Inequalities in screening policies and perioperative protection for patients with acute appendicitis during the pandemic: Subanalysis of the ACIE Appy study

Pellino, Gianluca; Podda, Mauro; Pata, Francesco; Saverio, Salomone Di; Ielpo, Benedetto; Caruso, Riccardo; Gravante, Gianpiero; Orengia, A; Chowdary, A. Haritha; Kulkarni, Adarsh; Kuvvetli, Adnan; Navarro, Alberto Ordinola; Smith, Ariella J; Ibiricu, A. Cavero; Nacion, Aeris Jane D.; Alsaleh, Amal; Alhazmi, Alaa; Elmabri, A; Wani, Arshad A.; Rencüzoğulları, Ahmet; Lasarte, Aingeru Sarriugarte; Rubio, Ainhoa Valle; Bavikatte, Akshay; Kumar, A; Jamiri, A R; Padilla, Ana; Cacurri, Alban; Ildefonso, A de San; Porcu, Alberto; Sartori, Alberto; Rocca, Aldo; Yáñez, Anahí; Becaria, A; Solís-Peña, Alejandro; Sretenović, Aleksandar; Urbistondo, A; Bandin, A; Najar, Arshad Ahmad; Luca, Assunta De; Boddy, Alex; Charalabopoulos, Alexandros; Tzivanakis, Alexios; Amendola, Alfonso; Velasco, Alfredo Ramírez Gutiérrez de; Demiray, Emine Kübra Dindar; Frontali, Alice; Touré, Aissatou; García-Granero, Álvaro; Roldan, A Martínez; Larrainzar, A. Sanz; Ratnayake, Amila; González-Ganso, Ana María; Bravo, Ana Minaya; Das, Avash; Bondurri, Andrea; Costanzi, Andrea; Lucchi, Andrea; Mazzari, Andrea; Musig, A; Peloso, Andréa; Piccioni, Andrea; Mihailescu, A.; ́Pouy, Andrés; Romano, Antonio; Iossa, Angelo; Leonetti, Alessandro; Guariniello, Anna; Isaac, A; Bovi, A; Chessa, A; Tromba, A; Martínez, Arancha; Brillantino, Antonio; Caira, A; Castaldi, Antonio; Ferronetti, Antonio; Giuliani, Antonio; Prestera, A; Medina, Antonio Ramos‐De la; Tarasconi, Antonio; Tornambè, A; Picciariello, Arcangelo; Ioannidis, Argyrios; Leppäniemi, Ari; Khan, Amir Maroof; Rashid, Azura A.; Perez-Sanchez, A; Mittal, Abhishek; Mitul, Ashrarur Rahman; Mehraj, Asif; Laharwal, Asim Rafiq; Dorismé, A; Marinis, Athanasios; Iqbal, Amir; Moncada, Amelia Olortegui; Braccio, Bartolomeo; Alkhafaji, Basim; Asenjo, Beatriz De Andrés; Martin‐Perez, B.; Simone, Belinda De; Pérez, Belinda Sánchez; Creavin, Ben; Çalı, Başak; Pascotto, Beniamino; Stubbs, Brendon; Retes, Benjamin Zavala; Jovanović, Biljana; Goh, Brian K. 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E.; Moro‐Valdezate, David; Pertile, Davide; D, Giusti; Keller, Deborah S.; Tarik, D; Kalivaci, D.; Mazingi, Dennis; Maldonado-Pintado, D G; Sasia, Diego; Linardoutsos, Dimitrios; Osilli, Dixon; Murrone, Domenico; Russello, Domenico; Siciliano, Ana Lourdes Pérez; Roa, E A Acuña; Ricciardi, Emiliano; Rosso, Edoardo; Saladino, Erin; Flores‐Villalba, Eduardo; Ajs, E Ruiz; Smith-Singares, Eduardo; Kouroumpas, Efstratios; Bourmpouteli, E; Douka, Eleftheria; Martín-Pérez, Elena; Guaitoli, Eleonora; Samadov, E; Francone, Elisa; Vaterlini, E; Morales, Elena; Peña, Estíbaliz Álvarez; Zhao, Ethan; Andrés, Eneko del Pozo; Benzoni, Enrico; Erdas, Enrico; Pinotti, Enrico; Colás‐Ruiz, Enrique; Aytaç, Ezgi; Laterza, E; Agastra, Ervis; Foíanini, Esteban; Moscoso, E; Laviano, E.; Marra, Ester; Cardamone, Eugenia; Licardie, Eugenio; Mpaili, Eustratia; Pinna, Eva; Varó, Evaristo; Navarro, FA; Marino, Flávia Fairbanks Lima de Oliveira; Medas, Fabio; Romano, Francesco; Maraska, F; Saliu, Fabio; Madrid, Félix Fernández; Rosa, Fausto; Mastella, Federica; Gheza, Federico; Luvisetto, Federico; Alconchel, Felipe; Vieira, Felipe