关键词: COVID-19 appendicitis emergency pandemic

来  源:   DOI:10.5114/pg.2023.129495   PDF(Pubmed)

Abstract:
UNASSIGNED: The COVID-19 pandemic has had an influence on the number of patients presenting to the emergency department (ED) with surgical conditions.
UNASSIGNED: To evaluate the number of patients presenting with acute appendicitis (AA) and the percentage of complicated appendicitis before and after the COVID-19 disease outbreak.
UNASSIGNED: This is a retrospective study based on the data of all patients presenting with AA to the ED of a tertiary COVID referral university hospital in Greece. We analysed the number of patients treated with AA, patient characteristics, and the proportion of patients with complicated appendicitis, and we compared the 2 groups of patients treated 12 months before and 12 months after COVID-19 onset in Greece.
UNASSIGNED: A total of 152 patients were included in this study. There was a significant decrease in the number of patients presenting with AA after COVID-19 onset in Greece. Respectively, 91 and 61 patients were subjected to appendectomy 12 months before and after COVID-19 onset. Comparing the 2 groups of patients, there was a statistically significant increase in the operation time (p = 0.01) after COVID-19 onset, whereas the percentage of complicated appendicitis, the duration of symptoms before presenting to the ED (< 24 h, > 24 h), and the type of operation (laparoscopic, open, converted) did not differ significantly between the 2 groups of patients.
UNASSIGNED: The number of patients presenting to the ED with AA decreased after COVID-19 onset, most likely because patients hesitated to seek help in a COVID-19 referral hospital.
摘要:
COVID-19大流行对急诊(ED)接受手术治疗的患者人数产生了影响。
评估COVID-19疾病爆发前后出现急性阑尾炎(AA)的患者人数和复杂性阑尾炎的百分比。
这是一项回顾性研究,基于希腊三级COVID转诊大学医院的所有AA患者的数据。我们分析了接受AA治疗的患者人数,患者特征,复杂性阑尾炎患者的比例,我们比较了希腊COVID-19发病前12个月和发病后12个月接受治疗的两组患者。
本研究共纳入152例患者。在希腊,COVID-19发作后出现AA的患者人数显着减少。分别,91例和61例患者在COVID-19发病前后12个月接受了阑尾切除术。两组患者比较,COVID-19发病后手术时间有统计学上的显着增加(p=0.01),而复杂性阑尾炎的百分比,出现在ED之前的症状持续时间(<24小时,>24小时),和手术类型(腹腔镜,打开,转换)在两组患者之间没有显着差异。
COVID-19发病后出现AA的ED患者数量减少,很可能是因为患者不愿在COVID-19转诊医院寻求帮助。
公众号