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Changes in the frequency, presentation and surgical outcomes of complicated appendicitis during the pandemic

Tunc Eren1, Leyla Zeynep Tigrel1, Abdullah Kayali1

  • 1Department of General Surgery, Istanbul Medeniyet University Faculty of Medicine, Goztepe Prof. Dr. Suleyman Yalcin City Hospital, Istanbul, Turkiye.

Northern Clinics of Istanbul
|December 9, 2024
PubMed

Insights

The COVID-19 pandemic saw fewer appendectomies but a significant rise in complicated appendicitis cases and postoperative complications. This highlights increased risks for patients during the pandemic.

Area of Science:

  • Surgery
  • Infectious Diseases
  • Public Health

Background:

  • The COVID-19 pandemic profoundly impacted global healthcare systems and patient care.
  • Acute appendicitis remains a common surgical emergency requiring timely intervention.

Purpose of the Study:

  • To evaluate the influence of the COVID-19 pandemic on the frequency, presentation, and surgical outcomes of complicated appendicitis.
  • To compare appendicitis cases and outcomes in the pre-pandemic and pandemic periods.

Main Methods:

  • A retrospective analysis of 409 patients who underwent appendectomy.
  • Comparison of appendicitis cases one year before and one year after the pandemic declaration.
  • Statistical analysis of demographics, diagnostic findings, and surgical outcomes.

Main Results:

  • A decrease in weekly appendectomies during the pandemic (median 3 vs. 5).
  • Increased time to hospitalization, elevated C-reactive protein levels, and higher postoperative complication rates during the pandemic.
  • A 2.1-fold increased risk of complicated appendicitis during the pandemic (15.5% vs. 7.9%).

Conclusions:

  • Fewer appendectomies were performed during the COVID-19 pandemic.
  • The incidence of complicated appendicitis and associated postoperative complications significantly increased during the pandemic.
Abstract

Keywords:
AppendicitisCOVID-19general surgerypandemics

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