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Have acute appendicitis complications increased in children as a result of SARS-CoV-2? / ¿Han aumentado las complicaciones de las apendicitis agudas en niños por el impacto del SARS-CoV-2?
Toro Rodríguez, M G; Dore Reyes, M; Martínez Castaño, I; Deltell Colomer, P; de la Sen Maldonado, C; Díaz Díaz, V; Encinas Goenechea, A; Gonzálvez Piñera, J.
  • Toro Rodríguez MG; Pediatric Surgery Department. Alicante General University Hospital. Alicante (Spain).
  • Dore Reyes M; Pediatric Surgery Department. Alicante General University Hospital. Alicante (Spain).
  • Martínez Castaño I; Pediatric Surgery Department. Alicante General University Hospital. Alicante (Spain).
  • Deltell Colomer P; Pediatric Surgery Department. Alicante General University Hospital. Alicante (Spain).
  • de la Sen Maldonado C; Pediatric Surgery Department. Alicante General University Hospital. Alicante (Spain).
  • Díaz Díaz V; Pediatric Surgery Department. Alicante General University Hospital. Alicante (Spain).
  • Encinas Goenechea A; Pediatric Surgery Department. Alicante General University Hospital. Alicante (Spain).
  • Gonzálvez Piñera J; Pediatric Surgery Department. Alicante General University Hospital. Alicante (Spain).
Cir Pediatr ; 35(3): 131-134, 2022 Jul 01.
Article in English, Spanish | MEDLINE | ID: covidwho-1925075
ABSTRACT

INTRODUCTION:

The impact of the SARS-CoV-2 pandemic on healthcare has already been described, since it has caused an increase in diagnostic delay and morbidity. Our objective was to assess its influence on the development of complications in children with acute appendicitis. MATERIALS AND

METHODS:

A retrospective cohort study was carried out. It included acute appendicitis patients under 15 years of age treated from January 1, 2019 to December 31, 2020. They were classified according to diagnosis date as before the pandemic (B) (January 2019-February 2020) and during the pandemic (D) (March 2020-December 2020). According to operative findings, they were classified as complicated appendicitis (perforated/abscess/plastron/peritonitis) and non-complicated appendicitis (catarrhal/phlegmonous/gangrenous). Demographic data, progression time, and postoperative complications were analyzed.

RESULTS:

A total of 309 patients were included, 193 (62.5%) in Group B, and 116 (37.5%) in Group D, with an age of 9.2 ± 0.4 and 9.4 ± 0.6 years, respectively (CI = 95%). Diagnostic time was 1.35 and 1.43 days (p>0.05) in Groups B and D, respectively, with ≥ 3 days representing 15.5% of cases in Group B, and 16.4% of cases in Group D (p = 0.84). The proportion of complicated appendicitis was 23.3% in Group B vs. 21.6% in Group D (p>0.05). Postoperative complications were observed in 11.4% of patients in Group B, and in 13.8% of patients in Group D (p>0.05), with intra-abdominal abscess being the most frequent complication in both groups (54.5% of the total complications in Group B vs. 65.5% in Group D; p>0.05).

CONCLUSIONS:

The management of acute appendicitis and its complications in pediatric patients has not been impacted by the SARS-CoV-2 pandemic or the safety measures enforced.
RESUMEN

INTRODUCCION:

Se ha descrito el impacto de la pandemia del SARS-CoV-2 en la atención sanitaria, al suponer un aumento del retraso diagnóstico y morbilidad. Nuestro objetivo es evaluar su influencia en el desarrollo de complicaciones en las apendicitis agudas en niños.

METODOLOGIA:

Estudio retrospectivo de cohortes, incluyendo los pacientes menores de 15 años tratados por apendicitis aguda desde 01/01/2019 hasta 31/12/2020. Se distribuyeron según su fecha de diagnóstico en antes de la pandemia (A) (enero/2019-febrero/2020) y durante la pandemia (P) (marzo-diciembre/2020). Según los hallazgos quirúrgicos se clasificaron en apendicitis complicadas (perforadas/abscesos/plastrones/peritonitis) y no complicadas (catarrales/flemonosas/gangrenosas). Se analizaron datos demográficos, tiempo de evolución y complicaciones postoperatorias.

RESULTADOS:

Se incluyeron un total de 309 pacientes, 193 pacientes (62,5%) en el grupo A y 116 (37,5%) en el P, con edades de 9,2 ± 0,4 y 9,4 ± 0,6 años respectivamente (IC = 95%). Los días al diagnóstico fueron 1,35 y 1,43 (p>0,05) en A y P respectivamente, siendo ≥ 3 días en 15,5% de A y 16,4% en P (p = 0,84). La proporción de apendicitis complicada fue un 23,3% en A vs. 21,6% en P; con p>0,05. Se observaron complicaciones postoperatorias en 11,4% de A y 13,8% de P (p>0,05), siendo la más frecuente el absceso intraabdominal en ambos grupos (54,5% del total de complicaciones vs 65,5%; en A y P respectivamente; p>0,05).

CONCLUSIONES:

La atención sanitaria de la apendicitis aguda y sus complicaciones en pacientes pediátricos no se ha visto modificada por la pandemia del SARS-CoV-2 o las medidas de seguridad adoptadas durante la misma.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Appendicitis / Laparoscopy / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Topics: Long Covid Limits: Child / Humans Language: English / Spanish Journal: Cir Pediatr Journal subject: Pediatrics Year: 2022 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Appendicitis / Laparoscopy / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Topics: Long Covid Limits: Child / Humans Language: English / Spanish Journal: Cir Pediatr Journal subject: Pediatrics Year: 2022 Document Type: Article