The COVID-19 Pandemic Delays Acute Appendicitis and Cholecystitis Presentation and Increases Postoperative Morbidity in Omaha Metropolitan Single Health System Emergency Departments

Since the first reported COVID-19 in December 2019, 90 million cases have been confirmed with two million mortality globally. In the United States, 22 million cases with 370,000 deaths were reported as of January 1st, 2021. The pandemic posed as a critical challenge to public health and the medical community. Navigating through an unprecedented pandemic is difficult as very little is known regarding COVID-19 and its physiological impact on disease processes. However, we suspect patients have delayed presentation when feeling ill possibly due to fear of contracting COVID-19 and therefore have clinically more severe disease at presentation.
Source: Journal of the American College of Surgeons - Category: Surgery Authors: Tags: General Surgery Source Type: research

Related Links:

Studies have reported lower survival for in-hospital cardiac arrest (IHCA) during the initial COVID-19 surge. Whether the pandemic reduced IHCA survival during subsequent surges and in areas with lower COVID-19 rates is unknown.
Source: Resuscitation - Category: Emergency Medicine Authors: Tags: Short paper Source Type: research
CONCLUSION: Our covid19-protocol protected staff and patients allowing the maintenance of our standard of treatment.KEY WORDS: Appendicitis, Children, Covid19, Sars-cov-2.PMID:34795116
Source: Annali Italiani di Chirurgia - Category: Surgery Authors: Source Type: research
Braz J Infect Dis. 2021 Nov 10:101651. doi: 10.1016/j.bjid.2021.101651. Online ahead of print.ABSTRACTCoronavirus disease 2019 (COVID-19) pandemic is a global health emergency. The clinical course of COVID-19 in children is mild in most of the cases, but multisystem inflammatory syndrome in children (MIS-C) is recognized as a potential life-threatening complication of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. Acute abdomen as a presentation of COVID-19 is rare, and its correlation to COVID-19 features and prognosis remains undetermined. Herein, we describe a case of appendicitis in a child wit...
Source: Braz J Infect Dis - Category: Infectious Diseases Authors: Source Type: research
AbstractBackgroundEvidence suggests severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection may be associated with appendicitis or clinical symptoms that mimic appendicitis, but it is not clear if the findings or utility of imaging in pediatric patients with suspected appendicitis have changed since the onset of the coronavirus disease 2019 (COVID-19) pandemic.ObjectiveTo evaluate for potential differences in SARS-CoV-2 positive and SARS-CoV-2 negative pediatric patients imaged for suspected appendicitis to determine the reliability of the existing medical imaging approach for appendicitis in a population th...
Source: Pediatric Radiology - Category: Radiology Source Type: research
AbstractPurposeDuring the past months, the Italian Government has reduced the restrictions and access to hospitals as well as outpatient. Since then, up to 40% of non-traumatic abdominal emergencies have had unusual delayed treatment. Given the rapidly evolving situation and the absence of evidence to support recommendations during the COVID-19 pandemic, it is useful to assess how the current situation is influencing the management of elderly patients with acute appendicitis.MethodsBetween February 2020 and December 2020, all patients 18  years or older undergone appendectomy were included. Patients were divided in tw...
Source: International Journal of Colorectal Disease - Category: Gastroenterology Source Type: research
This study aimed to investigate the impact of COVID-19 on the care given to patients with acute appendicitis in Korea.METHODS: Between November 2019 and November 2020, 495 patients underwent laparoscopic surgery for acute appendicitis. The patients were divided into prepandemic and pandemic groups. The baseline characteristics and perioperative outcomes were compared.RESULTS: The time between admission and surgery was longer in the pandemic group than in the prepandemic group (17.6 hours vs. 9 hours, P
Source: Annals of Surgical Treatment and Research - Category: Surgery Authors: Source Type: research
Ann Med Surg (Lond). 2021 Oct 5;71:102901. doi: 10.1016/j.amsu.2021.102901. eCollection 2021 Nov.ABSTRACTBACKGROUND: Appendicitis accounts for the most frequent surgical emergencies in childhood. The guidance from the Royal College of Surgeons and poor post operative outcomes in surgical patients during the pandemic, it would be expected that only children who had clinical signs of appendicitis and were unwell, would have undergone surgery. Hence, the negative appendicectomy rate during the pandemic should have decreased.The aim of this retrospective study was to assess the rate of negative appendicectomy amongst children
Source: Annals of Medicine - Category: Internal Medicine Authors: Source Type: research
This study aimed to investigate the impact of COVID-19 on the care given to patients with acute appendicitis in Korea.METHODS: Between November 2019 and November 2020, 495 patients underwent laparoscopic surgery for acute appendicitis. The patients were divided into prepandemic and pandemic groups. The baseline characteristics and perioperative outcomes were compared.RESULTS: The time between admission and surgery was longer in the pandemic group than in the prepandemic group (17.6 hours vs. 9 hours, P
Source: Annals of Surgical Treatment and Research - Category: Surgery Authors: Source Type: research
Ann Med Surg (Lond). 2021 Oct 5;71:102901. doi: 10.1016/j.amsu.2021.102901. eCollection 2021 Nov.ABSTRACTBACKGROUND: Appendicitis accounts for the most frequent surgical emergencies in childhood. The guidance from the Royal College of Surgeons and poor post operative outcomes in surgical patients during the pandemic, it would be expected that only children who had clinical signs of appendicitis and were unwell, would have undergone surgery. Hence, the negative appendicectomy rate during the pandemic should have decreased.The aim of this retrospective study was to assess the rate of negative appendicectomy amongst children
Source: Annals of Medicine - Category: Internal Medicine Authors: Source Type: research
This study aimed to investigate the impact of COVID-19 on the care given to patients with acute appendicitis in Korea.METHODS: Between November 2019 and November 2020, 495 patients underwent laparoscopic surgery for acute appendicitis. The patients were divided into prepandemic and pandemic groups. The baseline characteristics and perioperative outcomes were compared.RESULTS: The time between admission and surgery was longer in the pandemic group than in the prepandemic group (17.6 hours vs. 9 hours, P
Source: Annals of Surgical Treatment and Research - Category: Surgery Authors: Source Type: research
More News: Appendicitis | COVID-19 | Emergency Medicine | International Medicine & Public Health | Pandemics | Surgery | USA Health