Publication: Prospective Observational Study on acute Appendicitis Worldwide (POSAW)
Issued Date
2018-04-16
Resource Type
ISSN
17497922
Other identifier(s)
2-s2.0-85045390535
Rights
Mahidol University
Rights Holder(s)
SCOPUS
Bibliographic Citation
World Journal of Emergency Surgery. Vol.13, No.1 (2018)
Suggested Citation
Massimo Sartelli, Gian L. Baiocchi, Salomone Di Saverio, Francesco Ferrara, Francesco M. Labricciosa, Luca Ansaloni, Federico Coccolini, Deepak Vijayan, Ashraf Abbas, Hariscine K. Abongwa, John Agboola, Adamu Ahmed, Lali Akhmeteli, Nezih Akkapulu, Seckin Akkucuk, Fatih Altintoprak, Aurelia L. Andreiev, Dimitrios Anyfantakis, Boiko Atanasov, Miklosh Bala, Dimitrios Balalis, Oussama Baraket, Giovanni Bellanova, Marcelo Beltran, Renato Bessa Melo, Roberto Bini, Konstantinos Bouliaris, Daniele Brunelli, Adrian Castillo, Marco Catani, Asri Che Jusoh, Alain Chichom-Mefire, Gianfranco Cocorullo, Raul Coimbra, Elif Colak, Silvia Costa, Koray Das, Samir Delibegovic, Zaza Demetrashvili, Isidoro Di Carlo, Nadezda Kiseleva, Tamer El Zalabany, Mario Faro, Margarida Ferreira, Gustavo P. Fraga, Mahir Gachabayov, Wagih M. Ghnnam, Teresa Giménez Maurel, Georgios Gkiokas, Carlos A. Gomes, Ewen Griffiths, Ali Guner, Sanjay Gupta, Andreas Hecker, Elcio S. Hirano, Adrien Hodonou, Martin Hutan, Orestis Ioannidis, Arda Isik, Georgy Ivakhov, Sumita Jain, Mantas Jokubauskas, Aleksandar Karamarkovic, Saila Kauhanen, Robin Kaushik, Alfie Kavalakat, Jakub Kenig, Vladimir Khokha, Desmond Khor, Dennis Kim, Jae I. Kim, Victor Kong, Konstantinos Lasithiotakis, Pedro Leão, Miguel Leon, Andrey Litvin, Varut Lohsiriwat, Eudaldo López-Tomassetti Fernandez, Eftychios Lostoridis, James Maciel, Piotr Major, Ana Dimova, Dimitrios Manatakis, Athanasio Marinis, Aleix Martinez-Perez, Sanjay Marwah, Michael McFarlane, Cristian Mesina, Michał Pȩdziwiatr, Nickos Michalopoulos, Evangelos Misiakos, Ali Mohamedahmed, Radu Moldovanu, Giulia Montori, Raghuveer Mysore Narayana, Ionut Negoi, Ioannis Nikolopoulos, Giuseppe Novelli, Viktors Novikovs, Iyiade Olaoye Prospective Observational Study on acute Appendicitis Worldwide (POSAW). World Journal of Emergency Surgery. Vol.13, No.1 (2018). doi:10.1186/s13017-018-0179-0 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/46753
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Title
Prospective Observational Study on acute Appendicitis Worldwide (POSAW)
Author(s)
Massimo Sartelli
Gian L. Baiocchi
Salomone Di Saverio
Francesco Ferrara
Francesco M. Labricciosa
Luca Ansaloni
Federico Coccolini
Deepak Vijayan
Ashraf Abbas
Hariscine K. Abongwa
John Agboola
Adamu Ahmed
Lali Akhmeteli
Nezih Akkapulu
Seckin Akkucuk
Fatih Altintoprak
Aurelia L. Andreiev
Dimitrios Anyfantakis
Boiko Atanasov
Miklosh Bala
Dimitrios Balalis
Oussama Baraket
Giovanni Bellanova
Marcelo Beltran
Renato Bessa Melo
Roberto Bini
Konstantinos Bouliaris
Daniele Brunelli
Adrian Castillo
Marco Catani
Asri Che Jusoh
Alain Chichom-Mefire
Gianfranco Cocorullo
Raul Coimbra
Elif Colak
Silvia Costa
Koray Das
Samir Delibegovic
Zaza Demetrashvili
Isidoro Di Carlo
Nadezda Kiseleva
Tamer El Zalabany
Mario Faro
Margarida Ferreira
Gustavo P. Fraga
Mahir Gachabayov
Wagih M. Ghnnam
Teresa Giménez Maurel
Georgios Gkiokas
Carlos A. Gomes
Ewen Griffiths
