Prehospital management and postoperative course of patients with acute appendicitis treated at the Jipijapa Basic Hospital in Ecuador

Authors

DOI:

https://doi.org/10.5281/zenodo.16664353

Keywords:

appendicitis, prehospital services, postoperative complications, descriptive epidemiology

Abstract

Acute appendicitis is a typical medical emergency, the prehospital management of which can vary significantly, impacting postoperative patient outcomes. The general objective of this study is to analyze the prehospital management and postoperative evolution in patients with acute appendicitis treated at this hospital. This analysis is based on an observational, retrospective, and descriptive methodology applied from May 2021 to May 2022. The study population includes all patients operated on for acute appendicitis at the hospital, and a sample of 219 patients who meet the established inclusion criteria was selected. The specific results of the study include a detailed characterization of the sociodemographic characteristics of patients with acute appendicitis, the establishment of the prehospital management practices currently applied, the determination of the evolution patterns and postoperative complications, and the identification of the relationship between sociodemographic characteristics and postoperative complications, delving into how distances, time and other sociodemographic conditions impact outcomes.

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References

Roemer, J. J., Hoekstra, T., Jager, K. J., Zoccali, C., Tripepi, G., Dekker, F. W., & van Diepen, M. (2021). Conducting correlation analysis: Important limitations and pitfalls. Clinical Kidney Journal, 14(11), 2332–2337. https://doi.org/10.1093/ckj/sfab085

Seow, H. Y., Wu, M. H. L., Mohan, M., Mamat, N. H., Kutzsche, H. E., & Pau, A. (2022). The effect of transactional analysis training on emotional intelligence in health professions students. BMC Medical Education, 22, 383. https://doi.org/10.1186/s12909-022-03455-y

Tom, C. M., Howell, E. C., Won, R. P., Friedlander, S., Sakai-Bizmark, R., de Virgilio, C., & Lee, S. L. (2019). Assessing outcomes and costs of appendectomies performed at rural hospitals. American Journal of Surgery, 217(6), 1102–1106. https://doi.org/10.1016/j.amjsurg.2018.10.038

Wong, C. H., Chang, H. C., Pasupathy, S., Khin, L. W., Tan, J. L., & Low, C. O. (2003). Necrotizing fasciitis: Clinical presentation, microbiology, and determinants of mortality. Journal of Bone and Joint Surgery. American Volume, 85(8), 1454–1460. https://pubmed.ncbi.nlm.nih.gov/12925624/

Roemer, J. J., Hoekstra, T., Jager, K. J., Zoccali, C., Tripepi, G., Dekker, F. W., & van Diepen, M. (2021). Conducting correlation analysis: Important limitations and pitfalls. Clinical Kidney Journal, 14(11), 2332–2337. https://doi.org/10.1093/ckj/sfab085

Seow, H. Y., Wu, M. H. L., Mohan, M., Mamat, N. H., Kutzsche, H. E., & Pau, A. (2022). The effect of transactional analysis training on emotional intelligence in health professions students. BMC Medical Education, 22, 383. https://doi.org/10.1186/s12909-022-03455-y

Tom, C. M., Howell, E. C., Won, R. P., Friedlander, S., Sakai-Bizmark, R., de Virgilio, C., & Lee, S. L. (2019). Assessing outcomes and costs of appendectomies performed at rural hospitals. American Journal of Surgery, 217(6), 1102–1106. https://doi.org/10.1016/j.amjsurg.2018.10.038

Wong, C. H., Chang, H. C., Pasupathy, S., Khin, L. W., Tan, J. L., & Low, C. O. (2003). Necrotizing fasciitis: Clinical presentation, microbiology, and determinants of mortality. Journal of Bone and Joint Surgery. American Volume, 85(8), 1454–1460. https://pubmed.ncbi.nlm.nih.gov/12925624/

Published

2025-07-31

Data Availability Statement

The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.

Issue

Section

Original articles

How to Cite

Escobar, E., Marín, A. L., Toledo, N., & Macías, C. S. (2025). Prehospital management and postoperative course of patients with acute appendicitis treated at the Jipijapa Basic Hospital in Ecuador. Journal of Advances in Education, Sciences and Humanities, 3(2), 1-8. https://doi.org/10.5281/zenodo.16664353

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