Özet:

Aim: To determine the factors affecting morbidity in acute appendicitis (AA) and to compare the results with previously published findings. Method: After ethics committee approval, patients who underwent appendectomy in Iğdır State Hospital between January 2019 and July 2020 were retrospectively reviewed. Preoperative, intraoperative and postoperative data were collected and differences in morbidity were statistically evaluated. Factors associated with morbidity were investigated using logistic regression methodology. Results: One hundred and fifty-eight patients were operated for AA, of whom 98 (62%) were male. The mean ± standard deviation age was 32.5±13.4 years, with a range of 18-93 years. The overall morbidity rate was 20.2% with no mortality. Preoperative fever [odds ratio (OR): 3,000 95% confidence interval (CI): 1,344-6,697; p=0.007)], late hospital admission (OR: 1,108, 95% CI: 1,026-1,196; p=0.009), preoperative diagnosis (OR: 4,130, 95% CI: 1,372-12,376; p=0.012), postoperative antibiotic type (OR: 4,387, 95% CI: 1,836-10,483; p<0.001), and length of stay (OR: 1,546, 95% CI: 1,280-1,866; p<0.001) affected morbidity. The rate of morbidity was significantly higher in the single antibiotic group compared to the combined antibiotic group (43.3% vs 14.8%; p<0.001). Patients suffering morbidity had significantly longer hospital stay (5.78 vs 3.3 days; p<0.001). Conclusion: Preoperative fever, late hospital admission, complicated appendicitis, single antibiotic use and prolonged hospital stay increased morbidity. We recommend the use of combined antibiotics in the treatment of AA patients and discharge of patients as early as possible.

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