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The treatment of acute appendicitis in two age-based groups during COVID-19 pandemic: a retrospective experience in a COVID-19 referral hospital.
Lisi, Giorgio; Campanelli, Michela; Mastrangeli, Maria Rosaria; Spoletini, Domenico; Menditto, Rosa; Grande, Simona; Boccuzzi, Massimiliano; Grande, Michele.
  • Lisi G; Department of Surgery, Sant'Eugenio Hospital, Piazzale dell'Umanesimo 10, 00144, Rome, Italy. giolimas06@yahoo.it.
  • Campanelli M; Emergency Surgery Unit, University Hospital of Tor Vergata, viale Oxford 81, 00133, Rome, Italy.
  • Mastrangeli MR; Department of Surgery, Sant'Eugenio Hospital, Piazzale dell'Umanesimo 10, 00144, Rome, Italy.
  • Spoletini D; Department of Surgery, Sant'Eugenio Hospital, Piazzale dell'Umanesimo 10, 00144, Rome, Italy.
  • Menditto R; Department of Surgery, Sant'Eugenio Hospital, Piazzale dell'Umanesimo 10, 00144, Rome, Italy.
  • Grande S; Emergency Surgery Unit, University Hospital of Tor Vergata, viale Oxford 81, 00133, Rome, Italy.
  • Boccuzzi M; Department of Surgery, San Sebastiano Hospital, via Tuscolana 1, 00046, Frascati, Rome, Italy.
  • Grande M; Emergency Surgery Unit, University Hospital of Tor Vergata, viale Oxford 81, 00133, Rome, Italy.
Int J Colorectal Dis ; 37(2): 323-328, 2022 Feb.
Article in English | MEDLINE | ID: covidwho-1503984
ABSTRACT

PURPOSE:

During the past months, the Italian Government has reduced the restrictions and access to hospitals as well as outpatient. Since then, up to 40% of non-traumatic abdominal emergencies have had unusual delayed treatment. Given the rapidly evolving situation and the absence of evidence to support recommendations during the COVID-19 pandemic, it is useful to assess how the current situation is influencing the management of elderly patients with acute appendicitis.

METHODS:

Between February 2020 and December 2020, all patients 18 years or older undergone appendectomy were included. Patients were divided in two age-based groups (young groups, YG; elderly group, EG). Surgical approach, hospital stay, post-operative complications, radiology reports, and histologic examination were included in the retrospective analysis.

RESULTS:

One hundred eight patients underwent appendectomy, 81 patients into the YG, and 27 in the EG. Laparoscopy was performed in 87.7% of the YG and in 51.8% of the elderly (p < 0.000), while conversion to laparotomy was necessary in 3.7% in the YG vs 22.3% of the other group (p < 0.009). Open procedures were more frequent in the EG, 25.9% vs 8.6% (p value < 0.05). No mortality rate was reported in both groups; moreover, the mean hospital stay was greater in the EG than the YG (p < 0.000).

CONCLUSION:

Our data highlighted a partial delay in diagnosis in the elderly group, and an increase in complicated appendicitis also demonstrated by the need for conversion to laparotomy despite no significant relationship between these findings and the histologic examination was reported.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Appendicitis / Laparoscopy / COVID-19 Type of study: Experimental Studies / Observational study / Randomized controlled trials Limits: Adult / Aged / Humans Language: English Journal: Int J Colorectal Dis Journal subject: Gastroenterology Year: 2022 Document Type: Article Affiliation country: S00384-021-04060-z

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Appendicitis / Laparoscopy / COVID-19 Type of study: Experimental Studies / Observational study / Randomized controlled trials Limits: Adult / Aged / Humans Language: English Journal: Int J Colorectal Dis Journal subject: Gastroenterology Year: 2022 Document Type: Article Affiliation country: S00384-021-04060-z