Relationship between Age and Perforation in Acute Appendicitis Patient at Rsud Al Ihsan Bandung in 2016

Abstract

Appendicitis is the most common cause of abdominal emergency that requiring immediate surgery. Untreated acute appendicitis may lead to complication such as perforation and mortality. Perforated appendicitis mostly suffered children and elderly. The purpose of this study to determine the relationship between age with perforated appendix. This research uses analytic observational method with case control approach. The subjects were acute appendicitis patients at RSUD Al Ihsan Bandung period 1 January until 31 December 2016. The subjects were divided into 7 age groups, 0 – 10 years, 11 – 20 years, 21 – 30 years, 31 – 40 years, 41 – 50 years, 51 – 60 years and >60 years. Result obtained from 272 patients, 151 (55.5%) with acute appendicitis and 121 (44.5%) with perforated appendicitis. Patient with perforated appendicitis higher in the 11 – 20 year age group (29.7%). Chi-Square test result showed that there is no significant relationship between age with perforated appendix at RSUD Al Ihsan Bandung in 2016. There might be other factors that are more determinative of perforated appendix compared with age as the treatment time of symptom onset which not investigated in this study so that there is no relationship.