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September 18, 1981

Regional Results of Acute Appendicitis Care

Author Affiliations

From the Departments of Preventive Medicine and Surgery, University of Wisconsin, Madison (Dr Detmer), and the Wisconsin Professional Review Organization, Inc, Madison.

JAMA. 1981;246(12):1318-1320. doi:10.1001/jama.1981.03320120022019

In 1978, acute appendicitis care was reviewed by studying 2,375 cases from 74% of all hospitals in Wisconsin outside the greater Milwaukee area. The mortality was 0.17% and the wound complication rate was 5.3%. A normal appendix report was noted in 14% of all cases; female patients accounted for 60% of these cases, and only 44.5% of the total study population. The rupture or perforation rate was 13.4%; 62% of these problems occurred in male patients. The mean hospital stay was 5.4 days; for perforated cases, it was 10.2 days. An analysis that compared hospitals by their individual ratios of normal appendices to perforations favors the conclusion that a small but real decrease in negative appendectomy rates could be achieved without producing more ruptures or perforations.

(JAMA 1981;246:1318-1320)