Has the frequency of complicated appendicitis changed in children in the first year of the COVID-19 pandemic? | ||||
| Annals of Pediatric Surgery | ||||
| Volume 19, Issue 1, January 2023 PDF (811.88 K) | ||||
| DOI: 10.1186/s43159-022-00235-7 | ||||
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| Authors | ||||
Tülin Öztaş   ; Salim Bilici; Ahmet Dursun
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| Abstract | ||||
| Background The COVID-19 pandemic period suggests that the rate of complications may have increased in patients requiring surgical treatment due to the fact that they could not come to the hospital at the onset of the symptom. This study aims to evaluate the difference in the frequency of complicated appendicitis and postoperative complications in the COVID-19 pandemic. Results A total of 407 patients were included in the study, 207 of whom were included during the pre-pandemic and 200 of whom during the pandemic period. The mean time to hospital admission after the onset of symptoms was 1.3 ± 0.9 days, pre-pandemic, and 1.4 ± 0.8 days during the pandemic group. In the pre-pandemic group, 0.4% intrabdominal abscess developed and 37.5% complicated appendicitis was detected. In the pandemic group, it was found that there were 1% abscess, 0.5% wound infection, 0.5% brid ileus, and 31.9% complicated appendicitis. The pre-pandemic group length of hospitalization was 2.4 ± 0.8 days, and the pandemic was 2.1 ± 0.9 days There was no difference between pre-pandemic and pandemic groups in terms of age, gender, white blood cell count, duration of symptoms, postoperative complications and frequency of complicated appendicitis, and duration of hospitalization. Conclusions In the first year of the COVID-19 pandemic, we found that the rate of complicated appendicitis and postoperative complications were not different from pre-pandemic. | ||||
| Keywords | ||||
| Appendicitis; Complicated appendicitis; COVID-19 pandemic; Postoperative complications | ||||
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