• Saliha Karagöz Eren and Yunus Dönder.
• Department of General Surgery, Kayseri City Training and Research Hospital, Kayseri-Turkey.
• Ulus Travma Acil Cer. 2022 Jan 1; 28 (1): 626862-68.

BackgroundThis study aims to determine whether refugee patients are more likely to present with complicated appendicitis.MethodsPatients who were hospitalized and treated with the diagnosis of acute appendicitis in a single center between 2018 and 2020 were evaluated within the scope of this study, and the included patients were divided into two groups as refugees (n=140) and local patients (n=386). The primary outcome was complicated appendicitis rate, and the duration of symptoms, time to appendectomy, operation time, diagnostic modality, and length of hospital stay were also analyzed. According to operational diagnosis and pathology reports, cases were categorized as either non-complicated or complicated.ResultsThe complicated appendicitis rate, and the number of patients with symptoms lasting longer than 72 h were statistically more significant in refugee patients (p=0.009 and n: 186, p=0.000, respectively). The refugee patients had a younger mean age and a higher male patient rate which was statistically significant (p=0.000 for both). There was no significant difference between the groups concerning time to appendectomy, operation time, type of surgery, hospital length of stay, and diagnostic modality (p>0.05).ConclusionThe findings of this study demonstrated that refugee patients have a higher complicated appendicitis rate and late admission rate, even though refugee patients have equal access to healthcare in our country. Future research is needed to identify factors affecting outcomes of refugee patients.

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