Matches in SemOpenAlex for { <https://semopenalex.org/work/W160559566> ?p ?o ?g. }
Showing items 1 to 65 of
65
with 100 items per page.
- W160559566 endingPage "4" @default.
- W160559566 startingPage "320" @default.
- W160559566 abstract "The morbidity rate from perforation demands that appendicitis be diagnosed promptly in children with abdominal pain. Although admitting and observing uncertain instances of appendicitis can refine the diagnostic accuracy, it is often claimed, but not proved, that this necessitates increasing the number of perforations. To assess the risk of perforation while observing uncertain instances of childhood appendicitis, we admitted 150 consecutive referrals during a period of one and one-half years. Immediate appendectomy was performed for 74 patients (49 percent) with convincing clinical signs and symptoms for appendicitis. The remaining 76 (51 percent) with unconvincing clinical signs and symptoms were observed as inpatients. One-third of the patients admitted for observation (26 of 76) underwent appendectomy after an average period of 12 hours. Two-thirds (50 of 76) of the patients got better and were discharged from the hospital without an appendectomy after an average admission of two days. Seven of the 100 appendices removed were normal. Three of the observed patients had perforations, one of whom may have perforated during observation, but that child went on to do well. The 50 patients who got well without appendectomy were similar to the patients with appendicitis, but significantly less likely to have peritoneal signs (8 versus 70 percent), tenderness in the right lower quadrant (48 versus 81 percent) and guarding (19 versus 75 percent). We conclude that admission and active observation in the hospital of children with possible, but unconvincing, signs and symptoms of appendicitis is a safe and effective way to determine which patients need an operation." @default.
- W160559566 created "2016-06-24" @default.
- W160559566 creator A5016053541 @default.
- W160559566 creator A5078765564 @default.
- W160559566 creator A5086932223 @default.
- W160559566 date "1992-10-01" @default.
- W160559566 modified "2023-09-23" @default.
- W160559566 title "The risk of perforation when children with possible appendicitis are observed in the hospital." @default.
- W160559566 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/1411888" @default.
- W160559566 hasPublicationYear "1992" @default.
- W160559566 type Work @default.
- W160559566 sameAs 160559566 @default.
- W160559566 citedByCount "13" @default.
- W160559566 countsByYear W1605595662016 @default.
- W160559566 crossrefType "journal-article" @default.
- W160559566 hasAuthorship W160559566A5016053541 @default.
- W160559566 hasAuthorship W160559566A5078765564 @default.
- W160559566 hasAuthorship W160559566A5086932223 @default.
- W160559566 hasConcept C141071460 @default.
- W160559566 hasConcept C151730666 @default.
- W160559566 hasConcept C191897082 @default.
- W160559566 hasConcept C192562407 @default.
- W160559566 hasConcept C2776364125 @default.
- W160559566 hasConcept C2778456384 @default.
- W160559566 hasConcept C2778527123 @default.
- W160559566 hasConcept C2780016130 @default.
- W160559566 hasConcept C2780955771 @default.
- W160559566 hasConcept C3018875020 @default.
- W160559566 hasConcept C61434518 @default.
- W160559566 hasConcept C71924100 @default.
- W160559566 hasConcept C86803240 @default.
- W160559566 hasConceptScore W160559566C141071460 @default.
- W160559566 hasConceptScore W160559566C151730666 @default.
- W160559566 hasConceptScore W160559566C191897082 @default.
- W160559566 hasConceptScore W160559566C192562407 @default.
- W160559566 hasConceptScore W160559566C2776364125 @default.
- W160559566 hasConceptScore W160559566C2778456384 @default.
- W160559566 hasConceptScore W160559566C2778527123 @default.
- W160559566 hasConceptScore W160559566C2780016130 @default.
- W160559566 hasConceptScore W160559566C2780955771 @default.
- W160559566 hasConceptScore W160559566C3018875020 @default.
- W160559566 hasConceptScore W160559566C61434518 @default.
- W160559566 hasConceptScore W160559566C71924100 @default.
- W160559566 hasConceptScore W160559566C86803240 @default.
- W160559566 hasIssue "4" @default.
- W160559566 hasLocation W1605595661 @default.
- W160559566 hasOpenAccess W160559566 @default.
- W160559566 hasPrimaryLocation W1605595661 @default.
- W160559566 hasRelatedWork W2046571285 @default.
- W160559566 hasRelatedWork W2077577616 @default.
- W160559566 hasRelatedWork W2327896043 @default.
- W160559566 hasRelatedWork W2407921299 @default.
- W160559566 hasRelatedWork W2412594759 @default.
- W160559566 hasRelatedWork W2427852926 @default.
- W160559566 hasRelatedWork W2438868989 @default.
- W160559566 hasRelatedWork W2808196610 @default.
- W160559566 hasRelatedWork W3133791119 @default.
- W160559566 hasRelatedWork W648601548 @default.
- W160559566 hasVolume "175" @default.
- W160559566 isParatext "false" @default.
- W160559566 isRetracted "false" @default.
- W160559566 magId "160559566" @default.
- W160559566 workType "article" @default.