在COVID-19大流行期间尾炎的严重程度:一个单一机构的经验
Nathaniel Harshaw1, Kameron Durante1, Katherine Moore1
1Department of Surgery, Division of Trauma and Acute Care Surgery, Penn Medicine, Lancaster General Health, Lancaster, PA, USA.
The American surgeon
|April 2, 2025
概括
在COVID-19大流行期间,尾炎的严重程度没有恶化. 然而,大流行期间,尾炎患者的再入院增加,这可能与腹腔镜尾切除术并发症有关.
科学领域:
- 外科手术的结果
- 传染病流行病学 传染病流行病学
- 流行病对公共卫生的影响.
背景情况:
- 由于COVID-19大流行和相关的公共卫生措施,可能影响了医疗保健的准入和及时性.
- 延迟医疗护理可能会导致尾炎等急性疾病的严重程度增加.
研究的目的:
- 为了调查尾炎的严重程度是否在COVID-19大流行期间发生变化.
- 为了比较尾炎的严重程度和流行病前和流行病期间的结果.
- 评估大流行期间COVID-19阳性和阴性患者之间的尾炎严重程度和结果的差异.
主要方法:
- 从2018年4月到2022年4月,对1665名尾炎患者 (≥5年) 的回顾性研究.
- 排除患有恶性尾样本的患者.
- 在COVID-19前 (PC) 和COVID-19 (C) 时代之间的临床结果和特征的比较,以及在C时代内的COVID-19阳性 (C+) 和阴性 (C-) 患者之间的比较.
主要成果:
- 与COVID-19前时代 (PC) 相比,COVID-19时代 (C) 的30天 (6.29%对2.73%) 和30天 (3.26%对1.74%) 以上的再入院率显著更高.
- 尾炎的严重程度,通过穿孔或尾炎在病理学上表明,在PC时代比C时代更高.
- 在C时代的COVID-19阳性 (C+) 和阴性 (C-) 患者之间没有观察到尾炎严重程度或再入院状态的显著差异;然而,C+患者的白细胞数量较低.
结论:
- 与假设相反,尾炎的严重程度在COVID-19大流行期间没有增加;病理学报告表明C时代的病例不那么严重.
- 在C时代增加的再入院可能与腹腔镜尾切除术后的并发症有关.
- COVID-19 状态没有显著影响感染患者中尾炎的严重程度或再入院率.
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