Prevalencia de peritonitis por apendicitis complicada en pacientes pediátricos de 5 a 14 años en el Hospital General Liborio Panchana Sotomayor de enero del 2022 a marzo del 2024.

Abstract

Introduction: Peritonitis due to complicated appendicitis is a frequent surgical emergency in pediatric patients. It can cause sepsis and other serious complications if not handled quickly. They present atypical or non-specific symptoms making early diagnosis difficult. Methodology: This is a descriptive, observational, cross-sectional, retrospective and nonexperimental prevalence study. It was based on clinical and sociodemographic data from clinical records of the system of the General Hospital Liborio Panchana Sotomayor. The information was filtered and tabulated in Microsoft Excel, and then statistical tables were obtained using the Power Bi tool. Results: A total of 7577 clinical histories were reviewed, the information of repeated patients and those who did not meet the exclusion and inclusion criteria was removed, leaving a population of 103 patients. The mean age was 10.97 years, with the age range of 10 to 14 years being the most frequent with 74.76%. The male sex was the most prevalent with 64.08% of the cases. The most constant symptomatology was abdominal pain with 78.64% and gangrenous appendicular phase was the most frequent with 53%. Conclusions: the prevalence of patients with peritonitis due to complicated appendicitis in patients between 5 and 14 years old in the HGLPS emergency department during the period 2022-2024 was 103 patients. The incidence of cases decreased from 44 in 2022 to 34 in 2024. The average hospitalization time was 4 to 5 days related to a favorable postoperative evolution.