Management of Acute Appendicitis during the COVID-19 Pandemic: A Single Tertiary Center Experience

被引:0
作者
Aharoni, Mor [1 ,3 ]
Barash, Yiftach [1 ,2 ,3 ]
Zager, Yaniv [1 ,3 ]
Anteby, Roi [1 ,2 ,3 ]
Khalilieh, Saed [1 ,3 ]
Amiel, Imri [1 ,3 ]
Klang, Eyal [1 ,2 ,3 ]
Goldes, Yuri [1 ,3 ]
Gutman, Mordechai [1 ,3 ]
Horesh, Nir [1 ,3 ]
Rosin, Danny [1 ,2 ,3 ]
机构
[1] Sheba Med Ctr, Dept Surg & Transplantat B, IL-52621 Tel Hashomer, Israel
[2] Sheba Med Ctr, Dept Diagnost Imaging, Tel Hashomer, Israel
[3] Tel Aviv Univ, Sackler Fac Med, Tel Aviv, Israel
来源
ISRAEL MEDICAL ASSOCIATION JOURNAL | 2021年 / 23卷 / 05期
关键词
appendicitis; appendectomy; coronavirus disease-2019 (COVID-19); pandemic; severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2); EMERGENCY-DEPARTMENT;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: The coronavirus disease-2019 (COVID-19) outbreak had an effect on healthcare. Objectives: To evaluate the presentation and management of patients with acute appendicitis. Methods: A retrospective study was conducted of all patients presenting with acute appendicitis to the emergency department of a large tertiary center during March and April 2020. Clinical features, diagnostic workup, and management were compared. Results: Seventy-four patients presented with acute appendicitis during the pandemic compared to 60 patients during the same time the year before. There were no significant differences in patient demographics: age (P = 0.65), gender (P = 0.73), smoking status (P = 0.48). During COVID-19 patients were more likely to complain of right tower quadrant pain (100% vs. 78.3%, P < 0.01). Rates of surgical treatment was similar (83.8% vs. 81.7%, P = 1); mean operative time was longer during COVID-19 (63 +/- 23 vs. 52 +/- 26 minutes, P= 0.03). There were no significant differences in intra-operative findings including the presence of appendiceal perforation (16.3% vs. 14.5%, P = 0.8), abscess (6.1% vs. 9.7%, P = 0.73), or involvement of cecum or terminal ileum (14.28% vs. 19.63%, P = 1). Postoperative treatment with antibiotics was more prevalent during COVID-19 (37.1% vs. 18%, P= 0.04). Length of stay (1.82 2.04 +/- vs. 2.74 4.68 +/-, P = 0.2) and readmission rates (6% vs. 11.3%, P =0.51) were similar. Conclusion: The COVID-19 pandemic did not significantly affect the presentation, clinical course, management, and outcomes of patients presenting with acute appendicitis.
引用
收藏
页码:269 / 273
页数:5
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