Ulus Travma Acil Cerrahi Derg. 2022; 28(3): 285-289 | DOI: 10.14744/tjtes.2020.38632

Impact of coronavirus disease on acute appendicitis cases

Ümit Alakuþ¹, Barýþ Türker², Talha Sarýgöz³, Ulvi Mehmet Meral^4
1Department of General Surgery, Health Sciences University Gülhane Training and Research Hospital, Ankara-Turkey
²Department of General Surgery, Batman State Hospital, Batman-Turkey
³Department of General Surgery, Kayseri City Hospital, Department of General Surgery, Kayseri-Turkey
⁴Department of General Surgery, Ýzmir Katip Çelebi University Atatürk Training and Research Hospital, Ýzmir-Turkey

BACKGROUND: Disease profiles have changed in the COVID-19 pandemic. In this study, we aimed to compare acute appendicitis cases before and during the COVID-19 pandemic.
METHODS: A total of 130 patients were diagnosed with AA and operated between the days of first COVID-19 case on March 11, 2020, and May 11, 2020, and the same period of the previous year. Data of the patients were extracted from electronic archive of the hospital. Those patients were stratified into two groups; pandemic group and pre-pandemic group. The pandemic group comprised 46 patients and the pre-pandemic group, 84 patients. The two groups were compared in terms of age, gender, duration of symptoms, length of hospital stay, white blood cell count, C-reactive protein levels, and post-operative complications.
RESULTS: The median days passed from onset of abdominal pain to submission were 6.5 days in the pandemic period. However, it was 3 days in the pre-pandemic group (p<0.001). Other parameters were not statistically different between the groups (p>0.05).
CONCLUSION: During the COVID-19 pandemic period, delay in hospital submissions has attracted attention. However, delayed treatment did not reflect to the clinic as more severe disease.

Keywords: Appendicitis, complication, coronavirus; delay; submission; surgery.

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Koronavirüs hastalýðýnýn akut apandisit olgularý üzerindeki etkisi

Ümit Alakuþ¹, Barýþ Türker², Talha Sarýgöz³, Ulvi Mehmet Meral^4
1Saðlýk Bilimleri Üniversitesi Gülhane Eðitim ve Araþtýrma Hastanesi, Genel Cerrahi Anabilim Dalý, Ankara
²Batman Bölge Devlet Hastanesi, Genel Cerrahi Kliniði, Batman
³Kayseri Þehir Hastanesi, Genel Cerrahi Kliniði, Kayseri
⁴Ýzmir Katip Çelebi Üniversitesi Atatürk Eðitim ve Araþtýrma Hastanesi, Genel Cerrahi Kliniði, Ýzmir

AMAÇ: Hastalýk profilleri Covid-19 pandemi sürecinde deðiþiklik göstermiþtir. Bu çalýþmada Covid-19 pandemi öncesi ve pandemi süresince akut apandisit olgularýný karþýlaþtýrmayý amaçladýk.
GEREÇ VE YÖNTEM: Ýlk Covid-19 olgusunun görüldüðü 11 Mart 2020 ve 11 Mayýs 2020 arasýnda ve geçen yýlýn ayný döneminde toplamda 130 hasta akut apandisit tanýsý ile ameliyat oldu. Hastalarýn verileri hastanenin elektronik arþivinden elde edildi. Bu hastalar iki gruba ayrýldý; pandemik grubu ve pandemik öncesi grup. Pandemi grubunda 46 hasta, pandemik öncesi grupta 84 hasta yer aldý. Ýki grup yaþ, cinsiyet, þikayetlerin süresi, hastanede kalýþ süresi, beyaz küre sayýmý, C-reaktif protein düzeyi ve ameliyat sonrasý komplikasyonlar açýsýndan karþýlaþtýrýldý.
BULGULAR: Karýn aðrýsýnýn baþlangýcý ve baþvuru arasýnda geçen ortanca gün pandemi grubunda 6.5 gündü. Oysa ki bu süre pandemik öncesi grupta üç gündü (p<0.001). Diðer parametreler gruplar arasýnda istatistiksel olarak farklý deðildi (p>0.05).
TARTIÞMA: Covid-19 pandemi periyodu süresince hastaneye baþvurularda gecikme dikkat çekmiþtir. Ancak gecikmiþ tedavi kliniðe daha ciddi has-talýk olarak yansýmamýþtýr.

Anahtar Kelimeler: Apandisit, baþvuru, cerrahi; coronavirus; gecikme; komplikasyon.

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