M.; Pareja, Felipe; Agresta, Ferdinando; Luna, Francisco de; Bonilla, F; Cordera, Fernando; Burdı́o, Fernando; Mendoza‐Moreno, Fernando; Flores, Fernando Munoz; Aranda, Fernando; Taylor, F; Ramos, Fergie; Fernandes, Fernando Schmidt; Tropeano, Francesca Paola; Balestra, F; Bianco, Francesco; Ceci, Flavio Maria; Colombo, Francesco; Marzo, Francesco Di; Ferrara, Francesco; Lancellotti, Francesco; Lazzarin, Francesco; Litta, Francesco; Martini, Fabio; Pizza, Fabio; Roscio, Francesco; Virdis, Francesco; Blanco-Antona, Francisco; Ramírez, F Cervantes; Fernández, Francisca; Llinares, F.; Quezada, Felipe; Schlottmann, Francisco; Herrera‐Almario, Gabriel; Massaferro, Gabriel; Bislenghi, Gabriele; Ramshorst, Gabriëlle H. van; Gallo, G; Luglio, Gaetano; Bointas, G.; Καμπούρογλου, Γεώργιος; Papadopoulos, George; Manrique, Gonzalo; Calini, Giacomo; Nastri, G; Formisano, Giampaolo; Galiffa, G; Palini, Gian Marco; Colucci, Giuseppe; Pagano, G; Vanni, Gianluca; Pattacini, Gianmaria Casoni; Paola, Gilda De; Lisi, Giorgio; Partida, G; Bellanova, Giovanni; Nobili, Giulia; Necchi, G Sammy; Sinibaldi, G; Tebala, Giovanni Domenico; Bagaglini, Giulia; Izzo, Giuseppe; Argenio, Giulio; Brisinda, Giuseppe; Candilio, Giuseppe; Grezia, Graziella Di; Esposito, Giuseppe; Faillace, Giuseppe; Frazzetta, Giuseppe; Gumina, G. 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La; Treviño, Margarita Emilia González; Zuolo, Michele; Bartolome, Miguel Angel Hernandez; Farina, Marco; Pera, Megan F; Calvo, Mikel Prieto; Sotelo, Miguel; Thway, Myint; Hassan, Monique; Azfar, Mohammad; Bouhuwaish, M; Taha, Mahmoud; Zaieem, M; Korkoman, M; Guraieb, M; Shalaby, Mahmoud; Raza, M; Younis, Muhammad Umar; Elhadi, Mohammed; Ali, Mostafa Z; quazi, Nazli; Dudi‐Venkata, Nagendra N.; Alselaim, Nahar; Loria, N; Ramirez, Nycole; Than, NN; Smart, Neil; Trelles, Nelson; Pinto, Nicole; Allievi, Niccolò; Petrucciani, Niccolò; Antonacci, Nicola; Cillara, Nicola; de’Angelis, Nicola; Gică, Nicolae; Nicolaescu, Diana; Krystek, N; Falco, Nicolò; Pecorelli, Nicolò; Tamini, Nicolò; Dallas, Nikki; Machairas, Nikolaos; Brito, Nuno Vieira e; Fieturi, N Ahmed; Ortega, Natalia; Mercado, Octavio Avila; İrkörücü, Oktay; Alsherif, O; Valles, O; Ioannidis, Orestis; Palmas, O Hernández; Palmas, O I Hernandez; Guadarrama, O Sanz; Bozbıyık, Osman; Omelanczuk, Pablo; Ottolino, Pablo; Rodrigues, Paulo Rogério Melo; Ruiz, Pilar Ansaldo; Campennì, Paola; Chiarade, P; Olivares, Peter; Baroffio, Paolo; Panaccio, Paolo; Wintringer, P.; Fronzo, P Di; Talento, Pasquale; Favoriti, Pasqualino; Sendino, P; Marsanic, Patrizia; Mifsut, P; Andrade, Pedro Guido Soares; Ajawin, P; Abadía-Barnó, P; Castañeda, Pesantes; Arevalos, P O Sillas; Bellver, Pedro Palazon; Koh, Peng Soon; Souza, Pedro Henrique Gonçalves de; Major, Piotr; Bali, R. 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Е.; Turrado, Víctor; Visag-Castillo, Víctor; Dowling, V; Graham, Victoria; Papagni, Vincenzo; Vigorita, Vincenzo; Fonseca, Vinicius Cordeiro; Carneros, Virginia Jiménez; Bellato, Vittoria; Gonçalves, W; Powers, William F.; Grigg, William; Bechstein, Wolf O.; Lim, Young-Ae; Altınel, Yüksel; Golubović, Zoran; Balciscueta, Zutoia; Collaborative, Acie Appy Study

