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January 19, 2006Journal of the American College of Surgeons367 citations

How Time Affects the Risk of Rupture in Appendicitis

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NBNina A. BickellAAArthur H. AufsesMRMary Rojas

Key Points

  • To evaluate the relationship between duration of untreated symptoms and the risk of rupture in appendicitis.
  • Assessed appendiceal rupture rates across successive 12-hour intervals following symptom onset.
  • Appendiceal rupture risk rises to 5% in each subsequent 12-hour window after 36 hours of untreated symptoms.
  • Delaying surgical intervention beyond 36 hours from symptom onset substantially elevates the hazard of appendiceal rupture.

Abstract

Risk of rupture in ensuing 12-hour periods rises to 5% after 36 hours of untreated symptoms. Physicians should be cautious about delaying surgery beyond 36 hours from symptom onset in patients with appendicitis.

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Cite This Study

Bickell et al. (2006) studied this question.

synapsesocial.com/papers/69d6bcddf174babf6cab3540https://doi.org/10.1016/j.jamcollsurg.2005.11.016
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