Did COVID-19 Affect Time to Presentation in the Setting of Pediatric Testicular Torsion?

Autor:	Littman AR; From the Department of Urology, Emory University and Children's Healthcare of Atlanta., Janssen KM; From the Department of Urology, Emory University and Children's Healthcare of Atlanta., Tong L; Department of Biomedical Engineering., Wu H; Department of Biomedical Engineering., Wang MD; Department of Biomedical Engineering, School of Electric and Computer Engineering, Georgia Institute of Technology and Emory University, Atlanta, GA., Blum E; From the Department of Urology, Emory University and Children's Healthcare of Atlanta., Kirsch AJ; From the Department of Urology, Emory University and Children's Healthcare of Atlanta.
Jazyk:	angličtina
Zdroj:	Pediatric emergency care [Pediatr Emerg Care] 2021 Feb 01; Vol. 37 (2), pp. 123-125.
DOI:	10.1097/PEC.0000000000002333
Abstrakt:	Objectives: To determine if boys with acute testicular torsion, a surgical emergency requiring prompt diagnosis and treatment to optimize salvage of the testicle, delayed presentation to a medical facility and experienced an extended duration of symptoms (DoS), and secondarily, a higher rate of orchiectomy, during the coronavirus disease 2019 (COVID-19) pandemic. Methods: Single-center, descriptive retrospective chart review of boys presenting with acute testicular torsion from March 15, to May 4, 2020 ("during COVID-19" or group 2), as well as for the same time window in the 5-year period from 2015 to 2019 ("pre-COVID-19" or group 1). Results: A total of 78 boys met inclusion criteria, group 1 (n = 57) and group 2 (n = 21). The mean age was 12.86 ± 2.63 (group 1) and 12.86 ± 2.13 (group 2). Mean DoS before presentation at a medical facility was 23.2 ± 35.0 hours in group 1 compared with 21.3 ± 29.7 hours in group 2 (P < 0.37). When DoS was broken down into acute (<24 hours) versus delayed (≥24 hours), 41 (71.9%) of 57 boys in group 1 and 16 (76.2%) of 21 boys in group 2 presented within less than 24 hours of symptom onset (P < 0.78). There was no difference in rate of orchiectomy between group 1 and group 2 (44.7% vs 25%, P < 0.17), respectively. Conclusions: Boys with acute testicular torsion in our catchment area did not delay presentation to a medical facility from March 15, to May 4, 2020, and did not subsequently undergo a higher rate of orchiectomy. Competing Interests: Disclosure: The authors declare no conflict of interest. (Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.)
Databáze:	MEDLINE
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