The many papers on appendicitis which have dealt with the analysis of given series of cases have shown quite conclusively (1) that in a careful surgical service there will be only an occasional death when the pathologic process is limited to the appendix; (2) that when treatment is delayed the death rate rises rapidly, and (3) that most of the fatalities occur when the appendicitis is complicated by abscess or by general peritonitis. An analysis of 4,650 cases of appendicitis from the surgical service of the Frankford Hospital well substantiates these conclusions.
This institution is a general hospital with one hundred and forty beds for the care of the community sick, having ward and private patients. The majority of the patients are in the low income group. All patients admitted with a primary diagnosis of appendicitis for the period 1904 to 1939, inclusive, are considered in this study. Only those