The decrease of non-complicated acute appendicitis and the negative appendectomy rate during pandemic.
Acute appendicitis
COVID-19
Non-complicated acute appendicitis
Journal
European journal of trauma and emergency surgery : official publication of the European Trauma Society
ISSN: 1863-9941
Titre abrégé: Eur J Trauma Emerg Surg
Pays: Germany
ID NLM: 101313350
Informations de publication
Date de publication:
Oct 2021
Oct 2021
Historique:
received:
19
01
2021
accepted:
30
03
2021
pubmed:
13
4
2021
medline:
16
10
2021
entrez:
12
4
2021
Statut:
ppublish
Résumé
During pandemic, admissions for surgical emergencies dropped down dramatically. Also acute appendicitis decreased. The aim of the present study was to evaluate the change in volume and clinical presentation of patients with acute appendicitis during pandemic and the variation in treatment. This is a retrospective study of patients admitted in 11 Italian hospital for acute appendicitis during the lockdown period (March-April 2020) compared with the same period of the previous 2 years (2018-2019). The number and the rate of complicated and non-complicated acute appendicitis were recorded and compared between the two study periods; non-operative vs operative treatment and negative appendectomy rate were also recorded. The study included 532 patients, 112 in the study period and 420 in the control period; Hospital admission for acute appendicitis dropped by 46% (OR 0.516 95% CI 0.411-0.648 p < 0.001) during the 2020 lockdown. The number of complicated acute appendicitis did not change (- 18%, OR 0.763 95% CI 0.517-1.124 p = 0.1719), whereas the number of non-complicated acute appendicitis significantly decreased (- 56%, OR 0.424 95% CI 0.319-0.564 p < 0.001). Non-operative treatment rate remained similar (12.1% vs. 11.6% p = 0.434). The negative appendectomy rate also significantly decreased (6.1% vs. 17.3%, p = 0.006). The present study found a significant reduction of both admissions for non-complicated acute appendicitis and negative appendectomy rate during the pandemic period. Conversely, admissions for complicated acute appendicitis did not change. NCT04649996.
Sections du résumé
BACKGROUND
BACKGROUND
During pandemic, admissions for surgical emergencies dropped down dramatically. Also acute appendicitis decreased. The aim of the present study was to evaluate the change in volume and clinical presentation of patients with acute appendicitis during pandemic and the variation in treatment.
METHODS
METHODS
This is a retrospective study of patients admitted in 11 Italian hospital for acute appendicitis during the lockdown period (March-April 2020) compared with the same period of the previous 2 years (2018-2019). The number and the rate of complicated and non-complicated acute appendicitis were recorded and compared between the two study periods; non-operative vs operative treatment and negative appendectomy rate were also recorded.
RESULTS
RESULTS
The study included 532 patients, 112 in the study period and 420 in the control period; Hospital admission for acute appendicitis dropped by 46% (OR 0.516 95% CI 0.411-0.648 p < 0.001) during the 2020 lockdown. The number of complicated acute appendicitis did not change (- 18%, OR 0.763 95% CI 0.517-1.124 p = 0.1719), whereas the number of non-complicated acute appendicitis significantly decreased (- 56%, OR 0.424 95% CI 0.319-0.564 p < 0.001). Non-operative treatment rate remained similar (12.1% vs. 11.6% p = 0.434). The negative appendectomy rate also significantly decreased (6.1% vs. 17.3%, p = 0.006).
CONCLUSIONS
CONCLUSIONS
The present study found a significant reduction of both admissions for non-complicated acute appendicitis and negative appendectomy rate during the pandemic period. Conversely, admissions for complicated acute appendicitis did not change.
TRIAL REGISTRATION
BACKGROUND
NCT04649996.
Identifiants
pubmed: 33844036
doi: 10.1007/s00068-021-01663-7
pii: 10.1007/s00068-021-01663-7
pmc: PMC8040760
doi:
Banques de données
ClinicalTrials.gov
['NCT04649996']
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1359-1365Investigateurs
Marco Nizzardo
(M)
Luca Nespoli
(L)
Luca Fattori
(L)
Luca Degrate
(L)
Stefano Perrone
(S)
Marco Cereda
(M)
Michele Pisano
(M)
Elia Poiasina
(E)
Paolo Bertoli
(P)
Michele Ballabio
(M)
Stefano Braga
(S)
Giorgio Graziano
(G)
Dario Tartaglia
(D)
Francesco Arces
(F)
Marco Mariani
(M)
Fulvio Tagliabue
(F)
Gennaro Perrone
(G)
Alfredo Annicchiarico
(A)
Mario Giuffrida
(M)
Giovanni Ferrari
(G)
Antonio Benedetti
(A)
Niccolò Allievi
(N)
Michele Ciocca
(M)
Enrico Pinotti
(E)
Mauro Montuori
(M)
Michele Carlucci
(M)
Valentina Tomajer
(V)
Paola Fugazzola
(P)
Commentaires et corrections
Type : ErratumIn
Informations de copyright
© 2021. The Author(s).
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