Pre-hospital management and patient-related factors affecting access to the surgical care of appendicitis – a survey study

Long pre-hospital delay substantially increases the likelihood of perforated appendicitis. This study aimed to find patient-related factors affecting this delay. A survey was conducted for patients with acute appendicitis after appendectomy. The participants were asked about their path to the surgical center and socioeconomic status. Variables affecting delays and the rate of complicated appendicitis were analyzed. The study included 510 patients; 157 (31%) had complicated appendicitis with a median prehospital delay of 42 h. In patients with uncomplicated appendicitis, the delay was 21 h, p Advanced age, fever and failure to suspect acute appendicitis in primary care are associated with prolonged pre-hospital delay and complicated appendicitis.院前延误（pre-hospital delay）时长过长会显著提升穿孔性阑尾炎的发生风险。本研究旨在探寻影响该类延误的患者相关因素。本研究针对罹患急性阑尾炎且已接受阑尾切除术的患者开展了一项调查，要求参与者回答其前往手术中心的就医路径以及社会经济状况相关信息。本研究对影响院前延误的相关变量以及复杂性阑尾炎的发生率进行了分析。本研究共纳入510例患者，其中157例（31%）为复杂性阑尾炎，该组患者的院前延误时长中位数为42小时；在非复杂性阑尾炎患者中，院前延误时长为21小时，p。研究结果显示，高龄、发热以及初级保健阶段未能及时疑似诊断急性阑尾炎，均与院前延误时长延长以及复杂性阑尾炎的发生风险升高密切相关。