Impact of COVID-19 pandemic on pediatric appendicitis hospital admission time and length of hospital stay

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dc.authoridGÜRÜNLÜOĞLU, Kubilay/0000-0002-8315-1765
dc.authoridDemircan, Mehmet/0000-0002-4022-1276
dc.authoridARSLAN, Ahmet Kadir/0000-0001-8626-9542
dc.authoridTasci, Aytac/0000-0002-4024-5219
dc.authorwosidGÜRÜNLÜOĞLU, Kubilay/AAO-5631-2020
dc.authorwosidDemircan, Mehmet/B-1904-2008
dc.authorwosidARSLAN, Ahmet Kadir/AAA-2409-2020
dc.contributor.authorTasci, Aytac
dc.contributor.authorGurunluoglu, Kubilay
dc.contributor.authorYildiz, Turan
dc.contributor.authorArslan, Ahmet Kadir
dc.contributor.authorAkpinar, Necmettin
dc.contributor.authorCin, Ecem Serbest
dc.contributor.authorDemircan, Mehmet
dc.date.accessioned2024-08-04T20:10:12Z
dc.date.available2024-08-04T20:10:12Z
dc.date.issued2022
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBACKGROUND: Appendicitis is one of the most common surgical emergencies among children. In this retrospective clinical study, we attempted to determine the effects of the COVID-19 pandemic period on hospital admission time and length of hospital stay (LOS) in pediatric appendicitis cases. METHODS: We retrospectively compared pediatric appendectomies from the date of the first reported COVID-19 case to June 1, 2020, which is considered as the start of the normalization process, with pre-pandemic pediatric appendectomies of the same number of days in terms of age, gender, hospital admission time, LOS, parental educational level, laboratory values, and histopathological findings. RESULTS: There was an average increase of 2 days in the time from the onset of symptoms to hospital admission in pediatric appendicitis patients in the COVID-19 period (p=0.001). Furthermore, C-reactive protein value was statistically significantly higher in the COVID-19 period (p=0.018). Given the LOS, it was calculated as an average of 5 days in the pre-pandemic period and 4 days in the COVID-19 period, and this difference was statistically insignificant (p=0.273). There was no significant difference between the groups in terms of histopathological findings (p=0.176). The parental educational level had no effect on the admission time. CONCLUSION: The hospital admission time of pediatric appendicitis patients is significantly prolonged in the COVID-19 pandemic, but this prolongation had no histopathological effect. During the pandemic, the recovery of patients who required urgent treatment during the stay-at-home period was also negatively affected. Notwithstanding, we are of the opinion that the absence of an increase in the LOS may be due to the willingness of both families and physicians to keep the LOS as short as possible. Despite the increase in hospital admission time in pediatric appendicitis during the Covid 19 pandemic process, the lack of increase in the rate of complicated appendicitis may be an indicator of the importance of other factors in the development of complicated appendicitis.en_US
dc.identifier.doi10.14744/tjtes.2021.06777
dc.identifier.endpage1099en_US
dc.identifier.issn1306-696X
dc.identifier.issn1307-7945
dc.identifier.issue8en_US
dc.identifier.pmid35920414en_US
dc.identifier.scopus2-s2.0-85135424543en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage1095en_US
dc.identifier.trdizinid1137389en_US
dc.identifier.urihttps://doi.org/10.14744/tjtes.2021.06777
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/1137389
dc.identifier.urihttps://hdl.handle.net/11616/92661
dc.identifier.volume28en_US
dc.identifier.wosWOS:000858853800021en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTurkish Assoc Trauma Emergency Surgeryen_US
dc.relation.ispartofUlusal Travma Ve Acil Cerrahi Dergisi-Turkish Journal of Trauma & Emergency Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAppendicitis COVID-19en_US
dc.subjecthospital admission timeen_US
dc.subjectlength of hospital stayen_US
dc.subjectparental educational levelen_US
dc.titleImpact of COVID-19 pandemic on pediatric appendicitis hospital admission time and length of hospital stayen_US
dc.typeArticleen_US

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