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Overall results might improve with earlier consideration of the diagnosis in elderly patients with abdominal pain, followed by prompt surgical consultation and operation. While computed tomography may represent a useful diagnostic tool and laparoscopic appendectomy may be appropriate therapy for selected patients, neither has affected outcome when measured for morbidity and mortality rates. The length of operating time increased in the second period (ie, January 1, 1996, through December 31, 2000).Ĭonclusions Appendicitis in elderly patients continues to be a challenging surgical problem. 02) between the 2 study periods associated with no significant difference in the duration of hospitalization, frequency of appendiceal perforation or abscess, occurrence of complications, or mortality. There was an increasing use of diagnostic computed tomography (group 1, 13 patients group 2, 32 patients P<.001) and laparoscopy (group 1, 14 patients group 2, 23 patients P =. The mean age (78 years), sex, preoperative suggestion of appendicitis (group 1, 39 of 47 patients group 2, 45 of 48 patients), and duration of the preoperative hospitalization over 24 hours (group 1, 11 patients group 2, 9 patients ) were similar in both groups. Results Ninety-five patients met inclusionary criteria. Continuous and categorical variables were analyzed using t and χ 2 tests, respectively. Main Outcome Measures Age, sex, preoperative evaluation, operative duration and findings, postoperative course, duration of hospital stay, and mortality rate. Patients All patients aged 70 years and older who underwent appendectomy for appendicitis between January 1, 1991, and December 31, 2000, were divided into groups 1 (those treated from January 1, 1991, through December 31, 1995) and 2 (those treated from January 1, 1996, through December 31, 2000). Setting Large metropolitan teaching hospital. 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While there is no Commission rule expressly for summary judgment motions, the Commission's Rules of Practice and Procedure (Rules) does have Rule 13 11.2, which governs motions to dismiss. 11 The interpretation of a statute or regulation is generally seen to be a pure legal issue. 10 A motion for summary adjudication is appropriate where the evidence presented indicates there are no triable issues as to any material fact and that the moving party is entitled to judgment as a matter of law. The Commission treats such motions as a court would treat motions for summary judgment in civil practice. In effect, the request is a Motion to Dismiss.Ī Motion to Dismiss requires the Commission to determine whether the party bringing the motion prevails based solely on undisputed facts and matters of law. Standard for Ruling on a Motion to DismissĪs noted earlier (see footnote 8 and accompanying text), Defendant requests that the Commission dismiss the complaint. 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