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ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo)

Print version ISSN 0102-6720

Abstract

DRUSZCZ, Crhistiano Coleto; BORSATO, Emerson Paulo; PINTO, José Simão de Paula  and  MALAFAIA, Osvaldo. Computerized multicentric application of data collection on acute appendicitis. ABCD, arq. bras. cir. dig. [online]. 2007, vol.20, n.3, pp.165-171. ISSN 0102-6720.  https://doi.org/10.1590/S0102-67202007000300009.

BACKGROUND: A clinical database allows a better way to collect and, consequently,  search and cross information to scientific researches. Multicentric studies can be easily created by using this mechanism. AIM: a) To analyze the functionality of the computerized database of the appendix diseases; b) to show the results of the analyzed data to validate the computerized database of the colon diseases incorporated to SINPE® (Computerized Database Integrated System - INPI 00051543).  METHODS: Information provided by 862 patients with acute appendicitis has been collected into the specific protocol of the appendiceal diseases, from three university centers: Hospital de Clínicas of the Universidade Federal do Paraná, Hospital Universitário Evangélico de Curitiba and Hospital do Trabalhador of the Universidade Federal do Paraná. SINPE© was the software used to store, to select and to search information thereby compared to general literature. RESULTS: The Hospital de Clínicas supported 53,83% of the patients, meanwhile, the other two included 31,32% e 14,85%, respectively. Abdominal pain was the most common and characteristic symptom in patients who had confirmation of acute appendicitis. Infectious hemogram (in 77, 81%) and abdominal ultrasound showing parietal abnormalities of the appendix (in 67, 40%) were the diagnostic exams more frequently adopted to prove the referred diagnosis. Appendectomy, applied in 98, 43% of the patients, was the standard therapeutic proceeding.  The MacBurney incision, applied in 74, 55% of all conventional surgeries, was the most frequent form to make access to the peritoneal cavity. Second generation cephalosporin was the usual drug associated to surgery, even for prophylaxis or therapeutics, on the infectious process. 10, 32% of the patients developed a kind of post-operative complication, being parietal infection (64, 28%) the most prevalent. CONCLUSIONS: The clinical database's computerized protocol of colon diseases, specifically on its appendiceal diseases' protocol, was considered efficient and viable to manipulate clinical information objecting simple or multicentric scientific researches production.

Keywords : Medical informatics; Data collection; Appendicitis.

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