Most Read Articles
Pearl Toh, 31 Dec 2019
Adding the neuraminidase inhibitor oseltamivir to usual care speeds up recovery from influenza-like illness by a day compared with usual care alone, with even greater benefits seen in older, sicker patients with comorbidities, according to the ALIC4E study.
Roshini Claire Anthony, 19 hours ago

The presence of pulmonary arterial hypertension (PAH) in individuals with systemic sclerosis is associated with an increased mortality risk, a study from Singapore showed.

23 Dec 2019
At a Menarini-sponsored symposium held during the Asian Pacific Society Congress, renowned cardiologist Prof John Camm provided the latest evidence for chronic stable angina with or without concomitant diseases, with a special focus on the antianginal agent ranolazine and combination therapies. The event was chaired and moderated by Dr Dante Morales from the University of the Philippines College of Medicine.
09 Jan 2020
Acute ischaemic stroke patients who are current or recent smokers are at greater odds of having unfavourable functional outcomes 3 months after the index event, a study has found.

Laparoscopic appendectomy found safe

03 Dec 2019

Laparoscopic appendectomy (LA) is safe, carrying low rates of complications, readmission and prolonged length of stay (LOS), a recent study has found. Risk factors for these adverse outcomes include complicated appendicitis and intraoperative complications.

The study included 4,618 patients (median age, 33 years; 52.2 percent male) qualified for laparoscopic appendectomy. Majority (69.60 percent; n=3,214) belonged to class I of the American Society of Anaesthesiologists classification. Acute appendicitis symptoms presented within 48 hours of surgery in 31.68 percent of the patients.

A total of 310 patients experienced postoperative morbidity, resulting in a rate of 6.71 percent. In terms of complications, there were reports of surgical site infections, intra-abdominal abscesses and bleeding, pneumonia, urinary tract infection, bowel perforation, pulmonary embolism, and deep vein thrombosis.

Multivariate logistic regression analysis found that the occurrence of intraoperative adverse events (odds ratio [OR], 4.09, 95 percent confidence interval [CI], 1.32–12.65; p=0.014) and complicated appendicitis (OR, 3.63, 95 percent CI, 1.74–7.61; p=0.001) were significant predictors of perioperative serious complications.

In comparison, predictors of prolonged LOS included complicated appendicitis (OR, 2.8, 95 percent CI, 1.53–5.12; p=0.001), postoperative morbidity (OR, 5.01, 95 percent CI, 2.33–10.75; p<0.001), conversion of procedure (OR, 6.48, 95 percent CI, 3.48–12.08; p<0.001) and the need for reinterventions after the primary procedure (OR, 8.79, 95 percent CI, 3.2–24.14; p<0.001).

Hospital readmission were predicted by postoperative complications (OR, 10.33, 95 percent CI, 4.27–25.00), undergoing reinterventions after the procedure (OR, 5.62, 95 percent CI, 2.17–14.54) and LA performed by the resident (OR, 1.96, 1.03–3.70).

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Most Read Articles
Pearl Toh, 31 Dec 2019
Adding the neuraminidase inhibitor oseltamivir to usual care speeds up recovery from influenza-like illness by a day compared with usual care alone, with even greater benefits seen in older, sicker patients with comorbidities, according to the ALIC4E study.
Roshini Claire Anthony, 19 hours ago

The presence of pulmonary arterial hypertension (PAH) in individuals with systemic sclerosis is associated with an increased mortality risk, a study from Singapore showed.

23 Dec 2019
At a Menarini-sponsored symposium held during the Asian Pacific Society Congress, renowned cardiologist Prof John Camm provided the latest evidence for chronic stable angina with or without concomitant diseases, with a special focus on the antianginal agent ranolazine and combination therapies. The event was chaired and moderated by Dr Dante Morales from the University of the Philippines College of Medicine.
09 Jan 2020
Acute ischaemic stroke patients who are current or recent smokers are at greater odds of having unfavourable functional outcomes 3 months after the index event, a study has found.