|
Медико-биологический
информационный портал
|
 |
для специалистов |
|
|
|
Vol. 26, Art. 15 (pp. 393-406) | 2025
Statistics of acute appendicitis in St. Petersburg: 20 years of observation
Barsukova I.M.1,2, Dubykaitis P.A.1, Bumay A.O.1,3
1St. Petersburg Research Institute of Ambulance named after I.I. Janelidze, St. Petersburg, Russia 2The First St. Petersburg State Medical University named after Academician I.P. Pavlova, St. Petersburg, Russia 3 The Saint Petersburg State University, Saint Petersburg, Russia
Brief summary
Emergency abdominal surgical pathology occupies a leading position in the structure of hospital mortality, and acute appendicitis is one of the most common urgent abdominal diseases worldwide that require surgical intervention. Objective. The aim: to study the dynamics of the performance indicators of medical organizations in St. Petersburg in providing medical care to patients with acute appendicitis for 2005-2024. Materials and Methods. The data of monitoring the state of acute surgical pathology of abdominal organs were used in accordance with the Order of the Health Committee of St. Petersburg dated 31.07.2009 No. 477-r "On the control of emergency hospitalization in state health care institutions of St. Petersburg", conducted by the St. Petersburg Research Institute of Emergency Care named after I.I. Dzhanelidze, 2005-2024. Statistical and analytical methods were used. Results. The 20-year observation period recorded an almost stable annual number of patients with acute appendicitis in St. Petersburg (about 5 thousand people) with an operational activity of 99.5±0.3%. At the same time, a high proportion of this pathology in the structure of acute surgical pathology of the abdominal organs was noted (29.1±5.2%) with a pronounced stable tendency to increase to 36.5% in 2024. Analysis of the timing of patient hospitalization revealed negative facts of late hospitalization: 61.8% - on the first day and 38.2% - later than 24 hours. By the timing of surgical treatment: 69.8±3.9% - in the first 6 hours from the moment of hospitalization; the remaining 30.2% required dynamic observation, differential diagnostics. The average postoperative mortality rate was 0.12±0.06%, with a decrease of 0.1% over the observation period from 0.2% in 2005 to 0.1% in 2024. Conclusions. Acute appendicitis accounts for a significant (more than a third) share of acute surgical pathology of the abdominal organs. Late hospitalization is one of the main causes of unfavorable outcomes. The availability and quality of medical care are the main principles of health protection in the Russian Federation. They should be ensured, among other things, by health education work among the population, improvement of the organization of primary health care and emergency medical care, which will facilitate timely diagnosis of this pathology, preserving the health of the country's population. Key words acute appendicitis, acute abdomen, acute surgical pathology of abdominal organs, St. Petersburg Institute of Emergency Care, I.I. Dzhanelidze. (The article in PDF format. For preview need Adobe Acrobat Reader)  Open article in new window
Reference list 1. Totikov Z. V., Totikov V. Z., Alikova Z. R. i dr. Analiz okazaniya ekstrennoi hiryrgicheskoi pomoshi v RSO-Alaniya za 2021-2023 gg. Siberian Journal of Life Sciences and Agriculture. 2024;16(6):405-422. doi 10.12731/2658-6649-2024-16-6-1006. 2. Kozlov U. A., Rojanskii A. P., Makarochkina M. V. i dr. Robot-assistirovannaya appendektomiya y rebenka - demonstraciya klinicheskogo nabludeniya. Detskaya hiryrgiya. 2025;29(1):33-40. doi 10.17816/ps844. 3. Byrnevich S. Z., Maslenko N. S. Ocenka effektivnosti ekspertnoi sistemi prinyatiya vrachebnih reshenii v diagnostike ostrogo appendicita. Vestnik Rossiiskogo yniversiteta dryjbi narodov. Seriya: Medicina. 2023;27(2):228-245. doi 10.22363/2313-0245-2023-27-2-228-245. 4. Otdelnov L. A., Mastukova A. M. Trydnie slychai differencialnoi diagnostiki ostrogo appendicita. Issledovaniya i praktika v medicine. 2021;8(3):133-139. DOI 10.17709/2410-1893-2021-8-3-12. 5. Tyrbin M. V., Cherkasov M. F., Bondarenko V. A. i dr. Rol diagnosticheskoi laparoskopii y pacientov s ostroi hiryrgicheskoi patologiei. Endoskopicheskaya hiryrgiya. 2022;28(6):37-44. doi 10.17116/endoskop20222806137. 6. Timerbylatov Sh. V., Sagitov R. B., Timerbylatov M. V. i dr. Nekotorie voprosi ytochnennoi diagnostiki i vibora metoda lecheniya pri oslojnennom ostrom appendicite za poslednie godi. Novosti hiryrgii. 2023;31(4):288-300. doi 10.18484/2305-0047.2023.4.288. 7. Tadjibaev Sh. A., Sobirov E. K., Abdyrashidov F. Sh. K probleme endovideohiryrgii appendikylyarnogo peritonita. Endoskopicheskaya hiryrgiya. 2024;30(6):13-17. doi 10.17116/endoskop20243006113. 8. Matveev I. A., Popov I. B., Baradylin A. A. i dr. Nezaplanirovannie povtornie operacii posle appendektomii kak pokazatel kachestva lecheniya bolnih s ostrim appendicitom. Hiryrgiya. Jyrnal im. N.I. Pirogova. 2025;5:29-35. DOI 10.17116/hirurgia202505129. 9. Revishvili A. Sh., Olovyannii V. E., Kalinin D. V., Kyznecov A. V. Letalnost pri ostrom appendicite v Rossii. Hiryrgiya. Jyrnal im. N.I. Pirogova. 2022;10:5-14. doi 10.17116/hirurgia20221015. 10. Sajin V. P., Panin S. I., Sajin I. V. i dr. Dinamika gospitalnoi letalnosti pri ostrih abdominalnih zabolevaniyah v Centralnom federalnom okryge Rossii v zavisimosti ot chastoti primeneniya laparoskopicheskih operacii. Hiryrgiya. Jyrnal im. N.I. Pirogova. 2023;6:13-20. doi 10.17116/hirurgia202306113. |
|||||||||
Articles
| Размещение рекламы | |
|
| |
 |