Appendicitis tends to be complicated during the COVID-19 epidemic: A multicentre retrospective study

Lu, Macheng; Kong, Xiangpeng; Cheng, Cong; Liu, Mengmeng; Zhang, Yuan; Zhang, Qiuhua; Wang, Tong; Zhang, Ye; Dou, Huiqiang

doi:10.1016/j.sopen.2024.06.009

Surgery Open Science

2024

DOI: 10.1016/j.sopen.2024.06.009

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Appendicitis tends to be complicated during the COVID-19 epidemic: A multicentre retrospective study

Macheng Lu,

Xiangpeng Kong,

Cong Cheng

et al.

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2024

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The Advancement of Appendicitis in Children in the Pre-Pandemic and the Pandemic Year

Owczarzak,

Biela,

Paplicki

et al. 2024

JCM

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Background: The COVID-19 pandemic affected the health of millions of people, both directly through infection and indirectly through delayed diagnosis and treatment of non-COVID-19 illnesses. The aim of this study was to check the impact of the COVID-19 pandemic on the diagnosis and treatment of appendicitis in children. Methods: The study was carried out at the Department of Paediatric Surgery of the Marciniak Hospital (Wrocław, Poland) and covered two periods, the pre-pandemic one (P1, 01/03/2019–29/02/2020) and the pandemic one (P2, 01/03/2020–28/02/2021). Results: The number of admissions of patients with suspected appendicitis and observation-only patients decreased during the pandemic (400/289 and 226/160, respectively). Although the number of operated children was similar during both analyzed periods (P1: 174, P2: 160), the rate of surgical interventions was significantly higher during P2 (55.4%) than during P1 (43.5%) (χ2 test: p = 0.00272). The values of the variables quantifying disease progression and severity of inflammation, selected inflammation-related parameters detected by laboratory blood tests, latencies from the onset of symptoms to the admission and from the admission to the operation, and total duration of hospitalization did not differ significantly between the pre-pandemic and pandemic periods. Conclusions: These results show that the COVID-19 pandemic led to more rigorous and careful triage of pediatric patients suspected of acute appendicitis that did not have a negative impact on patient outcomes.

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The Advancement of Appendicitis in Children in the Pre-Pandemic and the Pandemic Year

Owczarzak,

Biela,

Paplicki

et al. 2024

JCM

View full text Add to dashboard Cite

show abstract

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Appendicitis tends to be complicated during the COVID-19 epidemic: A multicentre retrospective study

Cited by 1 publication

References 30 publications

The Advancement of Appendicitis in Children in the Pre-Pandemic and the Pandemic Year

The Advancement of Appendicitis in Children in the Pre-Pandemic and the Pandemic Year

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