Ali Guner
Sanjay Gupta
Andreas Hecker
Elcio S. Hirano
Adrien Hodonou
Martin Hutan
Orestis Ioannidis
Arda Isik
Georgy Ivakhov
Sumita Jain
Mantas Jokubauskas
Aleksandar Karamarkovic
Saila Kauhanen
Robin Kaushik
Alfie Kavalakat
Jakub Kenig
Vladimir Khokha
Desmond Khor
Dennis Kim
Jae I. Kim
Victor Kong
Konstantinos Lasithiotakis
Pedro Leão
Miguel Leon
Andrey Litvin
Varut Lohsiriwat
Eudaldo López-Tomassetti Fernandez
Eftychios Lostoridis
James Maciel
Piotr Major
Ana Dimova
Dimitrios Manatakis
Athanasio Marinis
Aleix Martinez-Perez
Sanjay Marwah
Michael McFarlane
Cristian Mesina
Michał Pȩdziwiatr
Nickos Michalopoulos
Evangelos Misiakos
Ali Mohamedahmed
Radu Moldovanu
Giulia Montori
Raghuveer Mysore Narayana
Ionut Negoi
Ioannis Nikolopoulos
Giuseppe Novelli
Viktors Novikovs
Iyiade Olaoye
Gian L. Baiocchi
Salomone Di Saverio
Francesco Ferrara
Francesco M. Labricciosa
Luca Ansaloni
Federico Coccolini
Deepak Vijayan
Ashraf Abbas
Hariscine K. Abongwa
John Agboola
Adamu Ahmed
Lali Akhmeteli
Nezih Akkapulu
Seckin Akkucuk
Fatih Altintoprak
Aurelia L. Andreiev
Dimitrios Anyfantakis
Boiko Atanasov
Miklosh Bala
Dimitrios Balalis
Oussama Baraket
Giovanni Bellanova
Marcelo Beltran
Renato Bessa Melo
Roberto Bini
Konstantinos Bouliaris
Daniele Brunelli
Adrian Castillo
Marco Catani
Asri Che Jusoh
Alain Chichom-Mefire
Gianfranco Cocorullo
Raul Coimbra
Elif Colak
Silvia Costa
Koray Das
Samir Delibegovic
Zaza Demetrashvili
Isidoro Di Carlo
Nadezda Kiseleva
Tamer El Zalabany
Mario Faro
Margarida Ferreira
Gustavo P. Fraga
Mahir Gachabayov
Wagih M. Ghnnam
Teresa Giménez Maurel
Georgios Gkiokas
Carlos A. Gomes
Ewen Griffiths
Ali Guner
Sanjay Gupta
Andreas Hecker
Elcio S. Hirano
Adrien Hodonou
Martin Hutan
Orestis Ioannidis
Arda Isik
Georgy Ivakhov
Sumita Jain
Mantas Jokubauskas
Aleksandar Karamarkovic
Saila Kauhanen
Robin Kaushik
Alfie Kavalakat
Jakub Kenig
Vladimir Khokha
Desmond Khor
Dennis Kim
Jae I. Kim
Victor Kong
Konstantinos Lasithiotakis
Pedro Leão
Miguel Leon
Andrey Litvin
Varut Lohsiriwat
Eudaldo López-Tomassetti Fernandez
Eftychios Lostoridis
James Maciel
Piotr Major
Ana Dimova
Dimitrios Manatakis
Athanasio Marinis
Aleix Martinez-Perez
Sanjay Marwah
Michael McFarlane
Cristian Mesina
Michał Pȩdziwiatr
Nickos Michalopoulos
Evangelos Misiakos
Ali Mohamedahmed
Radu Moldovanu
Giulia Montori
Raghuveer Mysore Narayana
Ionut Negoi
Ioannis Nikolopoulos
Giuseppe Novelli
Viktors Novikovs
Iyiade Olaoye
Other Contributor(s)
Lietuvos sveikatos mokslų universitetas
Hospital de La Serena
Rīgas Austrumu klīniskā universitātes slimnīca
Bahrain Defence Force Royal Medical Services
Szpital Uniwersytecki w Krakowie
Erzincan Üniversitesi
Hamad General Hospital
University Hospital of the West Indies
The University of the West Indies
Athens General Hospital
Belgrade University School of Medicine
Ospedale Maggiore
Università degli Studi di Roma La Sapienza
Medical University of Plovdiv
Pt. B.D. Sharma PGIMS, Rohtak
Università Politecnica delle Marche
Aretaieion Hospital
University of California, San Diego
Universidade Estadual de Campinas
Azienda Ospedaliera San Carlo Borromeo
Sao Joao Hospital
Baskent Universitesi
Edendale Hospital
A.H.E.P.A. Hospital
University Hospital Birmingham NHS Foundation Trust
Centro Hospitalar de Vila Nova de Gaia
Turun Yliopistollinen Keskussairaala
