Trend analysis showed improvement in morbidity and LOS, (C-statistics 19.1, p < 0.001 and C-statistics 11.1, p < 0.001, respectively), increase in LA (C-statistics 69.3, p < 0.001) by 56%, and drop of the total number of appendectomies by 70%.Ĭonclusion: Compared nationally, LA performed at comparable rate with similar outcomes in veterans and is superior to OA. Laparoscopy had a protective effect on both morbidity (OR 0.4, p < 0.001), and mortality (OR 0.3, p < 0.001). A p 1 (OR 1.3, p < 0.001) and current smoking status (OR 1.2, p = 0.015) were independent predictors of morbidity, while chronic steroid use (OR 14.8, p < 0.001), preoperative sepsis (OR 4.9, p < 0.001), and age ≥ 65 (OR 4.5, p < 0.001) were independent factors of mortality.
Demographics, clinical/operative details, and outcomes of open (OA) and laparoscopic (LA) appendectomies were compared along with trend analysis over that period. Appendectomies performed for cancer, interval appendectomy, or as part of another major operation were excluded. Methods: Cases of appendectomy in the VASQIP database between 1999–2019 were identified.
This study examines the profile and outcome of appendectomy in veterans over two decades. Objective(s): Appendectomy remains the principal management for acute appendicitis with reported morbidity and mortality of 5.5–14.5% and 0.03–0.24%, respectively. Laurence T Lentz, MD 1 Awni Shahait, MD 1 Kara Girten, MSN, RN, CNOR 2 Khaled Saleh, MD, MPH 2 Donald Weaver, MD 1 Gamal Mostafa, MD 2 1Wayne State University College of Medicine 2John D. Appendectomy in US veterans: a two-decade study