Article ; Online: Paediatric appendicitis during the COVID-19 pandemic.
Journal of paediatrics and child health
2021 Volume 57, Issue 7, Page(s) 986–989
Abstract: Aim: The repercussions of the pandemic on patients without COVID-19 have been well documented. Although there is evidence that adult patients present later with complicated appendicitis, the impact on the paediatric population is unknown. Therefore, the ...
| Abstract | Aim: The repercussions of the pandemic on patients without COVID-19 have been well documented. Although there is evidence that adult patients present later with complicated appendicitis, the impact on the paediatric population is unknown. Therefore, the aim of this study was to assess the impact of the COVID-19 pandemic on the presentation and management of paediatric appendicitis. Methods: Data from consecutive paediatric patients admitted with right iliac fossa pain to a teaching hospital from 1 March 2020 until 30 June 2020 (COVID-19) were compared with patients admitted from 1 March 2019 until 30 June 2019 (control). Results: One hundred and seventy-two patients were admitted with right iliac fossa pain (control = 97, COVID-19 = 75). Seven patients had a normal diagnostic laparoscopy in the control group compared with none in the COVID-19 group. The proportion of patients diagnosed with appendicitis was significantly higher during the COVID-19 pandemic (24% vs. 10%, P = 0.03). They presented later (3 days vs. 1 day, P < 0.01) with higher inflammatory markers (white cell count 15.8 vs. 13.2 × 10 Conclusion: Despite presenting later during COVID-19, paediatric patients with appendicitis were treated expediently with good outcomes. |
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| MeSH term(s) | Adult ; Appendectomy ; Appendicitis/diagnosis ; Appendicitis/epidemiology ; Appendicitis/surgery ; COVID-19 ; Child ; Humans ; Pandemics ; Retrospective Studies ; SARS-CoV-2 | |||||
| Language | English | |||||
| Publishing date | 2021-02-01 | |||||
| Publishing country | Australia | |||||
| Document type | Journal Article | |||||
| ZDB-ID | 1024476-1 | |||||
| ISSN | 1440-1754 ; 1034-4810 | |||||
| ISSN (online) | 1440-1754 | |||||
| ISSN | 1034-4810 | |||||
| DOI | 10.1111/jpc.15359 | |||||
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| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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