Nationwide study of appendicitis in children.

ABSTRACT:

Background

Paediatric surgical care is increasingly being centralized away from low-volume centres, and prehospital delay is considered a risk factor for more complicated appendicitis. The aim of this study was to determine the incidence of paediatric appendicitis in Sweden, and to assess whether distance to the hospital was a risk factor for complicated disease.

Methods

A nationwide cohort study of all paediatric appendicitis cases in Sweden, 2001-2014, was undertaken, including incidence of disease in different population strata, with trends over time. The risk of complicated disease was determined by regression methods, with travel time as the primary exposure and individual-level socioeconomic determinants as independent variables.

Results

Some 38 939 children wit

SUBMITTER: Omling E 

PROVIDER: S-EPMC6852580 | biostudies-literature | 2019 Nov

REPOSITORIES: biostudies-literature