Effects of novel Coronavirus (COVID-19) on presentation, management, and outcomes of acute cholecystitis at an academic tertiary care center cholecystitis management during COVID-19.

Autor: Peters NV; Yale School of Medicine, Department of Surgery, PO Box 208062, New Haven, CT 06520, USA., O'Connor R; Yale School of Medicine, Department of Surgery, PO Box 208062, New Haven, CT 06520, USA., Bhattacharya B; Yale School of Medicine, Department of Surgery, PO Box 208062, New Haven, CT 06520, USA.; VA Connecticut Medical Center, Department of Surgery, Bldg 1, 4th Floor, 950 Campbell Avenue, West Haven, CT 06516, USA., Kunstman JW; Yale School of Medicine, Department of Surgery, PO Box 208062, New Haven, CT 06520, USA.; VA Connecticut Medical Center, Department of Surgery, Bldg 1, 4th Floor, 950 Campbell Avenue, West Haven, CT 06516, USA.
Jazyk: angličtina
Zdroj: Heliyon [Heliyon] 2023 Nov 04; Vol. 9 (11), pp. e22043. Date of Electronic Publication: 2023 Nov 04 (Print Publication: 2023).
DOI: 10.1016/j.heliyon.2023.e22043
Abstrakt: Background: The COVID-19 pandemic necessitated adjustments to nearly all aspects of healthcare, including surgical care. The effects of these adjustments have not been well studied on acute surgical problems conventionally managed non-electively in large, tertiary care centers.
Methods: A retrospective analysis of admitted patients with acute cholecystitis at a US academic tertiary care center was performed. We compared the presentation, management, and 30-day outcomes of patients admitted during a 2-month time period during early COVID, to a pre-COVID control group of admitted cholecystitis patients over a 2-month span.
Results: The study cohort captured 24 patients, while the control cohort encompassed 53 patients. A non-significant trend toward non-operative management in the COVID cohort is reported. There was no delay in time-to-surgery or complication rate. No surgically managed patient developed COVID within 30 days of operation.
Conclusions: Operative management of acute cholecystitis during the COVID-19 pandemic, with pre-operative testing and personal protective equipment guidelines, remained safe and effective.
Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Published by Elsevier Ltd.)
Databáze: MEDLINE