Williams BM, Purcell LN, Varela C, et al. - Via performing a retrospective analysis of the Kamuzu Central Hospital (KCH) Acute Care Surgery database from 2013 to 2020, researchers sought to report on the characteristics and outcomes of patients with appendicitis presenting to a tertiary care center in Malawi. Treatment was provided to 214 adults at KCH for acute appendicitis. Mortality rate of 5.6% was reported following appendectomy. Presentation after 7 days of symptom onset was reported for most patients with appendicitis. Per outcomes, delay to intervention in this population due to inadequate access to care correlated with worse postoperative outcomes. The increased risk of mortality linked with resultant surgical complications indicates the significant contribution of failure to rescue to appendicitis-related deaths at KCH. They emphasize improvement in barriers to diagnosis and management of complications to decrease further preventable deaths from this disease.