ISSN 2149-5807 | E-ISSN 2149-6048
Original Article
Is there any association between the efficacy of imaging techniques and the age of the patient in the diagnosis of acute appendicitis?
1 Department of Emergency Medicine, Medeniyet University Göztepe Training and Research Hospital, İstanbul, Turkey  
2 Department of Emergency Medicine, Ufuk University School of Medicine, Dr. Rıdvan Ege Traning and Research Hospital Ankara, Turkey  
Eurasian J Emerg Med ; : -
DOI: 10.5152/eajem.2017.55265
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Key Words: Acute abdomen, computer tomography, ultrasonography
Abstract

Aim: In this study, we aimed to assess whether there is any difference between the time and effectiveness seen in the diagnostic stage of acute appendicitis when an appropriate imaging method is selected for the patients in different age groups.


Material and Methods: During the 6-month period between 01.10.2015 and 01.04.2016, we retrospectively reviewed the files of patients who visited our emergency clinic, which is a third step emergency department of a university hospital, and who then underwent operations at our hospital. Patients were evaluated according to their age: Group 1, 40 years and younger; Group 2, 40–60 years; Group 3, 60 years and older.


Results: In this study, 97 patients (59.1%) were male; 67 patients (40.9%) were female. Their ages ranged from 19 to 86 years (mean age 36.7 ± 14.7 years). The percentage of patients who underwent ultrasonography (US) only was 52.3% in the first age group, 39.5% in the second age group, and 0.0% in the third age group (p <0.0001). The rates of patients who underwent only computerized tomography (CT) were 15.3% in the first age group, 28.9% in the second age group, and 60% in the third age group (p <0.0001). There was a statistically significant difference between the sensitivities of CT and US by age group (p <0.001).


Conclusion: We believe that US should be the first method to be preferred in young and uncomplicated cases, and that CT should be preferred in elderly patients with atypical presentations.

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