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  • Title: Perforation rate relates to delayed presentation in childhood acute appendicitis.
    Author: Williams N, Bello M.
    Journal: J R Coll Surg Edinb; 1998 Apr; 43(2):101-2. PubMed ID: 9621533.
    Abstract:
    To determine if perforation rate is a function of delayed diagnosis or delayed presentation in childhood acute appendicitis we performed a retrospective casenote review of 101 consecutive children undergoing emergency appendicectomy over a 12-month period. The perforation rate was 7% in those children presenting with symptoms of 1 day or less and was significantly greater (33%, Chi 2 = 9.45, P < 0.01) in those who had had symptoms for more than 1 day at presentation. There was no difference in in-hospital delay between the groups. A high perforation rate was found to be a feature of delayed presentation.
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