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Reasons for Delayed Diagnosis of Pediatric Acute Appendicitis during the COVID-19 Era: A Narrative Review

George Pantalos1, Smaragda Papachristidou2, Eleftheria Mavrigiannaki3

  • 1Pediatric Intensive Care Unit, Penteli General Children's Hospital, 15236 Athens, Greece.

Diagnostics (Basel, Switzerland)
|August 12, 2023
PubMed

Insights

Global pandemics, like Coronavirus Disease 2019 (COVID-19), delayed pediatric appendicitis diagnosis due to various factors. Prompt medical evaluation for appendicitis is crucial, irrespective of pandemic conditions.

Area of Science:

  • Pediatric Surgery
  • Public Health
  • Epidemiology

Background:

  • Global pandemics significantly disrupt healthcare systems, impacting emergency surgical care.
  • The Coronavirus Disease 2019 (COVID-19) pandemic led to notable delays in diagnosing pediatric appendicitis.

Purpose of the Study:

  • To systematically review and summarize the reasons for delayed diagnosis of pediatric appendicitis during the COVID-19 pandemic.
  • To analyze the impact of these delays on patient outcomes.

Main Methods:

  • A systematic literature search was conducted, including 42 studies.
  • Data analyzed included patient outcomes, time to hospital admission, and reasons for diagnostic delays.

Main Results:

  • Key reasons for delays included public health measures, fear of COVID-19 exposure, increased telemedicine use, concurrent COVID-19 infections, and delayed intraoperative diagnosis.
  • Delayed diagnosis was associated with varied effects on patient outcomes.

Conclusions:

  • Prompt medical evaluation for suspected pediatric appendicitis is essential, even during pandemics.
  • Telemedicine can be a useful tool if implemented effectively.
  • Findings can inform future health system policies for pandemic preparedness.

Keywords:
COVID-19appendicitisdelaydiagnosispediatric surgery

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