Research Article
Year 2022,
Volume: 9 Issue: 3, 273 - 276, 30.12.2022
Abstract
To investigate the frequency of patients operated for acute appendicitis during the COVID-19 pandemic period, their complication rates and how it affected hospital costs. In this retrospective study, the data of patients who were operated with the diagnosis of acute appendicitis during the Covid-19 pandemic period (15 March - 31 May 2020) were compared with the data of those operated in the non-pandemic period (15 March - 31 May 2019). Patients who were operated during the COVID-19 pandemic period were categorized as Group A and those operated in the non-pandemic period as Group B. The clinicopathological characteristics of patients, the incidence of the disease, whether the disease was complicated, and the hospital costs were analyzed. Of a total of 108 patients meeting the study criteria, 46 were assigned to Group A and 62 to Group B. When the appendix diameters were compared, the mean appendix diameter of the patients in Group A was higher than that of the patients in Group B (8±SD mm vs. 7±SD mm, p< 0.001). The mean operative time of the patients in Group A was longer than that of the patients in Group B (47.5±15.41 minutes vs. 40±9.61 minutes, respectively, p < 0.001). Intraabdominal drain was required in 10 patients (21.7%) in Group A and 4 patients (6.5%) in Group B (p=0.039). All the wound infections developed in Group A in open operations. When the cost analysis between the groups was compared, the mean cost per patient in Group A was 1284.10±804.11 TL, while it was 1066.43±671.28 TL in Group B, and the difference between the groups was statistically significant (p=0.040). During the Covid-19 pandemic, patients who were operated with the diagnosis of acute appendicitis became more complicated, and the morbidity and hospital costs of patients increased.
References
- 1. De Simone B, Chouillard E, Di Saverio S, et al. Emergency surgery during the COVID-19 pandemic: what you need to know for practice. Ann R Coll Surg Engl. 2020;102(5):323-32.
- 2. Coronavirus disease (COVID-19) Situation Report – 192 Available from: https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200730-covid-19-sitrep-192.pdf?sfvrsn=5e52901f_4.
- 3. Cervellin G, Mora R, Ticinesi A, et al. Epidemiology and outcomes of acute abdominal pain in a large urban Emergency Department: retrospective analysis of 5,340 cases. Ann Transl Med. 2016;4(19):362.
- 4. Tankel J, Keinan A, Blich O, et al. The Decreasing Incidence of Acute Appendicitis During COVID-19: A Retrospective Multi-centre Study. World J Surg. 2020;44(8):2458-63.
- 5. What to Do If You Are Sick. Available from: https://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/steps-when-sick.html.
- 6. Snapiri O, Rosenberg C, Krause I, et al. Delayed diagnosis of paediatric appendicitis during the COVID-19 pandemic. Acta Paediatr. 2020;109(8):1672-6.
- 7. Andersso, RE, Petzold MG. Nonsurgical treatment of appendiceal abscess or phlegmon: a systematic review and meta-analysis. Ann Surg. 2007;246(5):741-8.
- 8. Masroor S. Collateral damage of COVID-19 pandemic: Delayed medical care. J Card Surg. 2020;35(6):1345-7.
- 9. Patients with heart attacks, strokes and even appendicitis vanish from hospitals. Available from: https://www.washingtonpost.com/health/patients-with-heart-attacks-strokes-and-even-appendicitis-vanish-from-hospitals/2020/04/19/9ca3ef24-7eb4-11ea-9040-68981f488eed_story.html.
- 10. Metzler B, Siostrzonek P, Binder KR, et al. Decline of acute coronary syndrome admissions in Austria since the outbreak of COVID-19: the pandemic response causes cardiac collateral damage. Eur Heart J. 2020;41(19):1852-3.
- 11. Garcia S, Albaghdadi Mazen S, Meraj P, et al. Reduction in ST-Segment Elevation Cardiac Catheterization Laboratory Activations in the United States During COVID-19 Pandemic. J Am Coll Cardiol. 2020;75(22):2871-2.
- 12. Romero J, Valencia S, Guerrero A. Acute Appendicitis During Coronavirus Disease 2019 (COVID-19): Changes in Clinical Presentation and CT Findings. J Am Coll Radiol. 2020;17(8):1011-3.
- 13. Zheng MH, Boni L, Fingerhut A. Minimally Invasive Surgery and the Novel Coronavirus Outbreak: Lessons Learned in China and Italy. Ann Surg. 2020;272(1):5-6.
