دورية أكاديمية
Impact of COVID-19 on acute appendicitis presentation, management and pathology findings in adult and paediatric populations.
| العنوان: | Impact of COVID-19 on acute appendicitis presentation, management and pathology findings in adult and paediatric populations. |
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| المؤلفون: | Dorothy B Johnston, Helen G Coleman, David Colvin, Suzanne Lawther, Maurice B Loughrey |
| المصدر: | PLoS ONE, Vol 19, Iss 4, p e0300357 (2024) |
| بيانات النشر: | Public Library of Science (PLoS), 2024. |
| سنة النشر: | 2024 |
| المجموعة: | LCC:Medicine LCC:Science |
| مصطلحات موضوعية: | Medicine, Science |
| الوصف: | BackgroundWe investigated the impact of the COVID-19 pandemic on trends of presentation, management and pathology findings in patients who underwent an appendicectomy for suspected acute appendicitis.MethodThe retrospective study reviewed patients (n = 939 adults and n = 329 children) who had an appendicectomy performed for suspected acute appendicitis and histopathology assessment in the Belfast Health and Social Care Trust, Northern Ireland. Pre-COVID-19 (March 2019 to February 2020) and COVID-19 Year 1 (March 2020 to February 2021) data were compared. Chi-squared tests were applied to compare timeframes.Results513 adult appendicectomies were performed in the immediate year pre-COVID-19, compared to 426 in COVID-19 Year 1, representing a 17% reduction. No such reduction was seen within the paediatric population, likely related to a change in regional paediatric referral criteria during the pandemic. When comparing COVID-19 Year 1 with pre-pandemic, fewer patients presented with ConclusionYear 1 of the COVID-19 pandemic was associated with delayed presentation of acute appendicitis in adults and children. In adults, an overall reduction in appendicectomy operations, increased use of pre-operative diagnostic imaging, and fewer specimens showing simple acute appendicitis or non-diagnostic features, collectively support appropriate restriction of surgery for those patients with a more certain acute appendicitis diagnosis. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 1932-6203 |
| Relation: | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0300357&type=printable; https://doaj.org/toc/1932-6203 |
| DOI: | 10.1371/journal.pone.0300357&type=printable |
| DOI: | 10.1371/journal.pone.0300357 |
| URL الوصول: | https://doaj.org/article/4d0107d9319940a8b77cf48eda714401 |
| رقم الأكسشن: | edsdoj.4d0107d9319940a8b77cf48eda714401 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 19326203 |
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| DOI: | 10.1371/journal.pone.0300357&type=printable |