THỰC TRẠNG VIÊM PHÚC MẠC RUỘT THỪA VÀ MỘT SỐ YẾU TỐ LIÊN QUAN TẠI BỆNH VIỆN ĐA KHOA CÀ MAU GIAI ĐOẠN 2023-2024

Abstract

Background: Appendiceal peritonitis is a severe complication of acute appendicitis, potentially leading to mortality if not intervened promptly. Therefore, research in this area is essential. Objectives:To determine the prevalence of appendiceal peritonitis and associated factors at Ca Mau General Hospital during 2023 - 2024. Methods: A cross-sectional descriptive study was conducted on 1,942 patients who underwent appendectomy from January 2023 to December 2024. Data were collected from the hospital's management system. Univariate and multivariate analyses were performed using STATA 18.0 to identify associated factors. Results: The prevalence of appendiceal peritonitis was 34.03%. Logistic regression analysis revealed the following factors significantly increased the odds of appendiceal peritonitis: delayed hospital admission (OR = 1.36, 95% CI: 1.05-1.82, p < 0.001), rural residence (OR = 1.62, 95% CI: 1.05-2.31, p = 0.001), non-McBurney's point onset (OR = 1.75, 95% CI: 1.24-1.97, p < 0.001), abnormal appendix location (OR = 1.57, 95% CI: 1.32-2.32, p < 0.001), history of abdominal surgery (OR = 1.53, 95% CI: 1.02-2.13, p = 0.003), and overweight/obesity (OR = 1.45, 95% CI: 1.21-1.84, p = 0.01). Conclusions: Appendiceal peritonitis represents a significant proportion of appendectomies at Ca Mau General Hospital. Major risk factors include delayed hospital admission, atypical clinical presentation, history of abdominal surgery, and overweight/obesity.Keywords: Peritonitis, Appendicitis, associated Factors.