Encuesta nacional sobre el tratamiento de la apendicitis aguda en España durante la fase inicial de la pandemia por COVID-19

Prieto, Mikel; Ielpo, Benedetto; Fuertes, Montiel Jiménez; Sánchez, María del Carmen González; Antona, Esteban Martín; Narváez, José Manuel Aranda

doi:10.1016/j.ciresp.2020.06.018

Cited by 7 publications

(7 citation statements)

References 10 publications

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“…Several changes to standard treatment of appendicitis have been proposed during the COVID-19 pandemic: First, the reversion from laparoscopic surgery to open surgery for appendicitis has been argued as potentially beneficial because of the possible reduction in aerosole production and therefore reduced risk of virus transmission (15). Therefore, despite low evidence, in some regions especially in the first phases of the pandemic, rates of open appendectomies (in adults) have increased during the pandemic (29). In our study, however, this phenomenon could not be noted.…”

Section: Discussioncontrasting

confidence: 77%

Increased Incidence of Perforated Appendicitis in Children During COVID-19 Pandemic in a Bavarian Multi-Center Study

et al. 2021

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Introduction: Since early 2020 the COVID-19 pandemic and statutory preventive reorganization of treatment capacities with cancellation of elective surgery as well as curfew regulations led to vastly decreased utilization of primary health care.Materials and Methods: To assess whether there are negative effects on pediatric acute care in Bavaria during the spring 2020 lockdown a state-wide retrospective multi-center study was performed to analyze the rate of perforated appendicitis during lockdown. Children who have been operated on during the corresponding period in 2018/19 served as control group.Results: Overall, 514 patients (292 boys, 222 girls) were included (2020: 176 patients; 2019: 181 patients; 2018: 157 patients). Median age was 11.2 years. Four hundred thirty-nine patients (85.4%) underwent laparoscopic surgery, 69 (13.4%) open surgery and 1.2% underwent conversion from laparoscopic to open surgery. In 2020 a perforation rate of 27.8% (49/176 patients) was found, in 2018–2019 perforation rate was 20.7% (70/338 patients, p = 0.0359, Cochran-Mantel-Haenszel-Test). Subgroup analysis showed that in younger patients (≤ 11.2 years), in 2020 perforation rate was significantly higher with 37.6% (32/85 patients), while 22.2% (39/176) in 2018/2019 (p = 0.014, Fisher's exact test).In boys perforation rate was significantly higher in 2020 with 35.0% (35/100 patients) compared to 21.4% in 2018–2019 (p = 0.0165, Fisher's exact test).Conclusion: During the period of curfew regulations in Bavaria the rate of perforated appendicitis in childhood increased significantly, especially in younger children and boys. Potentially this has to be attributed to delayed presentation to pediatric surgery care. Because of potential long-term sequelae of perforated appendicitis these adverse effects during curfew have to be taken into account for future political decision making to ensure reasonable patient care and avoid collateral damage in near-future or on-going pandemic situations.

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Section: Discussioncontrasting

confidence: 77%

Increased Incidence of Perforated Appendicitis in Children During COVID-19 Pandemic in a Bavarian Multi-Center Study

et al. 2021

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“…Los sistemas de Salud de todo el mundo estuvieron en alerta respondiendo a la pandemia de la enfermedad respiratoria por coronavirus 2019 (COVID-19); causada por un nuevo coronavirus que se ha denominado SARS-CoV-2 1,2 . Debido a su rápida expansión, hubo alta probabilidad que pacientes con confirmación o sospecha de COVID-19 precisen de una intervención quirúrgica 3 .…”

Section: Introductionunclassified

“…Debido a su rápida expansión, hubo alta probabilidad que pacientes con confirmación o sospecha de COVID-19 precisen de una intervención quirúrgica 3 . En ese escenario de enfermedades se contempla intervenciones quirúrgicas urgentes 2,3,4 . La apendicitis aguda se define como la Inflamación aguda del apéndice cecal causada generalmente por obstrucción de su luz 5,6 , que requiere intervención quirúrgica urgente.…”

Section: Introductionunclassified

Morbimortalidad postoperatoria en pacientes infectados con SARS-COV-2 sometidos a apendicetomía urgente en el Hospital Obrero N°1 La Paz – Bolivia, 2020

Chui-Mamani,

Ibáñez-Bravo

2023

Rev. Cient. Memoria del Posgrado

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Objetivo: Conociendo la frecuencia de pacientes infectados con SARS-CoV-2 sometidos a apendicectomía de urgencia en el Hospital Obrero N°1 en la gestión 2020, el presente estudio busca describir las complicaciones relacionadas a la morbimortalidad postoperatoria en estos pacientes; siendo éstas un reflejo de la repercusión de esta infección en la práctica quirúrgica. Material y métodos: El estudio es descriptivo transversal. Se utilizó la revisión documental como técnica para la recolección de información. Tras revisar la estadística quirúrgica anual se identifican pacientes infectados con SARS-CoV-2 sometidos a apendicectomía urgente, se revisan sus expedientes clínicos digitales recolectando información perioperatoria con énfasis en el postoperatorio. Resultados: 1847 cirugías realizadas en 2020, 18 apendicectomías de urgencia en pacientes infectados con SARS-CoV-2. La mayoría de pacientes se encontraba entre 21 y 40 años, el género masculino fue el más frecuente. 39% de los casos presentaron apendicitis aguda gangrenada y otro 39% apendicitis perforada. 11% presentó peritonitis generalizada. La morbilidad postoperatoria corresponde a 6 pacientes que presentan complicaciones: 5 casos de seroma de herida operatoria, 2 casos de íleo paralítico transitorio, 1 caso de íleo paralítico prolongado y 1 solo caso de neumonía atípica por SARS-CoV-2. No se identificaron casos de mortalidad postoperatoria. Conclusiones: Descritas la morbilidad y la ausencia de mortalidad postoperatorias en los pacientes infectados con SARS-CoV-2 que fueron sometidos a apendicetomía de urgencia, se observa que las conductas y prácticas adoptadas, acompañadas de las medidas de seguridad pertinentes fueron seguras para esta población.

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“…Our perception was that urgent surgical disease presented during this period in more advanced phases, which was attributed to the state of confinement and the fear of possible infection by going to a medical center 1 . To try to confirm our suspicion, we compared the time of evolution and intraoperative findings (among other data) of patients diagnosed with appendicitis from March 15 to June 20, 2020 with patients who were treated surgically during the same period in 2019.…”

mentioning

confidence: 99%

“…We have read with interest the article by Prieto et al 1 about the survey on the treatment of acute appendicitis during the COVID-19 pandemic, to which we would like to add the experience of our hospital.…”

mentioning

confidence: 99%

Response to «National survey on the treatment of acute appendicitis in Spain during the initial period of the COVID-19 pandemic»

Francés

Marín

Morales

et al. 2021

Cirugía Española (English Edition)

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Encuesta nacional sobre el tratamiento de la apendicitis aguda en España durante la fase inicial de la pandemia por COVID-19

Cited by 7 publications

References 10 publications

Increased Incidence of Perforated Appendicitis in Children During COVID-19 Pandemic in a Bavarian Multi-Center Study

Increased Incidence of Perforated Appendicitis in Children During COVID-19 Pandemic in a Bavarian Multi-Center Study

Morbimortalidad postoperatoria en pacientes infectados con SARS-COV-2 sometidos a apendicetomía urgente en el Hospital Obrero N°1 La Paz – Bolivia, 2020

Response to «National survey on the treatment of acute appendicitis in Spain during the initial period of the COVID-19 pandemic»

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