<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2709-7927</journal-id>
<journal-title><![CDATA[Acta Médica del Centro]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd centro]]></abbrev-journal-title>
<issn>2709-7927</issn>
<publisher>
<publisher-name><![CDATA[Hospital Provincial Clínico Quirúrgico Universitario Arnaldo Milián Castro]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2709-79272023000400717</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Caracterización epidemiológica, clínica y anatomopatológica de los pacientes geriátricos operados de apendicitis aguda]]></article-title>
<article-title xml:lang="en"><![CDATA[Epidemiological, clinical and anatomopathological characterization of geriatric patients operated of acute appendicitis]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jiménez García]]></surname>
<given-names><![CDATA[Yetnien]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rojas Hernández]]></surname>
<given-names><![CDATA[Sarait]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jiménez Rodríguez]]></surname>
<given-names><![CDATA[Yunier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Prieto González]]></surname>
<given-names><![CDATA[Yipsi]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Quesada]]></surname>
<given-names><![CDATA[Nayda Yoanka]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez Pérez]]></surname>
<given-names><![CDATA[Yasel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Clínico Quirúrgico Universitario &#8220;Comandante Manuel Fajardo Rivero&#8221;  ]]></institution>
<addr-line><![CDATA[Santa Clara Villa Clara]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<volume>17</volume>
<numero>4</numero>
<fpage>717</fpage>
<lpage>726</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S2709-79272023000400717&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S2709-79272023000400717&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S2709-79272023000400717&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  la apendicitis se mantiene como la urgencia quirúrgica intraabdominal más atendida; su diagnóstico en ancianos resulta más difícil por las presentaciones atípicas y comorbilidades.  Objetivo:  caracterizar epidemiológica, clínica y anatomopatológicamente pacientes geriátricos operados de apendicitis aguda.  Métodos:  se realizó una investigación descriptiva, observacional, trasversal de una serie de casos. Se incluyeron en el estudio 89 pacientes mayores de 60 años operados por apendicitis aguda y egresados vivos. Se realizó una revisión documental de historias clínicas e informes biópsicos y se definieron las variables epidemiológicas, clínicas y anatomopatológicas.  Resultados:  predominaron los pacientes entre 60 y 69 años de edad (66,2%) y el sexo masculino (58,4%). Hubo un número mayor de pacientes operados en menos de 24 horas (39, 43,8%) con diagnóstico de apendicitis aguda catarral. En las complicaciones postoperatorias predominaron la sepsis de la herida quirúrgica (7,86%) y las neumonías (cinco, 61%). El diagnóstico anatomopatológico más frecuente fue el de apendicitis aguda catarral (43, 48,3%).  Conclusiones:  se encontró un mayor número de pacientes diagnosticados y operados antes de las 24 horas. La demora en el diagnóstico y el tratamiento coincidió con hallazgos anatomopatológicos de apendicitis complicada. Se presentaron varias complicaciones clínicas y quirúrgicas menos frecuentes en otros grupos etarios.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  appendicitis remains the most assisted intra-abdominal surgical emergency; its diagnosis in the elderly is more difficult due to atypical presentations and comorbidities.  Objective:  to characterize epidemiologically, clinically and anatomopathologically geriatric patients operated on for acute appendicitis.  Methods:  an observational, descriptive investigation of a series of cases was carried out. Eighty-nine patients older than 60 years old operated for acute appendicitis and discharged alive were included in the study. A documentary review of medical records and biopsy reports was carried out and epidemiological, clinical and anatomopathological variables were defined.  Results:  patients between 60 and 69 years of age (66.2%) and male sex (58.4%) predominated. There was a higher number of patients operated in less than 24 hours (39, 43.8%) with a diagnosis of acute catarrhal appendicitis. Postoperative complications were dominated by surgical wound sepsis (7.86%) and pneumonia (5, 61%). The most frequent anatomopathologic diagnosis was acute catarrhal appendicitis (43, 48.3%).  Conclusions:  a greater number of patients were diagnosed and operated before 24 hours. The delay in diagnosis and treatment coincided with anatomopathological findings of complicated appendicitis. Several clinical and surgical complications were less frequent in other age groups.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[paciente geriátrico]]></kwd>
<kwd lng="es"><![CDATA[apendicitis aguda]]></kwd>
<kwd lng="es"><![CDATA[apendicetomía]]></kwd>
<kwd lng="en"><![CDATA[geriatric patient]]></kwd>
<kwd lng="en"><![CDATA[acute appendicitis]]></kwd>
<kwd lng="en"><![CDATA[appendectomy]]></kwd>
</kwd-group>
</article-meta>
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