Long-term results on the severity of acute appendicitis during COVID-19 pandemic
Background: Acute appendicitis cases increased in severity following COVID-19–related restrictions in March, 2020. We investigated if similar changes occurred during Wave 2. Methods: Acute appendicitis patients during Wave 1 were grouped 8 weeks before (Group A) and after (Group B) stay-at-home rest...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-07-01
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| Series: | Surgery Open Science |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2589845022000124 |
| _version_ | 1828450671028862976 |
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| author | Elizabeth Santone, MD Francesca Izzo, MD Karina Lo, MD Aixa M. Pérez Coulter, MS MPH Nicolas Jabbour, MD Georgios Orthopoulos, MD, PhD |
| author_facet | Elizabeth Santone, MD Francesca Izzo, MD Karina Lo, MD Aixa M. Pérez Coulter, MS MPH Nicolas Jabbour, MD Georgios Orthopoulos, MD, PhD |
| author_sort | Elizabeth Santone, MD |
| collection | DOAJ |
| description | Background: Acute appendicitis cases increased in severity following COVID-19–related restrictions in March, 2020. We investigated if similar changes occurred during Wave 2. Methods: Acute appendicitis patients during Wave 1 were grouped 8 weeks before (Group A) and after (Group B) stay-at-home restrictions were initiated on March 15, 2020. Cases in Wave 2 were grouped 8 weeks before (Group C) and after (Group D) November 6, 2020. Groups were compared to equivalent time frames in 2018/2019. Results: Group A versus B revealed 42.6% decrease (confidence interval: −59.4 to −25.7) in uncomplicated appendicitis and 21.1% increase (confidence interval: 4.8–37.3) in perforated appendicitis. Similar patterns were noted comparing Group C versus D without statistical significance. The changes seen in Wave 1 were significantly different than in 2018/2019. This trend continued in Wave 2. Conclusion: Similar to Wave 1, acute appendicitis cases increased in severity during wave 2 of COVID-19, but with less prominence. |
| first_indexed | 2024-12-10T23:26:45Z |
| format | Article |
| id | doaj.art-0ffd59702a1645b4992c768557c0bdd4 |
| institution | Directory Open Access Journal |
| issn | 2589-8450 |
| language | English |
| last_indexed | 2024-12-10T23:26:45Z |
| publishDate | 2022-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Surgery Open Science |
| spelling | doaj.art-0ffd59702a1645b4992c768557c0bdd42022-12-22T01:29:33ZengElsevierSurgery Open Science2589-84502022-07-01916Long-term results on the severity of acute appendicitis during COVID-19 pandemicElizabeth Santone, MD0Francesca Izzo, MD1Karina Lo, MD2Aixa M. Pérez Coulter, MS MPH3Nicolas Jabbour, MD4Georgios Orthopoulos, MD, PhD5Corresponding author at: Department of Surgery, University of Massachusetts Chan Medical School–Baystate Medical Center, 759 Chestnut St, Springfield, MA 01199, USA. Tel.: +1 203-314-2550.; Department of Surgery, University of Massachusetts Chan Medical School–Baystate Medical Center, 759 Chestnut St, Springfield, MA 01199, USADepartment of Surgery, University of Massachusetts Chan Medical School–Baystate Medical Center, 759 Chestnut St, Springfield, MA 01199, USADepartment of Surgery, University of Massachusetts Chan Medical School–Baystate Medical Center, 759 Chestnut St, Springfield, MA 01199, USADepartment of Surgery, University of Massachusetts Chan Medical School–Baystate Medical Center, 759 Chestnut St, Springfield, MA 01199, USADepartment of Surgery, University of Massachusetts Chan Medical School–Baystate Medical Center, 759 Chestnut St, Springfield, MA 01199, USADepartment of Surgery, University of Massachusetts Chan Medical School–Baystate Medical Center, 759 Chestnut St, Springfield, MA 01199, USABackground: Acute appendicitis cases increased in severity following COVID-19–related restrictions in March, 2020. We investigated if similar changes occurred during Wave 2. Methods: Acute appendicitis patients during Wave 1 were grouped 8 weeks before (Group A) and after (Group B) stay-at-home restrictions were initiated on March 15, 2020. Cases in Wave 2 were grouped 8 weeks before (Group C) and after (Group D) November 6, 2020. Groups were compared to equivalent time frames in 2018/2019. Results: Group A versus B revealed 42.6% decrease (confidence interval: −59.4 to −25.7) in uncomplicated appendicitis and 21.1% increase (confidence interval: 4.8–37.3) in perforated appendicitis. Similar patterns were noted comparing Group C versus D without statistical significance. The changes seen in Wave 1 were significantly different than in 2018/2019. This trend continued in Wave 2. Conclusion: Similar to Wave 1, acute appendicitis cases increased in severity during wave 2 of COVID-19, but with less prominence.http://www.sciencedirect.com/science/article/pii/S2589845022000124 |
| spellingShingle | Elizabeth Santone, MD Francesca Izzo, MD Karina Lo, MD Aixa M. Pérez Coulter, MS MPH Nicolas Jabbour, MD Georgios Orthopoulos, MD, PhD Long-term results on the severity of acute appendicitis during COVID-19 pandemic Surgery Open Science |
| title | Long-term results on the severity of acute appendicitis during COVID-19 pandemic |
| title_full | Long-term results on the severity of acute appendicitis during COVID-19 pandemic |
| title_fullStr | Long-term results on the severity of acute appendicitis during COVID-19 pandemic |
| title_full_unstemmed | Long-term results on the severity of acute appendicitis during COVID-19 pandemic |
| title_short | Long-term results on the severity of acute appendicitis during COVID-19 pandemic |
| title_sort | long term results on the severity of acute appendicitis during covid 19 pandemic |
| url | http://www.sciencedirect.com/science/article/pii/S2589845022000124 |
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