EN
TÜRKÇE
Poster - 349
INFLUENCE OF BODY MASS INDEX ON THE OUTCOME OF COMPLICATED ACUTE APPENDICITIS IN CHILDREN.
Ana Ramirez Calazans, Francisco Javier Murcia Pascual, María Rosa Ibarra Rodriguez, Rosa María Paredes Esteban
Hospital Universitario Reina Sofía- Córdoba- Spain
INTRODUCTION
Child and adolescent obesity is a growing public health problem. Our objective is to analyze the incidence of complicated acute appendicitis and the outcomes in obese children
MATERIAL AND METHODS
Retrospective study in patients operated on for acute appendicitis in 2024. Two groups: normal weight (NP) vs obesity (O). The variables body mass index (BMI), sex and age, evolution time, type of appendicitis (complicated vs uncomplicated), surgical time, surgical technique, length of stay and postoperative complications were evaluated.
RESULTS
117 patients were operated on, 65.8% male and 34.2% female, mean age 8.87±2.96 years. 78.6% normal weight and 21.4% obesity group. Mean evolution time to diagnosis 31.68±19.78 hours in PN vs 26.52±17.81 hours (p=0.240). 38% of complicated appendicitis in NP vs 52% in O (p=0.208). Surgical technique used in PN 47.8% open appendectomies, 22.8% laparoscopic, 29.3% video-assisted; compared to 40%, 40%, 20% in O, respectively (p=0.215). Mean surgical time 67.13±20.73 minutes in NP vs 76.44±24.5 in the obesity group (p=0.058). Mean stay 2.99±2.88 days for NP vs 2.64±1.44 for O (p=0.561). Readmission rate 5.4% in NP vs 8% (p=0.632). Complication rate 9.8% vs 12% (p=0.746): surgical wound infection 4.3% vs 8% (p=0.463), wound dehiscence 0% vs 4% (p=0.054) and intra-abdominal abscess 8.7% vs 8% (p=0.912).
CONCLUSIONS
BMI were not a risk factor in the evolution of acute appendicitis and post-surgical complications in obese children in our center. No significant diferences were found.