Cargando…

Impact of the COVID-19 Pandemic on the Severity and Early Postoperative Outcomes of Acute Appendicitis

Background The coronavirus disease 2019 (COVID-19) pandemic caused changes in surgical practice. For acute appendicitis (AA), measures to control the pandemic might hinder patients from seeking medical care timely, resulting in increasing severity, postoperative complications, and mortality. This st...

Descripción completa

Detalles Bibliográficos
Autores principales: Nguyen, Hai V, Tran, Loc H, Ly, Tuan H, Pham, Quang T, Pham, Vu Q, Tran, Ha N, Trinh, Loc T, Dinh, Thien T, Pham, Dinh T, Mai Phan, Tuong Anh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10400342/
https://www.ncbi.nlm.nih.gov/pubmed/37546691
http://dx.doi.org/10.7759/cureus.42923
_version_ 1785084422779830272
author Nguyen, Hai V
Tran, Loc H
Ly, Tuan H
Pham, Quang T
Pham, Vu Q
Tran, Ha N
Trinh, Loc T
Dinh, Thien T
Pham, Dinh T
Mai Phan, Tuong Anh
author_facet Nguyen, Hai V
Tran, Loc H
Ly, Tuan H
Pham, Quang T
Pham, Vu Q
Tran, Ha N
Trinh, Loc T
Dinh, Thien T
Pham, Dinh T
Mai Phan, Tuong Anh
author_sort Nguyen, Hai V
collection PubMed
description Background The coronavirus disease 2019 (COVID-19) pandemic caused changes in surgical practice. For acute appendicitis (AA), measures to control the pandemic might hinder patients from seeking medical care timely, resulting in increasing severity, postoperative complications, and mortality. This study aimed to investigate whether the COVID-19 pandemic had a negative impact on the severity and postoperative outcomes of patients with AA. Methodology We retrospectively reviewed medical records of AA patients treated operatively at Nhan Dan Gia Dinh Hospital hospital from June 1st to September 30th in three consecutive years: pre-pandemic (2019)/Group 1, minor waves (2020)/Group 2, and major wave (2021)/Group 3 (2021). Data were collected focusing on the duration of symptoms, severity of AA, time from admission to operation, postoperative complications, and mortality. Results There were 1,055 patients, including 452 patients in Group 1, 409 in Group 2, and 194 in Group 3. The overall number of patients decreased mainly in non-complicated AA. The percentages of hospital admission after 24 hours gradually increased (20.8%, 27.9%, and 43.8%, p < 0.05). The percentages of complicated AA in Group 2 and Group 3 were statistically higher than in Group 1 (39% and 55% vs. 31%, p < 0.05). Waiting time for operation increased to five hours during the major wave. Laparoscopic appendectomy was performed in 98-99% of AA patients during the pandemic, with an early postoperative complication rate of 5-9% and a mortality rate of 0.2-1%. Conclusions Although the percentages of hospital admission after 24 hours and complicated AA increased, laparoscopic appendectomy was still feasible and effective and should be maintained as the standard management for AA during the COVID-19 pandemic.
format Online
Article
Text
id pubmed-10400342
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Cureus
record_format MEDLINE/PubMed
spelling pubmed-104003422023-08-05 Impact of the COVID-19 Pandemic on the Severity and Early Postoperative Outcomes of Acute Appendicitis Nguyen, Hai V Tran, Loc H Ly, Tuan H Pham, Quang T Pham, Vu Q Tran, Ha N Trinh, Loc T Dinh, Thien T Pham, Dinh T Mai Phan, Tuong Anh Cureus Emergency Medicine Background The coronavirus disease 2019 (COVID-19) pandemic caused changes in surgical practice. For acute appendicitis (AA), measures to control the pandemic might hinder patients from seeking medical care timely, resulting in increasing severity, postoperative complications, and mortality. This study aimed to investigate whether the COVID-19 pandemic had a negative impact