P21 Appendicitis during the COVID-19 pandemic: to operate or not to operate, that is the question
| Autor: | Antakia, Ramez, Xanthis, Athanasios, Georgiades, Fanourios, Hudson, Victoria, Ashcroft, James, Rooney, Siobhan, Singh, Aminder A, O'Neill, John R, Fearnhead, Nicola, Hardwick, Richard H, Davies, R Justin, Bennett, John M H |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Coronavirus disease 2019 (COVID-19) AcademicSubjects/MED00910 business.industry General Medicine medicine.disease Appendicitis Alvarado score Internal medicine Radiological weapon Acute appendicitis Pandemic Poster Presentation medicine Abscess business AcademicSubjects/MED00010 Free fluid |
| Zdroj: | BJS Open |
| Popis: | Background During the Covid-19 pandemic, non-operative management for acute appendicitis (AA) was implemented in the UK. Aim of this study was to determine the efficacy and outcomes of conservative versus surgical management of AA during the pandemic. Materials & Methods We conducted an observational study in a tertiary referral centre. Data was collected from patients (≥16 years) with a diagnosis of AA between 1st November 2019 to 10th March 2020 (pre-COVID period) and 10th March 2020 to 5th July 2020 (COVID period). Results A total of 116 patients in the pre-COVID period were included versus 91 in the COVID period. 43.1% (n = 50) of patients pre-COVID were classified as ASA 2 compared to 26.4% (n = 24) during the COVID period (p-value=0.042). 72.5% (n = 66) of the patients during the COVID period scored as high risk using the Alvarado score compared to 24.1% (n = 28) in the pre-COVID period (p-value Conclusion Radiological diagnosis of AA was more frequent during the COVID period. More conservative management for AA was employed during the COVID-19 pandemic, and for those managed operatively an open approach was preferred. Intra-operative findings were suggestive of delayed presentation during the COVID period without this affecting the length of hospital stay. |
| Databáze: | OpenAIRE |
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