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May 6, 1939

APPENDICITIS IN ADULTS: REVIEW OF 2,000 CONSECUTIVE CASES, WITH COMMENTS ON THE RISING MORTALITY OF THE ACUTE SUPPURATIVE TYPE

Author Affiliations

CLEVELAND

From the Woman's Hospital.

JAMA. 1939;112(18):1785-1788. doi:10.1001/jama.1939.02800180009003
Abstract

In 1931 one of us1 reviewed the records of 1,000 consecutive cases of acute suppurative, acute simple and chronic appendicitis in adults as they occurred in the files of Woman's Hospital. This nomenclature was used in accordance with the pathologic reports on the appendixes sent to the hospital laboratory.

In this paper we present a review of the next thousand cases in adults and compare this series with the former one. We were anxious to learn whether there were wide variations in the statistics and to try to explain them if possible (table 1).

It may be seen that there are no great variations in the data for the two series except for the marked increase in the death rate of acute suppurative appendicitis; this rate has increased from 9 per cent in the first series to 23 per cent in the second. Quain and Waldschmidt2 reported a

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