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Rates of Inpatient Hospitalization for Acute Pancreatitis in Patients <=21-Years-Old during the Covid-19 Pandemic
Journal of Pediatric Gastroenterology and Nutrition ; 75(Supplement 1):S144-S145, 2022.
Article in English | EMBASE | ID: covidwho-2057611
ABSTRACT

Background:

Multiple studies to date in both pediatric and adult literature have suggested a possible link between acute pancreatitis and recent COVID-19 infection. There have also been several case reports in the pediatric population describing children who presented with acute pancreatitis found to be SARS-CoV-2 PCR positive. Objective(s) The primary aim of our study was to observe acute pancreatitis admission trends in patients <=21-years-old at a local children's hospital between March 1, 2016 and February 28, 2021. The secondary aim was to observe the relationship between COVID-19 and pancreatitis since the onset of the COVID-19 pandemic. We hypothesized that there is an increase in acute pancreatitis admissions in patients <=21 years since the onset of the COVID-19 pandemic, which may be best explained as a post-viral sequela of a recent COVID-19 infection. Method(s) This study is a retrospective chart review that consisted of the following inclusion criteria any individuals hospitalized <=21 years of age at time of admission with the diagnosis of acute pancreatitis and a peak lipase >200 u/L. Additional data was also obtained including date of admission, duration of admission, peak lipase, etiology of acute pancreatitis, and SARS-CoV-2 IgG and PCR status. Result(s) Over the course of 5 years, 91 patients met the inclusion criteria across 116 admissions for acute pancreatitis. The average number of admissions per year was 23 with highest during year 5 with 39. Females were affected highest with a rate of 1.61. The most common etiology of the 116 admissions for acute pancreatitis was idiopathic which accounted for 50 admissions, followed by gallstone pancreatitis which accounted for 23 admissions. Of the 39 patients admitted during the first year of the pandemic, only one was SARS-CoV-2 positive and 2 were SARS-CoV-2 IgG positive;23 had PCR testing obtained and only 9 had IgG testing obtained. Conclusion(s) From the data obtained, there is a statistically significant increase in total admissions for acute pancreatitis during the first year of the pandemic (39 admissions). With a large number of confounding variables, it cannot be concluded this is the result of a current or recent COVID-19 infection. The largest confounding variables include lack of testing for SARS-CoV-2 PCR or IgG and multiple readmissions for acute pancreatitis during the first year of the pandemic compared to any of the previous years. Future investigations should be made to standardize COVID PCR and SARS-CoV2 IgG testing for all patients admitted with acute pancreatitis if further data collection is to be obtained.
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Collection: Databases of international organizations Database: EMBASE Language: English Journal: Journal of Pediatric Gastroenterology and Nutrition Year: 2022 Document Type: Article

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Collection: Databases of international organizations Database: EMBASE Language: English Journal: Journal of Pediatric Gastroenterology and Nutrition Year: 2022 Document Type: Article