The main premise underlying this article is not new. At least every surgeon knows that delay in operation and the administration of laxatives are the greatest factors in the mortality of acute appendicitis.
Two reasons have led to our presenting this paper:
National and local statistics show an increase in the mortality of acute appendicitis during the past ten years.
The one bearing the greatest responsibility, the surgeon, has the least to do with the reduction of the mortality.
We shall attempt to aid the early recognition of acute appendicitis by setting forth the symptoms and signs of the disease as shown by an exhaustive study of the clinical records of the Samaritan Hospital, and we submit the plan by which our mortality has been reduced.
In a previous communication we called attention to the mortality of acute appendicitis and the close relationship between this and the time that elapses
BOWER JO, CLARK JH. CONTROLLABLE FACTORS AFFECTING THE MORTALITY OF ACUTE APPENDICITIS: SOME FALLACIES OF PRESENT-DAY TEACHING. JAMA. 1927;89(11):844–846. doi:10.1001/jama.1927.02690110008003
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