Related Experiment Video

Updated: Nov 16, 2025

Nasal Brushing Sampling and Processing Using Digital High Speed Ciliary Videomicroscopy – Adaptation for the COVID-19 Pandemic
09:03

Nasal Brushing Sampling and Processing Using Digital High Speed Ciliary Videomicroscopy – Adaptation for the COVID-19 Pandemic

Published on: November 7, 2020

5.2K

Complicated Acute Appendicitis during COVID-19 Pandemic: The Hidden Epidemic in Children

Carlos Delgado-Miguel1, Antonio J Muñoz-Serrano1, Miriam Miguel-Ferrero1

  • 1Department of Pediatric Surgery, La Paz Children's Hospital, Madrid, Spain.

European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [Et Al] = Zeitschrift Fur Kinderchirurgie
|February 22, 2021
PubMed

Insights

During COVID-19 confinement, children with appendicitis experienced delays in seeking emergency care, leading to a higher incidence of complicated appendicitis. Early diagnosis and treatment of abdominal pain in children are crucial.

Area of Science:

  • Pediatric Surgery
  • Epidemiology
  • Public Health

Background:

  • Pediatric emergency department visits decreased during COVID-19 home confinement.
  • Consultations for pediatric abdominal pain also saw a decline.
  • This study investigates acute appendicitis (AA) during the COVID-19 pandemic.

Purpose of the Study:

  • To determine the incidence of complicated acute appendicitis (peritonitis or appendicular mass) in children during COVID-19 confinement.
  • To compare the incidence of complicated appendicitis during confinement with the preceding five years.

Main Methods:

  • Retrospective study of pediatric patients with AA from 2015-2020.
  • Analysis of demographic data, symptom onset to treatment time, and hospital stay.
  • Comparison of complicated appendicitis rates between the COVID-19 confinement period and previous years.

Main Results:

  • Patients in 2020 (COVID-19 group) showed longer symptom progression (46.8 hours).
  • A higher rate of complicated appendicitis (48.4%) was observed in the COVID-19 group.
  • Increased mean hospital stay and incidence rates of complicated appendicitis were noted in 2020.

Conclusions:

  • Delayed emergency department visits during COVID-19 confinement resulted in increased complicated appendicitis rates.
  • Parental awareness regarding early diagnosis and treatment of pediatric abdominal pain is essential.
  • Timely medical attention for appendicitis is critical to prevent complications.
Abstract

More Related Videos

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults04:14

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults

Published on: February 28, 2025

413
Subcutaneous Infection of Methicillin Resistant Staphylococcus Aureus MRSA12:18

Subcutaneous Infection of Methicillin Resistant Staphylococcus Aureus MRSA

Published on: February 9, 2011

23.3K

Related Concept Videos

Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
1.2K
Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
258
Acute Pyelonephritis II: Diagnostic Studies and Management01:28

Acute Pyelonephritis II: Diagnostic Studies and Management

Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
126
Tonsillitis II: Management01:26

Tonsillitis II: Management

This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
259
Acute Pancreatitis II: Clinical Manifestations and Management01:30

Acute Pancreatitis II: Clinical Manifestations and Management

Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
422
Acute Pyelonephritis I: Introduction01:27

Acute Pyelonephritis I: Introduction

Pyelonephritis is a bacterial infection that primarily affects the renal parenchyma and collecting system, including the renal pelvis, tubules, and interstitial tissue of one or both kidneys. It can be classified as either acute—a sudden, severe infection—or chronic, which refers to long-term or recurrent kidney infections.The primary cause of acute pyelonephritis (APN) is bacterial infection, with Escherichia coli accounting for approximately 70-80% of cases. Other bacteria, such...
206