An analysis of the consequences of acute appendicitis between urban and rural patients in Bangladesh - EHESP - École des hautes études en santé publique Access content directly
Journal Articles Journal of Applied Pharmaceutical Science Year : 2021

An analysis of the consequences of acute appendicitis between urban and rural patients in Bangladesh

Abstract

In acute appendicitis, timely diagnosis and rapid intervention are critical for effective management. However, geographic location and socioeconomic context can play an important role in developing countries’ clinical course and outcome. The aim of this study is to observe the consequences of acute appendicitis between urban and rural patients. A prospective analytical study was conducted from April 25 to October 25, 2016, in Chittagong Medical College Hospital, Chattogram, Bangladesh. A total of 200 patients, 100 patients in each arm with a clinical diagnosis of acute appendicitis, were enrolled. 33.5% were in the age group of 21–30 years. The male:female ratio was 1.94:1. 45% of the urban patients came from the middle class, while 47% of the rural patients were from poor socioeconomic backgrounds. The mean duration of the presentation was 2.96 ± 1.88 days in urban and 5.28 ± 2.8 days in rural patients. 87% of urban and 33% of rural patients received conservative treatment before hospitalization. 74.11% of rural and 30% of urban patients delayed consenting to surgery. Perforation was found in 17.78% of urban and 33.33% of rural patients and gangrenous appendicitis in 12.22% of urban and 66.67% of rural patients. Rural patients suffered more complications like wound infection (34.4% and 68.4%, resp.), septic shock (0% and 7.9%, resp.), burst abdomen (0% and 5.3%, resp.), and death in two rural patients. Mean hospital stay was 4.37 ± 1.69 days in urban and 8.41 ± 2.44 days in rural patients. The rural population has higher morbidity and mortality when compared to the urban population of Bangladesh.
Fichier principal
Vignette du fichier
3465_pdf.pdf (5.33 Mo) Télécharger le fichier
Origin : Publisher files allowed on an open archive

Dates and versions

hal-03701202 , version 1 (21-06-2022)

Identifiers

Cite

Tasnuva Iqbal, Khondker Abul Kalam Azad, Muhammad Irfanul Alam, Mainul Haque. An analysis of the consequences of acute appendicitis between urban and rural patients in Bangladesh. Journal of Applied Pharmaceutical Science, 2021, 11 (8), pp.154-166. ⟨10.7324/JAPS.2021.110821⟩. ⟨hal-03701202⟩

Collections

EHESP UNIV-RENNES
78 View
64 Download

Altmetric

Share

Gmail Facebook X LinkedIn More