Abstract

Aim

Although appendicitis is a disease of the young, it has been speculated that its incidence has increased among the elderly people. In this study, it was aimed to evaluate annual changes of appendicitis seen in older patients (≥60 years) throughout a 10-year period.

Methods

All adult patients who were surgically treated for acute appendicitis were retrospectively analyzed with respect to pathological analysis, gender, age and proportion of the patients aged 60 or over in an annual base. Variability in the mean age and proportion of the older patients aged 60 or over throughout the study years were regarded as the main outcomes.

Results

There were 3296 patients with a mean age of 30.42 ± 12 years. Distribution of gender was similar (p = 0.636). There was a significant positive correlation in the mean age of the patients throughout the study years (p = 0.043). Stratification by the age of 60 yielded a significant increase in percent of the older patients, from 0.93% at 2007 to 4.28% at 2016 (p = 0.019).

Conclusions

The mean age of the patients with acute appendicitis is going to increase. Therefore, it is expected that all surgeons are more likely to be confronted with elderly patients with appendicitis in the near-future.

中文翻译：

---

经病理证实的急性阑尾炎发病率增加是否更可能出现在老年患者中？回顾性队列研究

摘要

目标

虽然阑尾炎是一种年轻人的疾病，但据推测，它在老年人中的发病率有所增加。在这项研究中，旨在评估老年患者（≥60 岁）在 10 年期间阑尾炎的年度变化。

方法

回顾性分析所有接受急性阑尾炎手术治疗的成年患者的病理分析、性别、年龄和每年60岁及以上患者的比例。在整个研究期间，平均年龄和 60 岁或以上老年患者比例的变化被认为是主要结果。

结果

共有 3296 名患者，平均年龄为 30.42 ± 12 岁。性别分布相似（p  = 0.636）。在整个研究期间，患者的平均年龄呈显着正相关（p  = 0.043）。按 60 岁分层后，老年患者的百分比显着增加，从 2007 年的 0.93% 增加到 2016 年的 4.28%（p  = 0.019）。

结论

急性阑尾炎患者的平均年龄将增加。因此，预计在不久的将来，所有外科医生都更有可能面对老年阑尾炎患者。