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Acute appendicitis during the COVID-19 pandemic-changes in incidence and clinical presentation but not in patients' outcome.
Wolf, Sebastian; Schrempf, Matthias; Vlasenko, Dmytro; Schoeler, Claus; Erckmann, Frank; Von Parpart, Patrick; Paschwitz, Rieke; Anthuber, Matthias; Sommer, Florian.
  • Wolf S; Department of General, Visceral, and Transplant Surgery, University Hospital Augsburg, Stenglinstraße 2, Augsburg 86156, Germany.
  • Schrempf M; Department of General, Visceral, and Transplant Surgery, University Hospital Augsburg, Stenglinstraße 2, Augsburg 86156, Germany.
  • Vlasenko D; Department of General, Visceral, and Transplant Surgery, University Hospital Augsburg, Stenglinstraße 2, Augsburg 86156, Germany.
  • Schoeler C; Department of General and Visceral Surgery, Wertach Clinic, Weidenhartstraße 35, Schwabmünchen 86830, Germany.
  • Erckmann F; Department of General, Visceral and Minimal-invasive Surgery, Donau-Ries-Clinics, Neudegger Allee 6, Donauwörth 86609, Germany.
  • Von Parpart P; Department of General and Visceral Surgery, Friedberg and Aichach Hospital, Herrgottsruhstraße 3, Friedberg 86316, Germany.
  • Paschwitz R; Department of General, Visceral, Vascular and Thoracic Surgery, St. Elisabeth Hospital Dillingen, Ziegelstraße 38, Dillingen an der Donau 89407, Germany.
  • Anthuber M; Department of General, Visceral, and Transplant Surgery, University Hospital Augsburg, Stenglinstraße 2, Augsburg 86156, Germany.
  • Sommer F; Department of General, Visceral, and Transplant Surgery, University Hospital Augsburg, Stenglinstraße 2, Augsburg 86156, Germany.
Int J Qual Health Care ; 34(1)2022 Mar 01.
Article in English | MEDLINE | ID: covidwho-1684711
ABSTRACT

BACKGROUND:

The coronavirus disease 2019 (COVID-19) pandemic is an ongoing severe issue.

OBJECTIVE:

The aim of this study was to compare the incidence, severity and treatment of acute appendicitis (AA) before and during the COVID-19 pandemic.

METHODS:

A retrospective cohort analysis was conducted between January 2019 and April 2020 in one high-volume center. A comparison was performed between two groups (Group A patients admitted with AA before the COVID-19 pandemic; Group B patients admitted with AA at the beginning of the pandemic) in terms of the incidence of AA and clinical and pathological outcomes. The incidence of AA was also analyzed in six surrounding peripheral hospitals.

RESULTS:

A total of 94 patients were identified, 54 in Group A and 40 in Group B (57% vs. 43%). Demographic data were comparable between groups. AA in Group B showed a significant higher rate of histological advanced cases (10 (18.5%) Group A vs. 20 (50%) Group B, P = 0.001) and the need for postoperative antibiotic treatment (6 (11.1%) Group A vs. 11 (27.5%) Group B, P = 0.045). During the pandemic, a higher percentage of patients were treated at peripheral hospitals (Group A 54/111 vs. 40/126).

CONCLUSION:

During the onset of the COVID-19 pandemic there was a significant decrease of patients with AA in a high-volume center, which showed more advanced disease of AA. This significant decrease in the high-volume center correlates with an increase in patients with AA in peripheral hospitals and represents a change in patient flow during the onset of the pandemic.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Appendicitis / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Humans Language: English Journal subject: Health Services Year: 2022 Document Type: Article Affiliation country: Intqhc

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Appendicitis / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Humans Language: English Journal subject: Health Services Year: 2022 Document Type: Article Affiliation country: Intqhc