Long-term results on the severity of acute appendicitis during COVID-19 pandemic

BACKGROUND: Acute appendicitis cases increased in severity following COVID-19–related restrictions in March, 2020. We investigated if similar changes occurred during Wave 2. METHODS: Acute appendicitis patients during Wave 1 were grouped 8 weeks before (Group A) and after (Group B) stay-at-home rest...

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Detalles Bibliográficos
Autores principales: Santone, Elizabeth, Izzo, Francesca, Lo, Karina, Pérez Coulter, Aixa M., Jabbour, Nicolas, Orthopoulos, Georgios
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Original Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8942907/
https://www.ncbi.nlm.nih.gov/pubmed/35345554
http://dx.doi.org/10.1016/j.sopen.2022.03.005
Descripción
Sumario:BACKGROUND: Acute appendicitis cases increased in severity following COVID-19–related restrictions in March, 2020. We investigated if similar changes occurred during Wave 2. METHODS: Acute appendicitis patients during Wave 1 were grouped 8 weeks before (Group A) and after (Group B) stay-at-home restrictions were initiated on March 15, 2020. Cases in Wave 2 were grouped 8 weeks before (Group C) and after (Group D) November 6, 2020. Groups were compared to equivalent time frames in 2018/2019. RESULTS: Group A versus B revealed 42.6% decrease (confidence interval: − 59.4 to − 25.7) in uncomplicated appendicitis and 21.1% increase (confidence interval: 4.8–37.3) in perforated appendicitis. Similar patterns were noted comparing Group C versus D without statistical significance. The changes seen in Wave 1 were significantly different than in 2018/2019. This trend continued in Wave 2. CONCLUSION: Similar to Wave 1, acute appendicitis cases increased in severity during wave 2 of COVID-19, but with less prominence.

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