From: Therapeutic strategy for acute appendicitis based on laparoscopic surgery
Factors | Patients | Converting open laparotomy | Univariable analysis | Multivariable analysis | ||||
---|---|---|---|---|---|---|---|---|
Odds ratio (95% CI) | P value | Odds ratio (95% CI) | P value | |||||
Preoperative status | Age | ≥ 54 year | 20 | 5 (25.0%) | 4.55 (0.97–21.44) | 0.050 | ||
Sex | Male | 37 | 7 (18.9%) | 6.07 (0.70–52.61) | 0.102 | |||
BMI | ≥ 25 kg/m2 | 9 | 2 (22.2%) | 2.19 (0.37–13.08) | 0.389 | |||
Underlying diseases | with | 22 | 2 (9.1%) | 0.6 (0.11–3.26) | 0.554 | |||
Past history of abdominal surgery | with | 4 | 1 (25%) | 2.52 (0.23–27.72) | 0.449 | |||
Body temperature | ≥ 37.5 ℃ | 33 | 4 (12.1%) | 0.90 (0.20–3.95) | 0.885 | |||
Peritonitis on physical examination, n (%) | with | 37 | 2 (5.4%) | 0.20 (0.04–1.08) | 0.062 | |||
Days from onset to surgery | ≥ 6 days | 19 | 7 (36.8%) | 25.67 (2.87–229.42) | 0.004 | 11.80 (1.25–111.33) | 0.010 | |
preoperative data | Albumin | < 4.0 mg/dL | 14 | 4 (28.6%) | 4.6 (0.98–21.57) | 0.053 | ||
CRP | ≥ 4.5 mg/dL | 40 | 8 (20.0%%) | N.A | 0.004 | N.A | 0.191 | |
WBC | ≥ 11,000 /μL | 51 | 5 (9.8%) | 0.36 (0.07–1.77) | 0.226 | |||
Hb | ≥ 15.9 mg/dL | 12 | 4 (33.3%) | 6 (1.24–28.99) | 0.294 | |||
Neutrophils | ≥ 9100 /μL | 45 | 5 (11.1%) | 0.40 (0.08–1.86) | 0.246 | |||
Platelet | ≥ 27.8 104/μL | 16 | 3 (18.8%) | 1.98 (0.42–9.44) | 0.401 | |||
preoperative CT findings | Appendix diameter | ≥ 14 mm | 25 | 5 (20.0%) | 2.83 (0.61–13.14) | 0.18 | ||
Fecalith | with | 39 | 2 (5.1%) | 0.17 (0.03–0.93) | 0.027 | 0.33 (0.05–2.18) | 0.234 | |
Ascites | with | 24 | 5 (20.8%) | 3.25 (0.70–15.05) | 0.125 | |||
Abscess | with | 27 | 5 (18.5%) | 2.58 (0.52–1.88) | 0.216 | |||
ileus | with | 28 | 3 (10.7%) | 0.74 (0.16–34.19) | 0.702 |