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Article
January 1941

SOME FACTORS IN A LOWERED MORTALITY RATE FOR ACUTE APPENDICITISANALYSIS OF 2,013 CONSECUTIVE CASES

Author Affiliations

ROCHESTER, N. Y.

Arch Surg. 1941;42(1):25-54. doi:10.1001/archsurg.1941.01210070028003
Abstract

Interest in the literature then appearing, which tended to show an increase in the death rate from acute appendicitis, led me in 1931 to survey the cases occurring in the Genesee Hospital, Rochester, N. Y., during 1930. The Genesee Hospital is of the semiopen type and therefore would lend itself to a cross section study of various methods of treatment and surgical technic used for this disease. There were 282 appendectomies in 1930. According to the methods then in use in surveying this subject, only cases in which the charts showed an unquestionably acute condition were accepted for this study. The criteria of acceptance were an accurate history of acute appendicitis, the physical findings as to temperature, pulse rate and condition of the abdomen and a description of the pathologic change found at operation, with a pathologic report on the removed appendix. Cases of chronic and subacute appendicitis or cases

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