 47 (63) |
DHT grade I | 16 (34)a |
DHT grade II | 30 (64)a |
DHT grade III | 1 (2)a |
Respiratory distress | 2 (3) |
Sepsis on admission to emergency | 70 (93) |
Laboratories | |
Blood count, (%) | 69 (92) |
Leukocytes (cells/mm3) (average ± SD) | 16.685 ± 6.201 |
Neutrophils (cell/mm3) | 12.975 ± 5.433 |
Lymphocytes (cell/mm3) | 2.706 ± 1.855 |
Monocyte (cell/mm3) | 1.127 ± 809 |
Hemoglobin (g/dL) | 12.5 g/dL ± 1.5 |
Hematocrit (%) | 36.0 ± 8.1 |
Platelets | 345.574 ± 104.854 |
C-reactive protein (CRP) | 31 (38.8) |
CRP values (mg/dL), p50 (p25; p75) | 1.2 (0.25; 3) |
Urinalysis and urine gram | 52 (69) |
Contaminated | 8 (15) |
No suggestion of UTIb | 44 (84) |
Treatment | |
Intravenous fluid resuscitation | 25 (33) |
Blood transfusion | 3 (4) |
Antibiotic therapy | 75 (100.0) |
Initiation of antibiotics at first evaluation | 19 (23.7) |
Delayed antibiotic starting time (hours), p50 (p25; p75) | 11 (8; 18) |
Type of antibiotic | |
Ampicillin-sulbactam | 32 (43) |
Metronidazole + amikacin | 28 (37) |
Clindamycin + amikacin | 11 (15) |
Piperacillin tazobactam | 4 (5) |
Days of antibiotics, × (± SD) | 6 (± 3) |
Outcomes | 27 (33.7) |
Days of hospitalization, × (± SD) | 7 (± 4) |
Admission to ICU | 27 (36) |
Death | 0 (0, 0) |
Returning to the hospital | 10 (13) |