尾炎在COVID-19疫情期间往往会复杂化:一个多中心的回顾性研究
Macheng Lu1,2, Xiangpeng Kong1, Cong Cheng1
1Department of General Surgery, Nanjing Medical University Affiliated Wuxi People's Hospital, 299 Qingyang Road, Wuxi, Jiangsu Province 214023, China.
Surgery open science
|August 19, 2024
概括
COVID-19与急性复杂尾炎的增加有关,特别是在老年人中. 限制最初减少了尾炎的访问,但复杂的病例在疫情爆发后显著增加,表明直接的临床关联.
科学领域:
- 医学研究 医学研究
- 流行病学 流行病学
- 外科手术的结果
背景情况:
- 在COVID-19 (冠状病毒疾病2019) 期间,非医学因素影响了急性尾炎的呈现和并发症.
- 新出现的证据表明,COVID-19和急性尾炎的发展之间存在直接的临床联系.
研究的目的:
- 调查COVID-19患病率对急性尾炎发生率和并发症的影响.
- 为了比较流行前 (控制) 和流行 (暴露) 期间的结果.
主要方法:
- 对3070名急性尾炎患者 (2016-2023) 的回顾性研究.
- 对照组 (2016-2019) 和暴露组 (2020-2023) 之间的尾炎访问率和并发症比例的比较.
主要成果:
- 在限制期间,尾炎的初步急剧下降,随后逐渐恢复.
- 限制解除后急性复杂尾炎和COVID-19疫情的显著增加 (P < 0.001).
- 观察到尾炎患者人口统计学中的衰老趋势 (P = 0.001).
结论:
- 感染COVID-19可能会增加进展到复杂尾炎的可能性.
- 在COVID-19流行病后,较高比例的老年患者患上尾炎.
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