Research Article

Factors Associated with Perforated Appendicitis in Elderly Patients in a Tertiary Care Hospital

Table 2

Comparison of clinical presentation in the two groups.

Clinical presentation Perforated appendicitis
() (%)
Acute appendicitis
() (%)
value

Nausea and/or vomiting67 (65)60 (58.3)0.316
Anorexia65 (63.1)50 (48.5)0.035
Migratory pain60 (58.3)58 (56.3)0.778
Fever > 38°C44 (42.7)26 (25.2)0.008
RLQ tenderness102 (99)103 (100)1.000
Rebound tenderness91 (88.3)83 (80.6)0.124
WBC > 10 × 109 cell/L87 (84.5)89 (86.4)0.693
Neutrophil > 75%74 (71.8)83 (80.6)0.141
Alvarado score (mean ± SD)7.58 ± 1.497.29 ± 1.360.199
Imaging study31 (48.4)33 (51.6)0.763
Computerized tomography22 (21.4)22 (21.4)1.000
 Acute appendicitis4 (18.2)21 (95.5)<0.001
 Ruptured appendicitis18 (81.8)1 (4.5)
Ultrasonography11 (10.7)12 (11.7)0.825
 Acute appendicitis6 (54.5)12 (100.0)0.024
 Ruptured appendicitis5 (45.5)0 (0.0)
Time to imaging (mean ± SD)8.53 ± 3.575.33 ± 2.33<0.001

: value < 0.05 is statistically significant.