Did Covid-19 pandemic increase the rate of complicated acute appendicitis?

Öz

Aim: In the Covid-19 pandemic, patients' admissions to the hospital were delayed for concerns of contamination. Our study aimed to determine the duration of admission to hospital, complicated AA rate, and complication rates in patients treated for acute appendicitis (AA) during the pandemic process and compare them with the non-pandemic period. Material and Methods: Data of 159 patients treated for appendicitis during the pandemic period (11.03.2020 - 01.06.2020) and non-pandemic period (11.03.2019-01.06.2019) were analyzed retrospectively. Data on admission time, complicated AA rate, inflammatory markers, hospitalization time, postoperative complications, and drain usage were analyzed. Results: The hospital's average admission time was 1.37 ± 1.53 days in group 1 and 2.54 ± 2.18 days in group 2 (p <0.05). CRP values were significantly higher in group 2 (p <0.05). The complicated AA rate of patients evaluated by USG in group 2 was 30% (12), and in group 1, 11.45% (6)(p <0.05). Intraoperative Complicated AA rate was 6.9% (6) in group 1 and 18.06% (13) in group 2 (p <0.05). Laparoscopic appendectomy rate was 33.3% (29) in group 1 and 12.5% (9) in group 2 (p <0.05). When hospitalization periods (days) were compared, the duration of hospitalization was higher in group 2 (p <0.05). Conclusion: During the pandemic period, complicated AA rate increases due to late admission to the hospital.

Anahtar Kelimeler

• acute appendicitis;
• covid-19;
• emergency surgery

Covid-19 pandemisi daha komplike akut apandisit olgularına mı yol açtı ?

Öz

Amaç:Covid-19 salgınında, hastaların hastaneye başvuruları kontaminasyon endişeleri nedeniyle ertelendi. Çalışmamız pandemi sürecinde akut apandisit (AA) nedeniyle tedavi gören hastalarda hastaneye yatış süresi, komplike AA oranı ve komplikasyon oranlarını belirlemeyi ve bunları pandemi olmayan dönemle karşılaştırmayı amaçladı. Gereç ve Yöntemler:Pandemi döneminde (11.03.2020 - 01.06.2020) ve pandemi olmayan dönemde (11.03.2019-01.06.2019) apandisit nedeniyle tedavi edilen 159 hastanın verileri geriye dönük olarak incelendi. Başvuru süresi, komplike AA oranı, inflamatuar belirteçler, hastanede kalış süresi, postoperatif komplikasyonlar ve dren kullanımı ile ilgili veriler analiz edildi. Bulgular: Ortalama hastaneye başvuru süresi grup 1'de 1,37 ± 1,53 gün, grup 2'de 2,54 ± 2,18 gündü (p <0,05). CRP değerleri grup 2'de anlamlı olarak yüksekti (p <0.05). USG ile değerlendirilen komplike AA oranı grup 2'de %30 (12), grup 1'de %11,45 (6) idi (p <0,05). İntraoperatif Komplike AA oranı grup 1'de %6,9 (6), grup 2'de %18,06 (13) idi (p <0,05). Laparoskopik apendektomi oranı grup 1'de%33,3 (29), grup 2'de %12,5 (9) idi (p <0,05). Hastanede kalış süreleri (gün) karşılaştırıldığında, grup 2'de hastanede kalış süresi daha yüksekti (p <0.05). Sonuçlar:Pandemi döneminde hastaneye geç başvuru nedeniyle komplike AA oranı artmaktadır.

Anahtar Kelimeler

• akut apandisit;
• covid-19
• acil cerrahi

Destekleyen Kurum

yok

Teşekkür

Çalışmanın fikir aşamasında desteğinden dolayı Op.Dr.Gürcan Şimşek'e teşekkürlerimizi sunarız

Kaynakça

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