Effect of the COVID-19 pandemic on patients with presumed diagnosis of acute appendicitis

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dc.authoridÖĞÜT, ZEKİ/0000-0002-7698-9586
dc.authoridAkbulut, Sami/0000-0002-6864-7711
dc.authoridTanriverdi, Elif Seren/0000-0002-0449-0356
dc.authoridözer, ali/0000-0002-7144-4915
dc.authorwosidÖĞÜT, ZEKİ/IZP-6632-2023
dc.authorwosidAkbulut, Sami/L-9568-2014
dc.authorwosidTanriverdi, Elif Seren/ABE-4472-2021
dc.authorwosidözer, ali/ABI-2209-2020
dc.contributor.authorAkbulut, Sami
dc.contributor.authorTuncer, Adem
dc.contributor.authorOgut, Zeki
dc.contributor.authorSahin, Tevfik Tolga
dc.contributor.authorKoc, Cemalettin
dc.contributor.authorGuldogan, Emek
dc.contributor.authorKarabulut, Ertugrul
dc.date.accessioned2024-08-04T20:53:03Z
dc.date.available2024-08-04T20:53:03Z
dc.date.issued2022
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBACKGROUNDAcute appendicitis (AAp) is the most frequent cause of acute abdominal pain, and appendectomy is the most frequent emergency procedure that is performed worldwide. The coronavirus disease 2019 (COVID-19) pandemic has caused delays in managing diseases requiring emergency approaches such as AAp and trauma.AIMTo compare the demographic, clinical, and histopathological outcomes of patients with AAp who underwent appendectomy during pre-COVID-19 and COVID-19 periods.METHODSThe demographic, clinical, biochemical, and histopathological parameters were evaluated and compared in patients who underwent appendectomy with the presumed diagnosis of AAp in the pre-COVID-19 (October 2018-March 2020) and COVID-19 (March 2020-July 2021) periods.RESULTSAdmissions to our tertiary care hospital for AAp increased 44.8% in the COVID-19 period. Pre-COVID-19 (n = 154) and COVID-19 (n = 223) periods were compared for various parameters, and we found that there were statistically significant differences in terms of variables such as procedures performed on the weekdays or weekends [odds ratio (OR): 1.76; P = 0.018], presence of AAp findings on ultrasonography (OR: 15.4; P < 0.001), confirmation of AAp in the histopathologic analysis (OR: 2.6; P = 0.003), determination of perforation in the appendectomy specimen (OR: 2.2; P = 0.004), the diameter of the appendix (P < 0.001), and hospital stay (P = 0.003). There was no statistically significant difference in terms of interval between the initiation of symptoms and admission to the hospital between the pre-COVID-19 (median: 24 h; interquartile range: 34) and COVID-19 (median: 36 h; interquartile range: 60) periods (P = 0.348). The interval between the initiation of symptoms until the hospital admission was significantly longer in patients with perforated AAp regardless of the COVID-19 or pre-COVID-19 status (P < 0.001).CONCLUSIONThe present study showed that in the COVID-19 period, the ultrasonographic determination rate of AAp, perforation rate of AAp, and duration of hospital stay increased. On the other hand, negative appendectomy rate decreased. There was no statistically significant delay in hospital admissions that would delay the diagnosis of AAp in the COVID-19 period.en_US
dc.identifier.doi10.12998/wjcc.v10.i29.10487
dc.identifier.endpage10500en_US
dc.identifier.issn2307-8960
dc.identifier.issue29en_US
dc.identifier.pmid36312473en_US
dc.identifier.scopus2-s2.0-85139299555en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage10487en_US
dc.identifier.urihttps://doi.org/10.12998/wjcc.v10.i29.10487
dc.identifier.urihttps://hdl.handle.net/11616/100925
dc.identifier.volume10en_US
dc.identifier.wosWOS:000891904600009en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherBaishideng Publishing Group Incen_US
dc.relation.ispartofWorld Journal of Clinical Casesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectSARS-CoV-2en_US
dc.subjectCOVID-19 pandemicen_US
dc.subjectAcute appendicitisen_US
dc.subjectPerforated appendicitisen_US
dc.subjectNegative appendectomyen_US
dc.titleEffect of the COVID-19 pandemic on patients with presumed diagnosis of acute appendicitisen_US
dc.typeArticleen_US

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