Complications Of Patients With Acute Appendicitis Who Came For Treatment To Dustira Hospital In 2018-2020 Chairul Ismael (a), Yudith Yunia Kusmala (b*), Huzaifah Ikhwanus Shofa (c), Lukmana Lokarjana (a), Fitriardi Sejati (a)
a) Department of Surgery, Faculty of Medicine, Jenderal Achmad Yani University, Cimahi. Indonesia
b) Department of Internal Medicine, Faculty of Medicine, Jenderal Achmad Yani University, Cimahi. Indonesia
*yudithyunia5671[at]gmail.com
c) Bachelor of Medicine Study Program, Faculty of Medicine, Jenderal Achmad Yani University, Cimahi. Indonesia
Abstract
Appendicitis is inflammation of the vermiform appendix. The course of the disease from onset to the occurrence of perforation can take place quickly, 20% of cases of perforation of the appendix occur within 48 hours, even within 36 hours after symptoms appear perforation can occur. The purpose of this study was to determine the complications of patients with acute appendicitis who came for treatment at Dustira Hospital. The research method used is descriptive with a cross sectional approach taken from secondary data from medical records of acute appendicitis patients at Dustira Hospital in 2018-2020. The data was then sorted based on inclusion and exclusion criteria so that 66 medical records were obtained. The results of this study showed that the most complications of acute appendicitis were local peritonitis (71.2%), the highest prevalence in the age group was 17-25 years (27.3%) and >45 years (27.3%), based on sex more women (60.6%) than men. Clinical signs and symptoms that are most often found in patients with acute appendicitis are right lower abdominal pain and right lower abdominal tenderness (100.0%), the onset of complications of appendicitis is mostly at a duration of > 48 hours (65.1%). Based on the response time, the most surgery was 1 - <12 hours (60.6%) after the first arrival to the hospital. The conclusion of this study is acute appendicitis patients who seek treatment at Dustira Hospital generally arrive more than 36 hours late, causing complications.
Keywords: acute appendicitis- complications- onset of complications