Hospital Garcia de Orta
Karadeniz Teknik Üniversitesi
Hospital Miguel Servet
Complejo Hospitalario Universitario Insular Materno-Infantil
Sakarya Üniversitesi
Uniwersytet Jagielloński Collegium Medicum
Hospital Universitario Fundación Jiménez Díaz
Fundacao Universitaria do ABC, Faculdade de Medicina do ABC
Harbor-UCLA Medical Center
Ospedale M. Bufalini
Attikon University Hospital
Aristotle University of Thessaloniki
Università degli Studi di Brescia
Inje University
Larissa General Hospital
Mansoura University
Mustafa Kemal Üniversitesi
Università degli Studi di Parma, Facoltà di Medicina e Chirurgia
Faculty of Medicine, Siriraj Hospital, Mahidol University
Ahmadu Bello University
University of Ilorin
Los Angeles County USC Medical Center
Hospital Universitario Dr. Peset
Universitätsklinikum Gießen und Marburg, Standort Gießen
National Health Service
University of Zagreb School of Medicine
Azienda Sanitaria Ospedaliera Molinette San Giovanni Battista Di Torino
Government Medical College & Hospital, Chandigarh
SMS Medical College
Hadassah University Medical Centre
Hospital Habib Bouguefa de Bizerte
Landesklinikum Hainburg
Chud-Borgou/Alibori
General Hospital George Papanikoalou
Hospital de Braga
York NHS teaching Hospital Trust
St. Mary Clinic
K R Hospital Complex
City Hospital
Vladimir City Clinical Hospital of Emergency Medicine
Emergency Hospital of Bucharest
Maternity Hospital Therezinha de Jesus
Jubilee Mission Medical College and Research Institute
Agios Savvas Anticancer Hospital
University Clinical Center Tuzla
Kwara State Specialist Hospital
City Hospital #1
Primary Health Care Centre of Kissamos
Samsun Training and Research Hospital
Infermi Hospital
Adana Numune Training and Research Hospital
Regional Hospital
University Clinic
Città di Castello Hospital
Tzaneio State Hospital
Kipshidze Central University Hospital
Kuala Krai Hospital
Macerata Hospital
Regional Clinical Hospital
Emergency Hospital of Craiova
SS Annunziata Hospital
Kavala General Hospital
Azienda Ospedaliera Universitaria Policlinico Paolo Giaccone
Khartoum Teaching Hospital
Hospital de La Serena
Rīgas Austrumu klīniskā universitātes slimnīca
Bahrain Defence Force Royal Medical Services
Szpital Uniwersytecki w Krakowie
Erzincan Üniversitesi
Hamad General Hospital
University Hospital of the West Indies
The University of the West Indies
Athens General Hospital
Belgrade University School of Medicine
Ospedale Maggiore
Università degli Studi di Roma La Sapienza
Medical University of Plovdiv
Pt. B.D. Sharma PGIMS, Rohtak
Università Politecnica delle Marche
Aretaieion Hospital
University of California, San Diego
Universidade Estadual de Campinas
Azienda Ospedaliera San Carlo Borromeo
Sao Joao Hospital
Baskent Universitesi
Edendale Hospital
A.H.E.P.A. Hospital
University Hospital Birmingham NHS Foundation Trust
Centro Hospitalar de Vila Nova de Gaia
Turun Yliopistollinen Keskussairaala
Hospital Garcia de Orta
Karadeniz Teknik Üniversitesi
Hospital Miguel Servet
Complejo Hospitalario Universitario Insular Materno-Infantil
Sakarya Üniversitesi
Uniwersytet Jagielloński Collegium Medicum
Hospital Universitario Fundación Jiménez Díaz
Fundacao Universitaria do ABC, Faculdade de Medicina do ABC
Harbor-UCLA Medical Center
Ospedale M. Bufalini
