Delayed diagnosis of paediatric appendicitis during the COVID‐19 pandemic
| Autor: | Uri Balla, Efraim Bilavsky, Dragan Kravarusic, Irit Krause, Chen Rosenberg Danziger, Ori Snapiri, Alon Yulevich |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Telemedicine appendicitis paediatric Delayed Diagnosis Coronavirus disease 2019 (COVID-19) Adolescent Pneumonia Viral coronavirus Delayed diagnosis 03 medical and health sciences 0302 clinical medicine children COVID‐19 030225 pediatrics Pandemic Medicine Humans Pediatrics Perinatology and Child Health 030212 general & internal medicine Israel Child Pandemics business.industry COVID-19 Regular Article General Medicine Fear medicine.disease Appendicitis Late diagnosis Child Preschool Pediatrics Perinatology and Child Health Emergency medicine Female business Complication Coronavirus Infections Healthcare providers Regular Articles |
| Zdroj: | Acta Paediatrica (Oslo, Norway : 1992) Acta Paediatrica |
| ISSN: | 1651-2227 0803-5253 |
| Popis: | Aim To present seven paediatric patients with appendicitis, all with late diagnosis resulting from different aspects of the fear from the current global COVID‐19 pandemic. Methods Cases were collected from three paediatric surgical wards. Comparison between complicated appendicitis rates in the COVID‐19 era and similar period in previous year was performed. Results All seven children presented with complicated appendicitis. Main reasons for the delayed diagnosis during the COVID‐19 era were parental concern, telemedicine use and insufficient evaluation. Higher complication rates were found during the COVID‐19 era compared to similar period in previous year (22% vs 11%, P‐value .06). Conclusion The fear from COVID‐19 pandemic may result in delayed diagnosis and higher complication rates in common paediatric medical conditions. We believe caregivers and healthcare providers should not withhold necessary medical care since delay in diagnosis and treatment in these routinely seen medical emergencies may become as big of a threat as COVID‐19 itself. |
| Databáze: | OpenAIRE |
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