The impact of COVID-19 pandemic on acute appendicitis treatment in a Portuguese District Hospital

IF 0.6 Q3 GEOGRAPHY

Southeastern Geographer Pub Date : 2021-09-30 DOI:10.21614/sgo-26-3-347

E. Gonçalves, Nuno Gonçalves, J. Pereira, Sandra F. Martins, J. Pereira

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引用次数: 0

Abstract

Background: The COVID-19 pandemic created an enormous burden on global health systems by decreasing health care access and delaying care. Acute appendicitis (AA) is one of the most common surgical emergencies worldwide. Our goal was to determine if patients treated for AA during the pandemic period had more morbidity. Methods: A retrospective study was conducted including patients with AA, from a two-months period in 2020 and a control group from a homologous period in 2019. These groups were compared regarding demographics, surgical findings, surgical and postoperative complications. Results: 68 patients were diagnosed with AA (34 - 2020 and 34 - 2019). In 2020, 2 patients were conservatively treated and 32 underwent surgical appendectomy (2 open surgery - OS and 30 laparoscopic surgery - LPS). In 2019, 1 patient had OS and 33 had LPS. No prior demographic and discharge times were observed. An increase in time until surgery and in number of complications was observed. Conclusion: There were no differences in the total number of AA, however the increased time until surgery can be attributed to the time spent waiting for SARS-CoV test results. The similar discharge time but increased number of complications could be explained by delayed presentation to the emergencies room. © 2021 Celsius Publishing House. All rights reserved.

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COVID-19大流行对葡萄牙地区医院急性阑尾炎治疗的影响

背景:2019冠状病毒病大流行减少了获得卫生保健的机会，延误了护理，给全球卫生系统造成了巨大负担。急性阑尾炎(AA)是世界范围内最常见的外科急诊之一。我们的目的是确定在大流行期间接受AA治疗的患者是否有更高的发病率。方法:对2020年2个月的AA患者和2019年同期的对照组进行回顾性研究。这些组在人口统计学、手术表现、手术和术后并发症方面进行比较。结果:确诊AA患者68例(34 - 2020和34 - 2019)。2020年，保守治疗2例，手术切除阑尾32例(开放手术- OS 2例，腹腔镜手术- LPS 30例)。2019年1例OS, 33例LPS。没有观察到先前的人口统计学和出院时间。观察到手术前的时间和并发症的数量增加。结论:两组患者AA总数无差异，但手术前等待时间的增加可能与等待SARS-CoV检测结果的时间有关。出院时间相似，但并发症数量增加，可以解释为延迟到急诊室就诊。©2021摄氏度出版社。版权所有。

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来源期刊

Southeastern Geographer GEOGRAPHY-

CiteScore

1.10

自引率

14.30%

发文量

期刊介绍： The Southeastern Geographer is a biannual publication of the Southeastern Division of Association of American Geographers. The journal has published the academic work of geographers and other social and physical scientists since 1961. Peer-reviewed articles and essays are published along with book reviews, organization and conference reports, and commentaries. The journal welcomes manuscripts on any geographical subject as long as it reflects sound scholarship and contains significant contributions to geographical understanding.