Attikon University Hospital
Aristotle University of Thessaloniki
Università degli Studi di Brescia
Inje University
Larissa General Hospital
Mansoura University
Mustafa Kemal Üniversitesi
Università degli Studi di Parma, Facoltà di Medicina e Chirurgia
Faculty of Medicine, Siriraj Hospital, Mahidol University
Ahmadu Bello University
University of Ilorin
Los Angeles County USC Medical Center
Hospital Universitario Dr. Peset
Universitätsklinikum Gießen und Marburg, Standort Gießen
National Health Service
University of Zagreb School of Medicine
Azienda Sanitaria Ospedaliera Molinette San Giovanni Battista Di Torino
Government Medical College & Hospital, Chandigarh
SMS Medical College
Hadassah University Medical Centre
Hospital Habib Bouguefa de Bizerte
Landesklinikum Hainburg
Chud-Borgou/Alibori
General Hospital George Papanikoalou
Hospital de Braga
York NHS teaching Hospital Trust
St. Mary Clinic
K R Hospital Complex
City Hospital
Vladimir City Clinical Hospital of Emergency Medicine
Emergency Hospital of Bucharest
Maternity Hospital Therezinha de Jesus
Jubilee Mission Medical College and Research Institute
Agios Savvas Anticancer Hospital
University Clinical Center Tuzla
Kwara State Specialist Hospital
City Hospital #1
Primary Health Care Centre of Kissamos
Samsun Training and Research Hospital
Infermi Hospital
Adana Numune Training and Research Hospital
Regional Hospital
University Clinic
Città di Castello Hospital
Tzaneio State Hospital
Kipshidze Central University Hospital
Kuala Krai Hospital
Macerata Hospital
Regional Clinical Hospital
Emergency Hospital of Craiova
SS Annunziata Hospital
Kavala General Hospital
Azienda Ospedaliera Universitaria Policlinico Paolo Giaccone
Khartoum Teaching Hospital
Abstract
© 2018 The Author(s). Background: Acute appendicitis (AA) is the most common surgical disease, and appendectomy is the treatment of choice in the majority of cases. A correct diagnosis is key for decreasing the negative appendectomy rate. The management can become difficult in case of complicated appendicitis. The aim of this study is to describe the worldwide clinical and diagnostic work-up and management of AA in surgical departments. Methods: This prospective multicenter observational study was performed in 116 worldwide surgical departments from 44 countries over a 6-month period (April 1, 2016-September 30, 2016). All consecutive patients admitted to surgical departments with a clinical diagnosis of AA were included in the study. Results: A total of 4282 patients were enrolled in the POSAW study, 1928 (45%) women and 2354 (55%) men, with a median age of 29 years. Nine hundred and seven (21.2%) patients underwent an abdominal CT scan, 1856 (43.3%) patients an US, and 285 (6.7%) patients both CT scan and US. A total of 4097 (95.7%) patients underwent surgery; 1809 (42.2%) underwent open appendectomy and 2215 (51.7%) had laparoscopic appendectomy. One hundred eighty-five (4.3%) patients were managed conservatively. Major complications occurred in 199 patients (4.6%). The overall mortality rate was 0.28%. Conclusions: The results of the present study confirm the clinical value of imaging techniques and prognostic scores. Appendectomy remains the most effective treatment of acute appendicitis. Mortality rate is low.