与SARS COVID-19相关的关押期间急性尾炎的术后严重程度:一个回顾性比较队列
Elias Bouziane1, Manuela Perez2, Laurent Brunaud2
1Université de Lorraine Faculté de Médecine: Universite de Lorraine Faculte de Medecine Maieutique et Metiers de la Sante a Nancy, Nancy, Meurthe et Moselle, France. e.bouziane@chru-nancy.fr.
Surgical endoscopy
|November 25, 2024
概括
随着COVID-19的流行,急性尾炎的术后严重程度并没有显著增加. 然而,观察到术后抗生素治疗时间较长,这表明在大流行期间手术紧急情况的有效管理.
科学领域:
- 外科手术 手术手术
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 急性尾炎是一种常见的手术紧急情况.
- 随着COVID-19的流行,可能会影响医疗保健的准入和治疗时间表.
- 封锁可能推迟了尾炎的治疗,增加了外科手术期间的严重程度.
研究的目的:
- 在COVID-19大流行期间评估急性尾炎的术后严重程度.
- 在大流行期间 (2020) 与大流行前 (2018-2019) 期间比较尾炎的严重程度.
- 评估大流行对法国尾炎治疗和治疗结果的影响.
主要方法:
- 对634名接受紧急尾切除术的成年患者进行了回顾性双中心队列研究.
- 在COVID-19队列 (2020年3月至12月) 和非COVID队列 (2018-2019年) 之间的比较.
- 主要结局:外科手术期间的严重程度 (戈麦斯评分≥3和/或克拉维恩-丁多评分≥3). 二次结果:治疗的时间,炎症综合征的严重程度,并发症,住院.
主要成果:
- 在COVID-19期间,外科手术期间的严重程度 (33.5%) 与非COVID期间 (25.9%) 相比较高,但在统计学上不显著 (p=0.0845).
- 治疗时间,炎症综合征严重程度或术后并发症没有显著差异.
- 在COVID-19期间,术后抗生素治疗的持续时间更长 (6天与5天相比,p=0.0410).
结论:
- 由于COVID-19大流行,急性尾炎的外科手术期间严重程度增加了不显著.
- 法国医疗保健系统在疫情期间有效地管理了手术紧急情况.
- 需要进一步研究大流行对尾炎管理的更广泛影响.
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