TƯƠNG QUAN GIỮA THỜI GIAN CHỜ MỔ VÀ KẾT CỤC SAU MỔ Ở BỆNH NHÂN VIÊM RUỘT THỪA CẤP

Abstract

Background: Acute appendicitis is a common surgical emergency that requires timely intervention to prevent complications. However, surgical delays often occur due to hospital workload prioritization, leading to concerns among patients and their families about potential risks. Objective: This study aims to evaluate the relationship between surgical delay time and postoperative outcomes in patients with acute appendicitis. Methods: A retrospective cohort study was conducted at Gia Dinh People's Hospital from January 1, 2024, to June 30, 2024. Patients were categorized into four groups based on preoperative waiting time (≤12 hours or >12 hours) and symptom onset duration (≤24 hours or >24 hours). Data were collected from medical records and analyzed using Microsoft Excel and Stata 14. Results: A total of 420 patients met the inclusion criteria. The majority (75%) presented to the hospital within 24 hours of symptom onset, and 80% underwent surgery within 12 hours of admission. There was no statistically significant difference in the rate of complicated appendicitis, postoperative complications, or hospital length of stay between groups. Conclusions: The timing of surgery (before or after 12 hours) did not increase the risk of complicated appendicitis, postoperative complications, or prolonged hospital stay. These findings support the safety of short in-hospital surgical delays in acute appendicitis cases.