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Characteristics of Acute Appendicitis before and during the COVID-19 Pandemic: Single Center Experience

A Bosak Veršić1, M Šestan2, I Ćepić3

  • 1Pediatric Surgery Department, University Hospital Rijeka, Rijeka 51000, Croatia.

Emergency Medicine International
|March 7, 2022
PubMed

Insights

The COVID-19 pandemic did not significantly increase complicated appendicitis rates. Researchers found no significant difference in perforated appendicitis between pre-pandemic and pandemic periods, emphasizing accessible emergency care.

Area of Science:

  • General Surgery
  • Infectious Diseases
  • Epidemiology

Background:

  • Acute appendicitis is a common surgical emergency.
  • The COVID-19 pandemic may have caused delays in emergency department presentations.
  • Investigating pandemic's impact on appendicitis complications is crucial.

Purpose of the Study:

  • To determine if the COVID-19 pandemic led to increased complicated appendicitis due to delayed patient presentation.
  • To compare the incidence of perforated appendicitis before and during the COVID-19 pandemic.

Main Methods:

  • Retrospective study of 427 patients undergoing appendicitis surgery (June 2019 - November 2020).
  • Patients divided into pre-COVID-19 (n=240) and COVID-19 (n=187) groups.
  • Primary outcome: comparison of perforated appendicitis rates between the two groups.

Main Results:

  • Overall, 84 patients (19.67%) had perforated appendicitis.
  • Perforated appendicitis rates were 17.08% pre-COVID-19 and 22.99% during the COVID-19 era.
  • A weak, non-significant trend (p=0.085) was observed.

Conclusions:

  • No significant difference in acute appendicitis complications was found between pre-COVID-19 and COVID-19 periods.
  • The study highlights the continued need for accessible emergent medical care.
  • Findings suggest pandemic-related delays did not significantly worsen appendicitis outcomes in this cohort.

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