doi:10.1093/bjs/znab247

Cited by 1 publication

(2 citation statements)

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“…Screening patients for SARS-CoV-2 preoperatively varied among countries during the early pandemic in 2020 ( 18 , 19 ): overall, half of surgeons tested symptomatic patients or patients with a suspicion of infection. However, 58.3% respondents from Africa and 27.6% from Latin American did not perform a screening test before surgery.…”

Section: Introductionmentioning

confidence: 99%

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Impact of the COVID-19 pandemic on the severity and management of acute appendicitis

Poget

Chautems²,

Kohler³

et al. 2022

Front. Surg.

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BackgroundThe literature seems to indicate that the number of appendectomies dropped at the beginning of the coronavirus disease in 2019 (COVID-19 pandemic), while the number of complicated appendicitis increased due to late presentation. In addition, a longer delay before surgical treatment resulted in a higher morbidity. This study aims to compare the number of appendectomies, the severity, and the management of acute appendicitis during the first two pandemic peaks of COVID-19 with those observed during the same seasonal periods in the previous 2 years in a regional hospital in Switzerland.MethodsWe retrospectively reviewed and compared the number of appendectomies, rate of complicated appendicitis, delay to consultation and to surgery, distribution of appendectomies over a 24-h schedule, postoperative outcomes, and rates of overall complications in 177 patients, that is, 66 during the COVID-19 pandemic and 111 before the pandemic.ResultsNo statistical difference was found in the number of appendectomies, duration of symptoms before consultation, median time to surgery, number of appendectomies performed outside the usual scheduled time for non-urgent surgery, length of postoperative stay, or the rates of overall complications. However, there was a trend in the rate of complicated appendicitis (p = .05).ConclusionIn spite of a high incidence rate of COVID-19 in our canton, the impact of COVID-19 on our population did not follow the pattern observed elsewhere. The reasons for this might be that people would still present to the emergency department due to less strict social distancing measures. Great availability of emergency operating room may also account for the unchanged delay preceding surgical treatment and complication rates.

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Section: Introductionmentioning

confidence: 99%

“…The coronavirus disease of 2019 (COVID- 19), characterized as a pandemic on 11 March 2020 by the World Health Organization (1), resulted in a worldwide health crisis. Strict sanitary measures implemented by the Federal Office of Public Health allowed to slow the initial progression of Coronavirus in Switzerland (2).…”

Section: Introductionmentioning

confidence: 99%