A Comparison of Pediatric Appendicitis During the COVID-19 Pandemic and the Same Period Previous Year

IF 0.6 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Health Scope Pub Date : 2022-06-30 DOI:10.5812/jhealthscope-126935

M. Demir, A. Unal, Nurdan Yucel, A. Yıldız, Ç. Karadağ, Meltem Kaba, N. Sever, A. Dokucu

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引用次数: 0

Abstract

Background: Although appendicitis is the most common emergency abdominal surgical pathology in the pediatric age group, there are a limited number of publications in the literature on how appendicitis has affected patients during the COVID-19 pandemic. Objectives: This study examined the effects of fear of being infected with COVID-19 and isolation measures on complications and morbidity in pediatric appendicitis cases. Methods: This study was performed in the Department of Pediatric Surgery, Faculty of Medicine, Health Sciences University, Şişli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey. Patients aged 18 years and younger who were operated on for appendicitis between 11 March 2019 and 11 May 2019 were classified as group 1, and patients aged 18 years and younger who were operated on for appendicitis between 11 March 2020 and 11 May 2020 (during the pandemic) were classified as group 2. Both groups were compared in terms of age, gender, symptoms, duration of symptoms, surgical method, duration of operation, length of hospital stay, and postoperative complications. Results: There were 85 patients in group 1 and 49 in group 2. The mean age was 11.5 ± 3.5 years in group 1 and 12.2 ± 3.0 years in group 2. While the mean hospital admission time for group 1 was 52.2 ± 38.5 hours, it was 50.2 ± 40.0 hours for group 2. The complicated appendicitis rates were 37% and 25% in group 1 and group 2, respectively. In group 1, 94.1% of the operations were completed laparoscopically, whereas, in group 2, this rate was 88.6%. The mean operation time was 64.0 ± 24.4 minutes in group 1 and 69.0 ± 33.0 minutes in group 2. The mean length of hospital stay was 2.9 ± 2.0 days in group 1 and 3.1 ± 3.40 days in group 2. The complication rate was 8.2% in group 1 and 11.4% in group 2. Conclusions: Despite the isolation measures and the risk of virus transmission, the psychosocial effects of the pandemic did not prevent real emergency cases with appendicitis from visiting hospitals.

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新冠肺炎大流行期间儿童阑尾炎与上年同期的比较

背景:虽然阑尾炎是儿科年龄组最常见的急诊腹部手术病理，但关于COVID-19大流行期间阑尾炎如何影响患者的文献出版物数量有限。目的:探讨小儿阑尾炎患者感染新冠肺炎的恐惧和隔离措施对并发症和发病率的影响。方法:本研究在土耳其伊斯坦布尔健康科学大学医学院儿科外科Şişli Hamidiye Etfal培训与研究医院进行。在2019年3月11日至2019年5月11日期间接受阑尾炎手术的18岁及以下患者被归类为第一组，在2020年3月11日至2020年5月11日(大流行期间)接受阑尾炎手术的18岁及以下患者被归类为第二组。比较两组患者的年龄、性别、症状、症状持续时间、手术方式、手术时间、住院时间和术后并发症。结果:1组85例，2组49例。组1平均年龄11.5±3.5岁，组2平均年龄12.2±3.0岁。组1平均住院时间为52.2±38.5 h，组2平均住院时间为50.2±40.0 h。组1和组2并发症阑尾炎发生率分别为37%和25%。第1组94.1%的手术在腹腔镜下完成，而第2组这一比例为88.6%。1组平均手术时间为64.0±24.4 min, 2组平均手术时间为69.0±33.0 min。1组患者平均住院时间为2.9±2.0 d, 2组患者平均住院时间为3.1±3.40 d。并发症发生率1组为8.2%，2组为11.4%。结论:尽管采取了隔离措施和病毒传播的风险，但大流行的社会心理影响并没有阻止真正的阑尾炎急诊病例去医院就诊。

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Health Scope PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

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