Year 2022,
Volume: 9 Issue: 3, 273 - 276, 30.12.2022
Abstract
COVID-19 pandemi sürecinde kliniğimizde akut apandisit nedeniyle opere edilen hastaların sıklığını, komplikasyon oranlarını ve hastane maliyetlerini nasıl etkilediğini araştırdık. Retrospektif olarak planlarak yapılan bu çalışmada Covid-19 pandemi dönemi (15 Mart – 31 Mayıs 2020) sırasında akut apandisit tanısı ile opere edilen hastalara ait veriler pandemi olmayan dönemde (15 Mart – 31 Mayıs 2019) opere edilen hastalara ait veriler ile karşılaştırıldı. COVID-19 pandemi döneminde opere edilen hastalar Grup A ve pandemi olmayan dönemde opere edilenler ise Grup B olarak kategorize edildi. Hastaların klinikopatolojik özellikleri, hastalık insidansı, hastalığın komplike olup olmadığı ve hastane maliyetleri incelendi.Çalışma kriterlerini sağlayan toplamda 108 hastanın 46’sı grup A’da ve 62’si grup B’de olacak şekilde gruplandırıldı. Apendiks çapları karşılaştırıldığında Grup A’daki hastaların apendiks çapı Grup B’deki hastaların apendiks çaplarına göre daha yüksekti (8±SD mm vs 7±SD mm, p<0.001). Grup A’daki hastaların operasyon süresi Grup B’ deki hastalara göre daha uzundu (47.5±15.41 dakika vs 40±9.61 dakika, sırasıyla, p<0.001). Grup A’da 10 hastada (%21.7) ve Grup B’de 4 hastada (%6.5) intraabdominal dren yerleştirilmek zorunda kalındı (p=0.039). Yara yeri enfeksiyonlarının tamamı Grup A’da açık yapılan operasyonlarda görüldü. Gruplar arasında maliyet analizi karşılaştırıldığında Grup A’da hasta başı maliyet ortalaması 1284.10 ±804.11TL iken Grup B’deki hastalarda 1066.43 ±671.28 TL idi ve gruplar arasındaki fark istatistiksel olarak anlamlı bulundu (p=0.040). Covid-19 pandemi döneminde akut apandisit tanısı ile opere edilen hastalar daha komplike hale gelmiş, hastalarda morbidite ve hastane maliyetleri artmıştır.
References
- 1. De Simone B, Chouillard E, Di Saverio S, et al. Emergency surgery during the COVID-19 pandemic: what you need to know for practice. Ann R Coll Surg Engl. 2020;102(5):323-32.
- 2. Coronavirus disease (COVID-19) Situation Report – 192 Available from: https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200730-covid-19-sitrep-192.pdf?sfvrsn=5e52901f_4.
- 3. Cervellin G, Mora R, Ticinesi A, et al. Epidemiology and outcomes of acute abdominal pain in a large urban Emergency Department: retrospective analysis of 5,340 cases. Ann Transl Med. 2016;4(19):362.
- 4. Tankel J, Keinan A, Blich O, et al. The Decreasing Incidence of Acute Appendicitis During COVID-19: A Retrospective Multi-centre Study. World J Surg. 2020;44(8):2458-63.
- 5. What to Do If You Are Sick. Available from: https://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/steps-when-sick.html.
- 6. Snapiri O, Rosenberg C, Krause I, et al. Delayed diagnosis of paediatric appendicitis during the COVID-19 pandemic. Acta Paediatr. 2020;109(8):1672-6.
- 7. Andersso, RE, Petzold MG. Nonsurgical treatment of appendiceal abscess or phlegmon: a systematic review and meta-analysis. Ann Surg. 2007;246(5):741-8.
- 8. Masroor S. Collateral damage of COVID-19 pandemic: Delayed medical care. J Card Surg. 2020;35(6):1345-7.
- 9. Patients with heart attacks, strokes and even appendicitis vanish from hospitals. Available from: https://www.washingtonpost.com/health/patients-with-heart-attacks-strokes-and-even-appendicitis-vanish-from-hospitals/2020/04/19/9ca3ef24-7eb4-11ea-9040-68981f488eed_story.html.
- 10. Metzler B, Siostrzonek P, Binder KR, et al. Decline of acute coronary syndrome admissions in Austria since the outbreak of COVID-19: the pandemic response causes cardiac collateral damage. Eur Heart J. 2020;41(19):1852-3.
- 11. Garcia S, Albaghdadi Mazen S, Meraj P, et al. Reduction in ST-Segment Elevation Cardiac Catheterization Laboratory Activations in the United States During COVID-19 Pandemic. J Am Coll Cardiol. 2020;75(22):2871-2.
- 12. Romero J, Valencia S, Guerrero A. Acute Appendicitis During Coronavirus Disease 2019 (COVID-19): Changes in Clinical Presentation and CT Findings. J Am Coll Radiol. 2020;17(8):1011-3.
- 13. Zheng MH, Boni L, Fingerhut A. Minimally Invasive Surgery and the Novel Coronavirus Outbreak: Lessons Learned in China and Italy. Ann Surg. 2020;272(1):5-6.
There are 13 citations in total.
Details
| Primary Language | English |
|---|---|
| Subjects | Surgery |
| Journal Section | Original Article |
| Authors | |
| Publication Date | December 30, 2022 |
| Submission Date | March 5, 2021 |
| Published in Issue | Year 2022 Volume: 9 Issue: 3 |
