Table 3.
Effects of delaying appendectomy on incidence of postoperative complications
|
Ref.
|
Publishing year
|
Age (yr)
|
Patients (n)
|
Delay
|
Conclusion
|
| Aiken et al[23] | 2020 | ≥ 18 | 1372 | In-hospital | No differences between delayed cases and nondelayed cases for POCs |
| Almström et al[26] | 2017 | < 15 | 2756 | In-hospital | Timing of surgery was not an independent risk factor for POCs |
| van Dijk et al[30] | 2018 | Unrestricted | 20668 | In-hospital | Delaying appendicectomy for presumed uncomplicated appendicitis for up to 24 h after admission does not appear to be a risk factor for postoperative SSI |
| Kim et al[35] | 2018 | Unrestricted | 397 | In-hospital | The time from CT to operation has no effect on the results of appendicitis |
| Boomer et al[36] | 2016 | < 18 | 1338 | In-hospital | A 16-h delay from ED presentation or a 12-h delay from hospital admission to appendectomy was not associated with an increased risk for SSI |
| Fair et al[37] | 2015 | Unrestricted | 69926 | In-hospital | There was a 2-fold increase in complication rate for patients delayed longer than 48 h |
| Lee et al[84] | 2012 | < 18 | 683016 | In-hospital | In-hospital delay beyond 2 d is associated with significant negative outcomes with regard to complications |
| Teixeira et al[85] | 2012 | Unrestricted | 4108 | In-hospital | Appendectomy delay was associated with a significantly increased risk of SSI in patients with nonperforated appendicitis |
The table is not an exhaustive list and the scope has been restricted to references that are discussed in the main text. CT: Computed tomography; ED: Emergency department; POCs: Postoperative complications; SSI: Surgical-site infection.