Impact of Coronavirus disease 2019 ( COVID ‐19) on acute appendicitis in Hong Kong : Retrospective cohort study in a local cluster hospital
| Autor: | Ka‐Fai Wong, Chun‐Ting Wang, Si‐Lyn Ho, Siu‐Kee Leung, Jun Lau, Shuk‐Ling Cheung |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Coronavirus disease 2019 (COVID-19) business.industry Incidence (epidemiology) Retrospective cohort study Disease medicine.disease Disease cluster Appendicitis 03 medical and health sciences 0302 clinical medicine 030220 oncology & carcinogenesis Internal medicine Acute appendicitis Pandemic medicine 030211 gastroenterology & hepatology Surgery business |
| Zdroj: | Surgical Practice |
| ISSN: | 1744-1633 1744-1625 |
| DOI: | 10.1111/1744-1633.12476 |
| Popis: | Background Coronavirus 2019 (COVID-19) impacted Hong Kong in early January 2020 Quarantine and social distancing measures have been implemented to prevent disease spread It is believed that it has reduced patient?s desire to seek medical help in case of emergencies This study aims to investigate the influence of this pandemic on the clinical course of acute appendicitis Note: WHO/2019-nCoV/Adjusting_PH_measures/2020 1 https://www who int/publications/i/item/considerations-in-adjusting-public-health-and-social-measures-in-the-context-of-covid-19-interim-guidance Retrieved August 10, 2020 Material and method Retrospective cohort study was carried out in our cluster to compare the acute appendicitis cases during pandemic period, January 1, 2020 to June 30, 2020, with the same period one year before Parameters including time of presentation, complicated appendicitis rate, operative time, post-operative complication rate, and total length of stay were compared and analysed Results A total number of 348 patients (160 in pre-COVID group VS 188 in post-COVID group) were included There is no significant difference in basic demographics The time of presentation was significantly longer in March (3 75?days vs 1 56?days, P =?0 031)and June 2020(3 02?days vs 1 88?days, P =?0 026) compared with the pre-COVID group, which correlate with the spike of local confirmed cases There was a significantly higher incidence of complicated appendicitis (67% vs 52%, P =?0 028) and post-operative complication rate (29% vs 7%, P =?0 042) in February post-COVID group compare with the pre-COVID group Conclusion During the COVID-19 pandemic period, more patients with acute appendicitis presented late to the hospital, with an increase in complicated appendicitis rate and post-operative complication rate |
| Databáze: | OpenAIRE |
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