on the severity and postoperative outcomes of patients with AA. Methodology We retrospectively reviewed medical records of AA patients treated operatively at Nhan Dan Gia Dinh Hospital hospital from June 1st to September 30th in three consecutive years: pre-pandemic (2019)/Group 1, minor waves (2020)/Group 2, and major wave (2021)/Group 3 (2021). Data were collected focusing on the duration of symptoms, severity of AA, time from admission to operation, postoperative complications, and mortality. Results There were 1,055 patients, including 452 patients in Group 1, 409 in Group 2, and 194 in Group 3. The overall number of patients decreased mainly in non-complicated AA. The percentages of hospital admission after 24 hours gradually increased (20.8%, 27.9%, and 43.8%, p < 0.05). The percentages of complicated AA in Group 2 and Group 3 were statistically higher than in Group 1 (39% and 55% vs. 31%, p < 0.05). Waiting time for operation increased to five hours during the major wave. Laparoscopic appendectomy was performed in 98-99% of AA patients during the pandemic, with an early postoperative complication rate of 5-9% and a mortality rate of 0.2-1%. Conclusions Although the percentages of hospital admission after 24 hours and complicated AA increased, laparoscopic appendectomy was still feasible and effective and should be maintained as the standard management for AA during the COVID-19 pandemic. Cureus 2023-08-03 /pmc/articles/PMC10400342/ /pubmed/37546691 http://dx.doi.org/10.7759/cureus.42923 Text en Copyright © 2023, Nguyen et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Emergency Medicine
Nguyen, Hai V
Tran, Loc H
Ly, Tuan H
Pham, Quang T
Pham, Vu Q
Tran, Ha N
Trinh, Loc T
Dinh, Thien T
Pham, Dinh T
Mai Phan, Tuong Anh
Impact of the COVID-19 Pandemic on the Severity and Early Postoperative Outcomes of Acute Appendicitis
title Impact of the COVID-19 Pandemic on the Severity and Early Postoperative Outcomes of Acute Appendicitis
title_full Impact of the COVID-19 Pandemic on the Severity and Early Postoperative Outcomes of Acute Appendicitis
title_fullStr Impact of the COVID-19 Pandemic on the Severity and Early Postoperative Outcomes of Acute Appendicitis
title_full_unstemmed Impact of the COVID-19 Pandemic on the Severity and Early Postoperative Outcomes of Acute Appendicitis
title_short Impact of the COVID-19 Pandemic on the Severity and Early Postoperative Outcomes of Acute Appendicitis
title_sort impact of the covid-19 pandemic on the severity and early postoperative outcomes of acute appendicitis
topic Emergency Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10400342/
https://www.ncbi.nlm.nih.gov/pubmed/37546691
http://dx.doi.org/10.7759/cureus.42923
work_keys_str_mv AT nguyenhaiv impactofthecovid19pandemicontheseverityandearlypostoperativeoutcomesofacuteappendicitis
AT tranloch impactofthecovid19pandemicontheseverityandearlypostoperativeoutcomesofacuteappendicitis
AT lytuanh impactofthecovid19pandemicontheseverityandearlypostoperativeoutcomesofacuteappendicitis
AT phamquangt impactofthecovid19pandemicontheseverityandearlypostoperativeoutcomesofacuteappendicitis
AT phamvuq impactofthecovid19pandemicontheseverityandearlypostoperativeoutcomesofacuteappendicitis
AT tranhan impactofthecovid19pandemicontheseverityandearlypostoperativeoutcomesofacuteappendicitis
AT trinhloct impactofthecovid19pandemicontheseverityandearlypostoperativeoutcomesofacuteappendicitis
AT dinhthient impactofthecovid19pandemicontheseverityandearlypostoperativeoutcomesofacuteappendicitis
AT phamdinht impactofthecovid19pandemicontheseverityandearlypostoperativeoutcomesofacuteappendicitis
AT maiphantuonganh impactofthecovid19pandemicontheseverityandearlypostoperativeoutcomesofacuteappendicitis