eTable 5. Appendectomy case numbers, mortality, and morbidity, stratified by severity of appendicitis (uncomplicated or complicated).
2010 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | |||||||||||
n | % | n | % | n | % | n | % | n | % | n | % | n | % | n | % | |||
Total number of patients | 113 614 | 100.0 | 113 975 | 100.0 | 111 957 | 100.0 | 108 437 | 100.0 | 107 322 | 100.0 | 104 922 | 100.0 | 102 997 | 100.0 | 102 464 | 100.0 | ||
Hospital size | ≤ 20 000 cases per year |
Uncomplicated appendicitis | 62 791 | 83.0 | 60 583 | 82.6 | 56 367 | 82.5 | 52 161 | 81.9 | 49 421 | 81.7 | 45 547 | 80.6 | 42 771 | 80.1 | 41 943 | 79.6 |
Complicated appendicitis | 12 839 | 17.0 | 12 735 | 17.4 | 11 988 | 17.5 | 11 551 | 18.1 | 11 095 | 18.3 | 10 988 | 19.4 | 10 655 | 19.9 | 10 744 | 20.4 | ||
> 20 000 cases per year |
Uncomplicated appendicitis | 30 344 | 79.9 | 32 328 | 79.5 | 34 457 | 79.0 | 35 413 | 79.2 | 37 138 | 79.3 | 37 815 | 78.2 | 38 369 | 77.4 | 37 963 | 76.3 | |
Complicated appendicitis | 7640 | 20.1 | 8329 | 20.5 | 9145 | 21.0 | 9312 | 20.8 | 9668 | 20.7 | 10 572 | 21.8 | 11 202 | 22.6 | 11 814 | 23.7 | ||
Age (years) | < 15 | Uncomplicated appendicitis | 19 190 | 86.2 | 18 379 | 85.7 | 17 067 | 85.4 | 15 418 | 84.5 | 14 184 | 84.0 | 13 188 | 83.0 | 12 328 | 81.4 | 12 065 | 80.7 |
Complicated appendicitis | 3083 | 13.8 | 3072 | 14.3 | 2924 | 14.6 | 2838 | 15.5 | 2709 | 16.0 | 2703 | 17.0 | 2811 | 18.6 | 2879 | 19.3 | ||
15–35 | Uncomplicated appendicitis | 48 561 | 91.3 | 48 791 | 91.1 | 48 325 | 90.9 | 47 634 | 90.9 | 47 283 | 91.0 | 45 205 | 90.1 | 43 809 | 90.0 | 42 227 | 89.2 | |
Complicated appendicitis | 4604 | 8.7 | 4746 | 8.9 | 4846 | 9.1 | 4778 | 9.1 | 4684 | 9.0 | 4946 | 9.9 | 4883 | 10.0 | 5104 | 10.8 | ||
> 35 | Uncomplicated appendicitis | 25 384 | 66.0 | 25 741 | 66.0 | 25 432 | 65.6 | 24 522 | 64.9 | 25 092 | 65.2 | 24 969 | 64.2 | 25 003 | 63.8 | 25 614 | 63.7 | |
Complicated appendicitis | 12 792 | 34.0 | 13 246 | 34.0 | 13 363 | 34.4 | 13 247 | 35.1 | 13 370 | 34.8 | 13 911 | 35.8 | 14 163 | 36.2 | 14 575 | 36.3 | ||
Mortality*1 | In-hospital mortality | Uncomplicated appendicitis | 57 | 0.06 | 38 | 0.04 | 47 | 0.05 | 28 | 0.03 | 29 | 0.03 | 21 | 0.03 | 27 | 0.03 | 23 | 0.03 |
Complicated appendicitis | 127 | 0.62 | 136 | 0.65 | 91 | 0.43 | 111 | 0.53 | 105 | 0.51 | 91 | 0.42 | 87 | 0.40 | 95 | 0.42 | ||
Complicated course*2 | At least one indicator of complicated course | Uncomplicated appendicitis | 643 | 0.7 | 569 | 0.6 | 515 | 0.6 | 492 | 0.6 | 524 | 0.6 | 478 | 0.6 | 510 | 0.6 | 501 | 0.6 |
Complicated appendicitis | 1897 | 9.3 | 1927 | 9.2 | 1917 | 9.1 | 1854 | 8.9 | 1988 | 9.6 | 2023 | 9.4 | 2011 | 9.2 | 2001 | 8.9 |
*1 The percentages given indicate the proportion of the total quantity
*2 The percentages given indicate the proportion of the subset of uncomplicated (complicated) appendicitis per year