气候变化领域集成服务门户(CCPortal): Clinical characteristics and application value of risk prediction models of acute appendicitis in rural Tibet: a retrospective study

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DOI	10.22605/RRH7709
	Clinical characteristics and application value of risk prediction models of acute appendicitis in rural Tibet: a retrospective study
	Dai, Zhiqiang; Liu, Jie; Chen, Ling
发表日期	2023
ISSN	1445-6354
卷号	23 期号:4
英文摘要	Introduction: Acute appendicitis is the most common general surgical emergency worldwide; however, its diagnosis remains challenging, particularly in rural or remote areas such as Tibet. This study aimed to investigate the clinical characteristics and applicability of the routine risk prediction models of acute appendicitis for rural Tibetan populations.Methods: Data of patients who underwent appendectomy at the Chaya People's Hospital between 1 April 2018 and 30 September 2021 were retrospectively collected. Multivariate logistic regression analysis was performed to identify risk factors associated with complicated appendicitis. The appendicitis risk prediction model scores for each patient were calculated by the binary logistic regression model based on the data. The index of union method was applied to identify the optimal cut-off value for the critical values of risk prediction models.Results: We included 127 patients with suspected acute appendicitis in the study, consisting of 96 surgically and 31 non-surgically treated. The diagnoses of 93 patients who underwent appendectomy included 55 (59.1%) cases of uncomplicated appendicitis. Patients with complicated appendicitis had a significantly longer postoperative hospital stay (11.0 (interquartile range 8.8-13.3) days v 8.0 (interquartile range 6.0-11.0) days; p<0.001) and higher hospital costs (US$2147.2 (interquartile range US$1625.1-2516.6) v US$1487.9 (interquartile range US$1202.6-1809.2); p<0.001) than those with uncomplicated appendicitis. Duration of illness onset >24 hours, age >30 years, and male sex were independent risk factors associated with complicated appendicitis. The appendicitis inflammatory response score showed the best performance among the prediction models. Incorporating imaging features in the prediction models may provide better diagnostic value for appendicitis.Conclusion: Acute appendicitis in the rural Tibetan population has unique clinical features. To reduce the incidence of complicated appendicitis, local health workers must balance religious beliefs and professional services for residents.
关键词	Alvarado score appendicitis appendicitis inflammatory response score risk prediction model Tibet
英文关键词	MANAGEMENT; TRENDS
WOS研究方向	Public, Environmental & Occupational Health
WOS记录号	WOS:001089381200001
来源期刊	RURAL AND REMOTE HEALTH
文献类型	期刊论文
条目标识符	http://gcip.llas.ac.cn/handle/2XKMVOVA/282760
作者单位	Fudan University; Fudan University
推荐引用方式 GB/T 7714	Dai, Zhiqiang,Liu, Jie,Chen, Ling. Clinical characteristics and application value of risk prediction models of acute appendicitis in rural Tibet: a retrospective study[J],2023,23(4).
APA	Dai, Zhiqiang,Liu, Jie,&Chen, Ling.(2023).Clinical characteristics and application value of risk prediction models of acute appendicitis in rural Tibet: a retrospective study.RURAL AND REMOTE HEALTH,23(4).
MLA	Dai, Zhiqiang,et al."Clinical characteristics and application value of risk prediction models of acute appendicitis in rural Tibet: a retrospective study".RURAL AND REMOTE HEALTH 23.4(2023).