Appendicitis tends to be complicated during the COVID-19 epidemic: A multicentre retrospective study

IF 1.4 Q3 SURGERY Surgery open science Pub Date : 2024-08-01 DOI:10.1016/j.sopen.2024.06.009
Macheng Lu , Xiangpeng Kong , Cong Cheng , Mengmeng Liu , Yuan Zhang , Qiuhua Zhang , Tong Wang , Ye Zhang , Huiqiang Dou
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Abstract

Background

In past studies, non-medical factors in the social-healthcare-patient triad associated with the prevalence of COVID-19 have led to delays in the presentation of patients with acute appendicitis and an increase in complications. However, as research progresses, there is increasing evidence of a clinical association between COVID-19 and the development of acute appendicitis.

Methods

The effect of COVID-19 prevalence and associated factors on acute appendicitis in the control (2016–2019) and exposed (2020−2023) groups was derived from a retrospective study of 3070 patients with acute appendicitis from 2016 to 2023.

Results

After the implementation of the restrictions, the rate of acute appendicitis visits in the exposed group compared to the control group dropped sharply in the initial period (P = 0.047) and recovered gradually with the relaxation of the restrictions. Similar changes occurred in the number of acute complicated appendicitis visits. In addition, after the lifting of restrictions and the COVID-19 outbreak, the proportion of acute complicated appendicitis in the exposed group increased significantly (P < 0.001) and an increase in the number of complicated appendicitis visits was observed (P < 0.001) compared with the control group. In addition, the age distribution of acute appendicitis during this period showed an ageing trend (P = 0.001).

Conclusion

COVID-19 infections may be more likely to progress to complicated appendicitis after an episode of appendicitis, even if they have been cured for the same period of time. In addition, the proportion of elderly patients with appendicitis increased after the COVID-19 epidemic.

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在 COVID-19 流行期间,阑尾炎往往比较复杂:多中心回顾性研究
背景在过去的研究中,与 COVID-19 流行率相关的社会-医疗-患者三方中的非医疗因素导致了急性阑尾炎患者就诊时间的延迟和并发症的增加。然而,随着研究的深入,越来越多的证据表明 COVID-19 与急性阑尾炎发病之间存在临床关联。方法通过对 2016 年至 2023 年间 3070 名急性阑尾炎患者的回顾性研究,得出 COVID-19 流行率及相关因素对对照组(2016-2019 年)和暴露组(2020-2023 年)急性阑尾炎的影响。结果实施限制措施后,与对照组相比,暴露组的急性阑尾炎就诊率在初期急剧下降(P = 0.047),并随着限制措施的放宽而逐渐恢复。急性复杂性阑尾炎的就诊人数也发生了类似的变化。此外,在解除限制和 COVID-19 爆发后,与对照组相比,暴露组的急性复杂性阑尾炎比例显著增加(P < 0.001),复杂性阑尾炎就诊人数也有所增加(P < 0.001)。此外,在此期间急性阑尾炎的年龄分布呈现出老龄化趋势(P = 0.001)。结论COVID-19 感染者在阑尾炎发作后可能更容易发展为复杂性阑尾炎,即使他们在同一时期已经治愈。此外,COVID-19 流行后,阑尾炎老年患者的比例增加。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.30
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0.00%
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审稿时长
66 days
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