Your browser doesn't support javascript.
Mostrar: 20 | 50 | 100
Resultados 1 - 2 de 2
Filtrar
Añadir filtros

Tipo del documento
Intervalo de año
1.
J Surg Res ; 287: 117-123, 2023 07.
Artículo en Inglés | MEDLINE | ID: covidwho-2293324

RESUMEN

INTRODUCTION: In the spring of 2020, New York City was one of the first epicenters of the COVID outbreak. In this study, we evaluate the incidence and treatment of appendicitis in two New York City community hospitals during the COVID pandemic. METHODS: This retrospective study focused on the incidence and outcome of acute appendicitis in the adult population (>18 y old) during peak-COVID periods (March 16, 2020,-June 15, 2020) compared to pre-COVID and post-COVID periods. We compared the number of patients who underwent operative versus nonoperative management, patient demographics, length of stay (LOS), complications, and readmission rates within these time periods. Data are presented as mean ± standard deviation (analysis of variance). RESULTS: From January 1, 2020 to December 31, 2020, 393 patients presented with acute appendicitis and 321 (81.7%) were treated operatively, compared to 441 total and 366 treated operatively (83%) in 2019 (P = 0.88). During the COVID outbreak, fewer patients presented with appendicitis (mean 6.9 ± 1 pre-COVID case/week, 4.4 ± 2.4 peak-COVID cases/week and 7.6 ± 0.65 post-COVID cases/week, P = 0.018) with no significant difference in the pre-COVID and post-COVID period. There was no difference in LOS between the pre-, peak-, and post-COVID periods with a median of 1 for all the three, (interquartile range (IQR): 0.8-2, 0.6-2, 0.6-2, respectively, P = 0.43). Additionally, there was no difference in 30-day readmission rates (4.2%, 0%, 3.9%, P = 0.99) and postoperative complications (4.2%, 0%, 2.9%, P = 0.98). CONCLUSIONS: During peak-COVID, there was a significant reduction in the number of patients who presented with acute appendicitis without a post rebound increase in presentation. Those who presented during peak-COVID were able to undergo operative management safely, without affecting LOS or postoperative complications.


Asunto(s)
Apendicitis , COVID-19 , Adulto , Humanos , COVID-19/epidemiología , COVID-19/complicaciones , Pandemias , Estudios Retrospectivos , Apendicitis/epidemiología , Apendicitis/cirugía , Apendicitis/complicaciones , Apendicectomía/efectos adversos , Complicaciones Posoperatorias/epidemiología , Complicaciones Posoperatorias/etiología , Tiempo de Internación , Enfermedad Aguda
2.
The Journal of surgical research ; 2023.
Artículo en Inglés | EuropePMC | ID: covidwho-2228848

RESUMEN

Background In the spring of 2020, New York City was one of the first epicenters of the COVID outbreak. In this study, we evaluate the incidence and treatment of appendicitis in two New York City community hospitals during the COVID pandemic. Methods This retrospective study focused on the incidence and outcome of acute appendicitis in the adult population (>18yo) during peak-COVID (3/16/20-6/15/20) compared to pre and post. We compared the number of patients who underwent operative vs non-operative management, patient demographics, length of stay (LOS), complications, and readmission rates within these time periods. Data is presented as mean ± SD (ANOVA). Results From 1/1/2020 to 12/31/2020, 393 patients presented with acute appendicitis and 321 (81.7%) were treated operatively, compared to 441 total and 366 treated operatively (83%) in 2019 (p=0.88). During the COVID outbreak, fewer patients presented with appendicitis (mean 6.9±1 pre-, 4.4±2.4 peak- and 7.6±0.65 post-COVID cases/week, p=0.018) with no significant difference pre and post. There was no difference in LOS between the pre, peak, and post periods with median of 1 for all three, (IQR 0.8-2, 0.6-2, 0.6-2 respectively p = 0.43). Additionally, there was no difference in 30-day readmission rates (4.2%, 0%, 3.9%, p=0.99) and post-operative complications (4.2%, 0%, 2.9%, p=0.98). Conclusion During peak-COVID, there was significant reduction in the number of patients who presented with acute appendicitis without a post-rebound increase in presentation. Those who presented during peak-COVID were able to undergo operative management safely, without affecting length of stay or post-operative complications.

SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA