دورية أكاديمية
Pediatric appendicitis in the time of the COVID-19 pandemic: A retrospective chart review.
| العنوان: | Pediatric appendicitis in the time of the COVID-19 pandemic: A retrospective chart review. |
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| المؤلفون: | Nassiri AM; Department of Pediatric Emergency Medicine Dell Children's Medical Center Austin Texas USA., Pruden RD; Department of Pediatrics Dell Children's Medical Center Austin Texas USA., Holan CA; University of Texas Dell Medical School Austin Texas USA., Guerra AD; University of Texas Dell Medical School Austin Texas USA., Nganga PW; Department of Pediatrics Dell Children's Medical Center Austin Texas USA., Wilkinson MH; Department of Pediatric Emergency Medicine Dell Children's Medical Center Austin Texas USA., Lawson KA; Department of Surgery and Perioperative Care Division of Pediatric Surgery Dell Children's Medical Center University of Texas Austin Texas USA., Allen CH; Department of Pediatric Emergency Medicine Dell Children's Medical Center Austin Texas USA., Gregg VS; Department of Pediatric Emergency Medicine Dell Children's Medical Center Austin Texas USA., Naiditch JA; Department of Surgery and Perioperative Care Division of Pediatric Surgery Dell Children's Medical Center University of Texas Austin Texas USA. |
| المصدر: | Journal of the American College of Emergency Physicians open [J Am Coll Emerg Physicians Open] 2022 Apr 19; Vol. 3 (2), pp. e12722. Date of Electronic Publication: 2022 Apr 19 (Print Publication: 2022). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: John Wiley & Sons, Inc Country of Publication: United States NLM ID: 101764779 Publication Model: eCollection Cited Medium: Internet ISSN: 2688-1152 (Electronic) Linking ISSN: 26881152 NLM ISO Abbreviation: J Am Coll Emerg Physicians Open Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: Hoboken, NJ : John Wiley & Sons, Inc., [2020]- |
| مستخلص: | Aim: Conduct a time trend analysis that describes 2 groups of patients admitted to a large tertiary children's hospital that presented with appendicitis and determine if there was an increase in complicated appendicitis when compared between 2 time periods before and during the early coronavirus disease 2019 (COVID-19) pandemic of 2020. Methods: We conducted a retrospective analysis of all children presenting to a single-center site with appendicitis between March 23 and August 31, 2020, in the Central Texas region. We compared 507 patients presenting with appendicitis from the non-COVID-19 era in 2019 with n = 249 to patients presenting during the COVID time period with n = 258. All patients with appendicitis within those time periods were reviewed with analysis of various characteristics in regard to presentation, diagnosis of uncomplicated versus complicated appendicitis, and management outcomes. Results: There were no significant demographic differences or change in the number of appendicitis cases noted between the 2 time periods of comparison. There was no significant difference in rates of complicated appendicitis or presentation time following symptom onset between the 2 eras. There was no significant difference in intraoperative or postoperative complications. There was a statistically significant increase in the use of computed tomography (CT) scans ( P -value = 0.004) with patients 1.81 times more likely to have a CT scan in the pandemic era after adjusting for patient-level factors. The effect of severe acute respiratory syndrome coronavirus 2 status on outcomes was not part of the data analysis. Conclusion: Our study is the largest to date examining appendicitis complications in the era of COVID. In the time of the COVID-19 pandemic, we found no delay in presentation in children presenting to the emergency department and no increase in complicated appendicitis. We did identify an increase in the use of CT scans for definitive diagnosis of appendicitis noted in the pandemic era. Although COVID-19 status was not studied, the finding of increased CT use for a definitive diagnosis of appendicitis was a distinctive finding of this study showing a change in practice in pediatric emergency medicine. (© 2022 The Authors. JACEP Open published by Wiley Periodicals LLC on behalf of American College of Emergency Physicians.) |
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| فهرسة مساهمة: | Keywords: COVID‐19; CT scan; appendicitis; complicated appendicitis; pandemic; pediatric emergency medicine; pediatrics |
| تواريخ الأحداث: | Date Created: 20220425 Latest Revision: 20220716 |
| رمز التحديث: | 20221213 |
| مُعرف محوري في PubMed: | PMC9019144 |
| DOI: | 10.1002/emp2.12722 |
| PMID: | 35462960 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2688-1152 |
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| DOI: | 10.1002/emp2.12722 |