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Increasing incidence of complicated appendicitis during COVID-19 pandemic
BACKGROUND: The novel coronavirus (COVID-19) strain has resulted in restrictions potentially impacting patients presenting with acute appendicitis and their disease burden. METHODS: All acute appendicitis admissions (281 patients) between 1/1/2018-4/30/2020 were reviewed. Two groups were created: 6...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier Inc.
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7521886/ https://www.ncbi.nlm.nih.gov/pubmed/33012500 http://dx.doi.org/10.1016/j.amjsurg.2020.09.026 |
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author | Orthopoulos, Georgios Santone, Elizabeth Izzo, Francesca Tirabassi, Michael Pérez-Caraballo, Aixa M. Corriveau, Nicole Jabbour, Nicolas |
author_facet | Orthopoulos, Georgios Santone, Elizabeth Izzo, Francesca Tirabassi, Michael Pérez-Caraballo, Aixa M. Corriveau, Nicole Jabbour, Nicolas |
author_sort | Orthopoulos, Georgios |
collection | PubMed |
description | BACKGROUND: The novel coronavirus (COVID-19) strain has resulted in restrictions potentially impacting patients presenting with acute appendicitis and their disease burden. METHODS: All acute appendicitis admissions (281 patients) between 1/1/2018-4/30/2020 were reviewed. Two groups were created: 6 weeks before (Group A) and 6 weeks after (Group B) the date elective surgeries were postponed in Massachusetts for COVID-19. Acute appendicitis incidence and disease characteristics were compared between the groups. Similar time periods from 2018 to 2019 were also compared. RESULTS: Fifty-four appendicitis patients were categorized in Group A and thirty-seven in Group B. Those who underwent surgery were compared and revealed a 45.5% decrease (CI: 64.2,-26.7) in uncomplicated appendicitis, a 21.1% increase (CI:3.9,38.3) in perforated appendicitis and a 29% increase (CI:11.5,46.5) in gangrenous appendicitis. Significant differences in the incidence of uncomplicated and complicated appendicitis were also noted when comparing 2020 to previous years. CONCLUSIONS: The significant increase in complicated appendicitis and simultaneous significant decrease in uncomplicated appendicitis during the COVID-19 pandemic indicate that patients are not seeking appropriate, timely surgical care. |
format | Online Article Text |
id | pubmed-7521886 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Elsevier Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-75218862020-09-29 Increasing incidence of complicated appendicitis during COVID-19 pandemic Orthopoulos, Georgios Santone, Elizabeth Izzo, Francesca Tirabassi, Michael Pérez-Caraballo, Aixa M. Corriveau, Nicole Jabbour, Nicolas Am J Surg Original Research Article BACKGROUND: The novel coronavirus (COVID-19) strain has resulted in restrictions potentially impacting patients presenting with acute appendicitis and their disease burden. METHODS: All acute appendicitis admissions (281 patients) between 1/1/2018-4/30/2020 were reviewed. Two groups were created: 6 weeks before (Group A) and 6 weeks after (Group B) the date elective surgeries were postponed in Massachusetts for COVID-19. Acute appendicitis incidence and disease characteristics were compared between the groups. Similar time periods from 2018 to 2019 were also compared. RESULTS: Fifty-four appendicitis patients were categorized in Group A and thirty-seven in Group B. Those who underwent surgery were compared and revealed a 45.5% decrease (CI: 64.2,-26.7) in uncomplicated appendicitis, a 21.1% increase (CI:3.9,38.3) in perforated appendicitis and a 29% increase (CI:11.5,46.5) in gangrenous appendicitis. Significant differences in the incidence of uncomplicated and complicated appendicitis were also noted when comparing 2020 to previous years. CONCLUSIONS: The significant increase in complicated appendicitis and simultaneous significant decrease in uncomplicated appendicitis during the COVID-19 pandemic indicate that patients are not seeking appropriate, timely surgical care. Elsevier Inc. 2021-05 2020-09-28 /pmc/articles/PMC7521886/ /pubmed/33012500 http://dx.doi.org/10.1016/j.amjsurg.2020.09.026 Text en © 2020 Elsevier Inc. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active. |
spellingShingle | Original Research Article Orthopoulos, Georgios Santone, Elizabeth Izzo, Francesca Tirabassi, Michael Pérez-Caraballo, Aixa M. Corriveau, Nicole Jabbour, Nicolas Increasing incidence of complicated appendicitis during COVID-19 pandemic |
title | Increasing incidence of complicated appendicitis during COVID-19 pandemic |
title_full | Increasing incidence of complicated appendicitis during COVID-19 pandemic |
title_fullStr | Increasing incidence of complicated appendicitis during COVID-19 pandemic |
title_full_unstemmed | Increasing incidence of complicated appendicitis during COVID-19 pandemic |
title_short | Increasing incidence of complicated appendicitis during COVID-19 pandemic |
title_sort | increasing incidence of complicated appendicitis during covid-19 pandemic |
topic | Original Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7521886/ https://www.ncbi.nlm.nih.gov/pubmed/33012500 http://dx.doi.org/10.1016/j.amjsurg.2020.09.026 |
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