%0 Journal Article
%T Reduction in Time from Admission to Operation of Women with Suspected Adnexal Torsion During the COVID-19 Pandemic.
%A Meller N
%A Levin G
%A Cohen A
%A Mohr-Sasson A
%A Lahav H
%A Cohen SB
%A Mashiach R
%A Meyer R
%J Isr Med Assoc J
%V 26
%N 7
%D 2024 Aug
%M 39082448
暂无%X <B>BACKGROUND: </B>Data regarding the management of adnexal torsion (AT) during the coronavirus disease 2019 (COVID-19) pandemic are scarce.<BR><B>OBJECTIVE: </B>To study the effects of actions to limit the spread of COVID-19 on AT management.<BR><B>METHODS: </B>We conducted a retrospective cohort study of all women who underwent laparoscopy for suspected AT between March 2011 and February 2021. We compared the COVID-19 pandemic period, (15 March 2020-2 August 2021, group A) to a parallel period (2019-2020, group B), and a 9-year period preceding the pandemic (March 2011-February 2020, group C).<BR><B>RESULTS: </B>We performed 97 laparoscopies in group A, 82 in group B, and 635 in group C. The proportion of women presenting following in vitro fertilization treatment was lower (odds ratio [OR] 0.22, 95% confidence interval ]95%CI] (0.06-0.86), P < 0.023). Time from admission to decision to operate was shorter (2.7 vs. 3.9 hours, P = 0.028) in group A than group B. Time from admission to surgery was shorter (9.1 vs. 12.5 hours, P = 0.005) and the rate of surgically confirmed AT was lower (59 [60.8%] vs. 455 [71.7%], P = 0.030, OR 0.61, 95%CI 0.39-0.95) in group A than group C. Among surgically confirmed AT cases only, mean time from admission to decision was shorter in group A than group B (2.6 vs. 4.6 hours, P = 0.014).<BR><B>CONCLUSIONS: </B>We identified differences in time from admission to clinical decision and from admission to surgery among women with suspected AT during the COVID-19 pandemic.