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June 20, 1936

REDUCING THE MORTALITY OF ACUTE APPENDICITIS

JAMA. 1936;106(25):2160-2161. doi:10.1001/jama.1936.02770250044014
Abstract

Vital statistics of the United States place the mortality rate for acute appendicitis at 9 for each hundred thousand of population for the year 1920 and at 15 per hundred thousand for the year 1932. The Metropolitan Life Insurance statistics indicate that the mortality rate of acute appendicitis rose from 10.6 per hundred thousand for the period from 1911 to 1914 inclusive to 14.1 for the period from 1927 to 1930 inclusive. Recent reports from various clinics, however, show a definite lowering in the operative mortality of acute appendicitis. The contradiction is explainable on the assumption of a higher incidence of the disease and a greater number of recognized and reported cases.

The factors contributing to the mortality of acute appendicitis include the age and sex of the patient, administration of cathartics before the operation, and delayed operation, as well as the skill and the judgment of the surgeon. Age

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