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Histopathologic Changes of Appendicitis Stage During the COVID-19 Pandemic

Background: We decided to compare the pathology stage of appendicitis in patients referred to Firoozabadi Medical Center before and after the official announcement of the coronavirus outbreak in Iran because we believe that people's fears of COVID-19 are keeping them away from hospitals and it...

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Autores principales: Khaleghian, Mohsen, Tizmaghz, Adnan, Rezaei-Tavirani, Majid, Abbasi, Mohammad Amin, Montazer, Fatemeh, Shabestanipour, Ghazaal, Alamoutifard, Emad, Tayebi, Ali, Olamaeian, Faranak
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Iran University of Medical Sciences 2022
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Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9719579/
https://www.ncbi.nlm.nih.gov/pubmed/36479536
http://dx.doi.org/10.47176/mjiri.36.140
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author Khaleghian, Mohsen
Tizmaghz, Adnan
Rezaei-Tavirani, Majid
Abbasi, Mohammad Amin
Montazer, Fatemeh
Shabestanipour, Ghazaal
Alamoutifard, Emad
Tayebi, Ali
Olamaeian, Faranak
author_facet Khaleghian, Mohsen
Tizmaghz, Adnan
Rezaei-Tavirani, Majid
Abbasi, Mohammad Amin
Montazer, Fatemeh
Shabestanipour, Ghazaal
Alamoutifard, Emad
Tayebi, Ali
Olamaeian, Faranak
author_sort Khaleghian, Mohsen
collection PubMed
description Background: We decided to compare the pathology stage of appendicitis in patients referred to Firoozabadi Medical Center before and after the official announcement of the coronavirus outbreak in Iran because we believe that people's fears of COVID-19 are keeping them away from hospitals and it likely causes them to come in later stages of the disease. Therefore, this study aims at investigating the effect of the COVID-19 pandemic on the stage of appendicitis at presentation. Methods: In this retrospective study, histopathology records of all acute appendicitis patients who underwent an emergency appendectomy in the surgical unit in our institute between December 2019 and April 2020 were reviewed retrospectively. The study period was designed to include 2 months before and 2 months after the officially announced onset of the COVID-19 outbreak in Iran on February 20, 2020. All cases of complicated appendicitis (perforated appendicitis, phlegmonous appendix, itis or abscess) were excluded. Descriptive statistics were used to describe our study variables. Furthermore, ordinal logistic regression was used to investigate the effect of the COVID-19 pandemic and demographic variables on the stage of appendicitis at presentation. Data were analyzed using SPSS Statistics Version 22. Results: The study was conducted on 170 clinically diagnosed acute appendicitis patients. The odds ratio for gender was equal to 0.45 (0.23, 0.86), which means that women presented at an earlier pathological stage than men ( p = 0.016). Also, patients who had health insurance were 50% less likely to present in later pathological stages than those who did not ( p = 0.024). The COVID-19 outback did not have a significant role in the pathological stage at presentation ( p = 0.235). Conclusion: The number of appendicitis patients was down by about 50% following the outbreak announcement in Iran. Surprisingly, we did not find any significant changes in the distribution pattern of appendicitis pathological staging after the outbreak. Being uninsured and male sex were found to have the most significant roles in delayed hospital presentation and higher pathological stages in patients with acute appendicitis.
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spelling pubmed-97195792022-12-06 Histopathologic Changes of Appendicitis Stage During the COVID-19 Pandemic Khaleghian, Mohsen Tizmaghz, Adnan Rezaei-Tavirani, Majid Abbasi, Mohammad Amin Montazer, Fatemeh Shabestanipour, Ghazaal Alamoutifard, Emad Tayebi, Ali Olamaeian, Faranak Med J Islam Repub Iran Original Article Background: We decided to compare the pathology stage of appendicitis in patients referred to Firoozabadi Medical Center before and after the official announcement of the coronavirus outbreak in Iran because we believe that people's fears of COVID-19 are keeping them away from hospitals and it likely causes them to come in later stages of the disease. Therefore, this study aims at investigating the effect of the COVID-19 pandemic on the stage of appendicitis at presentation. Methods: In this retrospective study, histopathology records of all acute appendicitis patients who underwent an emergency appendectomy in the surgical unit in our institute between December 2019 and April 2020 were reviewed retrospectively. The study period was designed to include 2 months before and 2 months after the officially announced onset of the COVID-19 outbreak in Iran on February 20, 2020. All cases of complicated appendicitis (perforated appendicitis, phlegmonous appendix, itis or abscess) were excluded. Descriptive statistics were used to describe our study variables. Furthermore, ordinal logistic regression was used to investigate the effect of the COVID-19 pandemic and demographic variables on the stage of appendicitis at presentation. Data were analyzed using SPSS Statistics Version 22. Results: The study was conducted on 170 clinically diagnosed acute appendicitis patients. The odds ratio for gender was equal to 0.45 (0.23, 0.86), which means that women presented at an earlier pathological stage than men ( p = 0.016). Also, patients who had health insurance were 50% less likely to present in later pathological stages than those who did not ( p = 0.024). The COVID-19 outback did not have a significant role in the pathological stage at presentation ( p = 0.235). Conclusion: The number of appendicitis patients was down by about 50% following the outbreak announcement in Iran. Surprisingly, we did not find any significant changes in the distribution pattern of appendicitis pathological staging after the outbreak. Being uninsured and male sex were found to have the most significant roles in delayed hospital presentation and higher pathological stages in patients with acute appendicitis. Iran University of Medical Sciences 2022-11-22 /pmc/articles/PMC9719579/ /pubmed/36479536 http://dx.doi.org/10.47176/mjiri.36.140 Text en © 2022 Iran University of Medical Sciences https://creativecommons.org/licenses/by-nc-sa/1.0/This is an open-access article distributed under the terms of the Creative Commons Attribution NonCommercial-ShareAlike 1.0 License (CC BY-NC-SA 1.0), which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.
spellingShingle Original Article
Khaleghian, Mohsen
Tizmaghz, Adnan
Rezaei-Tavirani, Majid
Abbasi, Mohammad Amin
Montazer, Fatemeh
Shabestanipour, Ghazaal
Alamoutifard, Emad
Tayebi, Ali
Olamaeian, Faranak
Histopathologic Changes of Appendicitis Stage During the COVID-19 Pandemic
title Histopathologic Changes of Appendicitis Stage During the COVID-19 Pandemic
title_full Histopathologic Changes of Appendicitis Stage During the COVID-19 Pandemic
title_fullStr Histopathologic Changes of Appendicitis Stage During the COVID-19 Pandemic
title_full_unstemmed Histopathologic Changes of Appendicitis Stage During the COVID-19 Pandemic
title_short Histopathologic Changes of Appendicitis Stage During the COVID-19 Pandemic
title_sort histopathologic changes of appendicitis stage during the covid-19 pandemic
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9719579/
https://www.ncbi.nlm.nih.gov/pubmed/36479536
http://dx.doi.org/10.47176/mjiri.36.140
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