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Long-term results on the severity of acute appendicitis during COVID-19 pandemic.
Santone, Elizabeth; Izzo, Francesca; Lo, Karina; Pérez Coulter, Aixa M; Jabbour, Nicolas; Orthopoulos, Georgios.
  • Santone E; Department of Surgery, University of Massachusetts Chan Medical School-Baystate Medical Center, 759 Chestnut St, Springfield, MA 01199, USA.
  • Izzo F; Department of Surgery, University of Massachusetts Chan Medical School-Baystate Medical Center, 759 Chestnut St, Springfield, MA 01199, USA.
  • Lo K; Department of Surgery, University of Massachusetts Chan Medical School-Baystate Medical Center, 759 Chestnut St, Springfield, MA 01199, USA.
  • Pérez Coulter AM; Department of Surgery, University of Massachusetts Chan Medical School-Baystate Medical Center, 759 Chestnut St, Springfield, MA 01199, USA.
  • Jabbour N; Department of Surgery, University of Massachusetts Chan Medical School-Baystate Medical Center, 759 Chestnut St, Springfield, MA 01199, USA.
  • Orthopoulos G; Department of Surgery, University of Massachusetts Chan Medical School-Baystate Medical Center, 759 Chestnut St, Springfield, MA 01199, USA.
Surg Open Sci ; 9: 1-6, 2022 Jul.
Article in English | MEDLINE | ID: covidwho-1815180
ABSTRACT

Background:

Acute appendicitis cases increased in severity following COVID-19-related restrictions in March, 2020. We investigated if similar changes occurred during Wave 2.

Methods:

Acute appendicitis patients during Wave 1 were grouped 8 weeks before (Group A) and after (Group B) stay-at-home restrictions were initiated on March 15, 2020. Cases in Wave 2 were grouped 8 weeks before (Group C) and after (Group D) November 6, 2020. Groups were compared to equivalent time frames in 2018/2019.

Results:

Group A versus B revealed 42.6% decrease (confidence interval - 59.4 to - 25.7) in uncomplicated appendicitis and 21.1% increase (confidence interval 4.8-37.3) in perforated appendicitis. Similar patterns were noted comparing Group C versus D without statistical significance. The changes seen in Wave 1 were significantly different than in 2018/2019. This trend continued in Wave 2.

Conclusion:

Similar to Wave 1, acute appendicitis cases increased in severity during wave 2 of COVID-19, but with less prominence.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Prognostic study / Randomized controlled trials Topics: Long Covid Language: English Journal: Surg Open Sci Year: 2022 Document Type: Article Affiliation country: J.sopen.2022.03.005

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Prognostic study / Randomized controlled trials Topics: Long Covid Language: English Journal: Surg Open Sci Year: 2022 Document Type: Article Affiliation country: J.sopen.2022.03.005