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April 22, 2026The Surgery JournalOpen Access

Differences in Baseline Characteristics and Clinical Outcomes among Early and Late Older Adults Undergoing Emergency Appendicectomy in Qatar

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Key result

Provided text contains only editorial board information and lacks study data on elderly appendectomy outcomes.

Why the study?

Clinical presentation and outcomes of acute appendicitis can vary significantly among elderly patients, motivating a comparison between early and late older adults.

Does age >71 years compared to 60-70 years worsen clinical outcomes and complication rates in elderly patients undergoing emergency appendectomy for acute appendicitis?

Population

69 patients with acute appendicitis undergoing appendectomy

Comparison

Patients aged 60 to 70 years vs those aged >71 years

Design

Retrospective analysis

Follow-up

Hospital stay

Authors

IInamullahHamad Medical CorporationTGTejeswi S. GuttiHamad Medical CorporationSMSamah MasryHamad Medical Corporation

Discussion

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Member takes

Implication

Supports malignancy workup in late elderly appendicitis; leaves open optimal preoperative assessment pending prospective evaluation.

Key Points

  • To compare the demographic, clinical, and pathological characteristics and surgical outcomes of early elderly versus late elderly patients undergoing appendectomy for acute appendicitis.
  • Retrospective analysis of 69 patients undergoing emergency appendectomy for acute appendicitis in Qatar.
  • Patients were categorized into Group A (60 to 70 years, n = 49, early elderly) and Group B (>71 years, n = 20, late elderly) to evaluate comorbidity profiles, symptoms, laboratory findings, and surgical outcomes.
  • Malignancy was significantly more prevalent in the late elderly group compared with the early elderly group (35% vs. 10.2%, p = 0.01), with late elderly patients having a higher mean number of comorbidities (2.35 vs. 1.65, p = 0.0000083).
  • Appendicular rupture occurred in 40% of late elderly patients compared with 18.4% of early elderly patients (p = 0.06).
  • Postoperative complications were significantly higher in the late elderly group than the early elderly group (35% vs. 8.16%, p = 0.016), led by cardiac events (20% vs. 2.04%), with zero surgical mortality observed in either group.

Structured PICO

Does age >71 years compared to 60-70 years worsen clinical outcomes and complication rates in elderly patients undergoing emergency appendectomy for acute appendicitis?

P
Population
69 patients aged ≥60 years undergoing emergency or semi-emergency appendectomy for acute appendicitis at Hamad General Hospital, Qatar. Categorized into Group A (early elderly, 60-70 years, n=49) and Group B (late elderly, >71 years, n=20).
I
Intervention
Emergency or semi-emergency appendectomy in late elderly patients (>71 years)
C
Comparator
Emergency or semi-emergency appendectomy in early elderly patients (60-70 years)
O
Outcome
Differences in demographic, clinical, and pathological characteristics, delays in management, and clinical outcomes (including length of stay, appendicular rupture, postoperative complications, and mortality)

Late elderly patients (>71 years) undergoing emergency appendectomy have a significantly higher incidence of malignancy and postoperative complications compared to early elderly patients (60-70 years).

Cite This Study

Inamullah et al. (2026) studied this question. The provided text contains only the editorial board information for The Surgery Journal and does not include the study data.

synapsesocial.com/papers/69e866c96e0dea528ddeb228https://doi.org/10.1055/a-2847-0051
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Differences in the Clinical Course of Acute Appendicitis in the Elderly in Comparison to Younger Population2016 · 20 citations
  2. 2Acute Appendicitis in the Elderly: A Nationwide Retrospective Analysis2024 · 7 citations
  3. 3Use of the Alvarado Score in Elderly Patients with Complicated and Uncomplicated Appendicitis2019 · 36 citations
  4. 4Acute appendicitis in the elderly: risk factors for perforation2014 · 185 citations
  5. 5Acute appendicitis in the geriatric patient2009 · 8 citations