Comparison of pandemic and pre-pandemic practices of managing acute appendicitis
British Journal of Surgery
; 108(SUPPL 6):vi129, 2021.
Article
in English
| EMBASE | ID: covidwho-1569601
ABSTRACT
Aim:
Acute appendicitis (AA) is a common indication for abdominal surgery, with more than 30,000 appendicectomies performed in England per year. However, SARS-CoV-2 (COVID-19) changed usual surgical practices following advice to minimise laparoscopic surgery, and instead favouring conservative management, or open surgery for AA.Method:
In this study, we compared the management of 50 patients with suspected/confirmed AA during the first wave of the COVID-19 pandemic at a district general hospital (DGH) with our usual practices, against 50 patients admitted with suspected/confirmed AA during a similar time period, one year prior to the pandemic.Results:
Demographics of patients in both groups were comparable with median age of 34 in the pandemic vs 32.5 in the pre-pandemic group. 74% of patients in the pandemic group (PG) underwent imaging to confirm appendicitis, compared to 58% of patients in the pre-pandemic group (PPG). 64% of PG patients were treated conservatively, compared to 8% in PPG patients. Outcomes demonstrated re-attendance events of 12% in the PG, as compared to 10% in the PPG, although the follow up period was longer in the PPG. Despite a significantly smaller number of patients managed surgically during the pandemic, 27% of patients undergoing appendicectomies had post-operative complications in the PG, as compared to 7% in the PPG.Conclusions:
During the pandemic, more patients at our DGH with AA were treated conservatively, more patients had re-attendance events and post-operative complications when compared to patients in the pre-pandemic group.
acute, appendicitis; adult; appendectomy; clinical, article; complication; conference, abstract; conservative, treatment; controlled, study; demography; England; female; follow, up; general, hospital; human; laparoscopic, surgery; male; nonhuman; open, surgery; pandemic; postoperative, complication; Severe, acute, respiratory, syndrome, coronavirus, 2; surgery
Full text:
Available
Collection:
Databases of international organizations
Database:
EMBASE
Language:
English
Journal:
British Journal of Surgery
Year:
2021
Document Type:
Article
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