Yıl: 2022 Cilt: 28 Sayı: 8 Sayfa Aralığı: 1095 - 1099 Metin Dili: İngilizce DOI: 10.14744/tjtes.2021.06777 İndeks Tarihi: 03-11-2022

Impact of COVID-19 pandemic on pediatric appendicitis hospital admission time and length of hospital stay

Öz:
BACKGROUND: Appendicitis is one of the most common surgical emergencies among children. In this retrospective clinical study, we attempted to determine the effects of the COVID-19 pandemic period on hospital admission time and length of hospital stay (LOS) in pediatric appendicitis cases. METHODS: We retrospectively compared pediatric appendectomies from the date of the first reported COVID-19 case to June 1, 2020, which is considered as the start of the normalization process, with pre-pandemic pediatric appendectomies of the same number of days in terms of age, gender, hospital admission time, LOS, parental educational level, laboratory values, and histopathological findings. RESULTS: There was an average increase of 2 days in the time from the onset of symptoms to hospital admission in pediatric appen- dicitis patients in the COVID-19 period (p=0.001). Furthermore, C-reactive protein value was statistically significantly higher in the COVID-19 period (p=0.018). Given the LOS, it was calculated as an average of 5 days in the pre-pandemic period and 4 days in the COVID-19 period, and this difference was statistically insignificant (p=0.273). There was no significant difference between the groups in terms of histopathological findings (p=0.176). The parental educational level had no effect on the admission time. CONCLUSION: The hospital admission time of pediatric appendicitis patients is significantly prolonged in the COVID-19 pandemic, but this prolongation had no histopathological effect. During the pandemic, the recovery of patients who required urgent treatment during the “stay-at-home” period was also negatively affected. Notwithstanding, we are of the opinion that the absence of an increase in the LOS may be due to the willingness of both families and physicians to keep the LOS as short as possible. Despite the increase in hospital admission time in pediatric appendicitis during the Covid 19 pandemic process, the lack of increase in the rate of complicated appendicitis may be an indicator of the importance of other factors in the development of complicated appendicitis.
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Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Cucinotta D, Vanelli M. WHO declares COVID-19 a pandemic. Acta Biomed 2020;91:157–60.
  • 2. Cura Yayla BC, Özsürekçi Y, Aykaç K, Derin Oygar P, Laçinel Gürle- vik S, İlbay S, et al. Characteristics and management of children with COVID-19 in Turkey. Balkan Med J 2020;37:341–7.
  • 3. Ghosh R, Dubey MJ, Chatterjee S, Dubey S. Impact of COVID-19 on children: Special focus on the psychosocial aspect. Minerva Pediatr 2020;72:226–35.
  • 4. Yıldız T, Bozdağ Z, Erkorkmaz U, Emre A, Turgut T, Ilçe Z. Analysis of risk factors for the development of pediatric appendicitis. Ulus Travma Acil Cerrahi Derg 2013;19:554–8.
  • 5. Salö M, Friman G, Stenström P, Ohlsson B, Arnbjörnsson E. Appendi- citis in children: Evaluation of the pediatric appendicitis score in younger and older children. Surg Res Pract 2014;2014:438076.
  • 6. Omling E, Salö M, Saluja S, Bergbrant S, Olsson L, Persson A, et al. Na- ionwide study of appendicitis in children. Br J Surg 2019;106:1623–31.
  • 7. Zavras N, Vaos G. Management of complicated acute appendicitis in children: Still an existing controversy. World J Gastrointest Surg 2020;12:129–37.
  • 8. Demircan M, Cetin S, Uguralp S, Sezgin N, Karaman A, Gozukara EM. Plasma D-lactic acid level: A useful marker to distinguish perforated from acute simple appendicitis. Asian J Surg 2004;27:303–5.
  • 9. Lazzerini M, Barbi E, Apicella A, Marchetti F, Cardinale F, Trobia G. De- layed access or provision of care in Italy resulting from fear of COVID-19. Lancet Child Adolesc Health 2020;4:e10–1.
  • 10. La Pergola E, Sgrò A, Rebosio F, Vavassori D, Fava G, Codrich D, et al. Appendicitis in children in a large Italian COVID-19 pandemic area. Front Pediatr 2020;8:600320.
  • 11. Velayos M, Muñoz-Serrano AJ, Estefanía-Fernández K, Sarmiento Cal- das MC, Moratilla Lapeña L, López-Santamaría M, et al. Influence of the coronavirus 2 (SARS-Cov-2) pandemic on acute appendicitis. An Pedi- atr (Engl Ed) 2020;93:118–22.
  • 12. Fisher JC, Tomita SS, Ginsburg HB, Gordon A, Walker D, Kuenzler KA. Increase in pediatric perforated appendicitis in the New York city Metropolitan Region at the epicenter of the COVID-19 outbreak. Ann Surg 2021;273:410–5.
  • 13. Snapiri O, Rosenberg Danziger C, Krause I, Kravarusic D, Yulevich A, Balla U, et al. Delayed diagnosis of paediatric appendicitis during the COVID-19 pandemic. Acta Paediatr 2020;109:1672–6.
  • 14. Raffaele A, Cervone A, Ruffoli M, Cereda E, Avolio L, Parigi GB, et al. Critical factors conditioning the management of appendicitis in children during COVID-19 pandemic: Experience from the outbreak area of Lombardy, Italy. Br J Surg 2020;107:e529–30.
  • 15. Gerall CD, Defazio JR, Kahan AM, Fan W, Fallon EM, Middlesworth W, et al. Delayed presentation and sub-optimal outcomes of pediatric pa- tients with acute appendicitis during the COVID-19 pandemic. J Pediatr Surg 2021;56:905–10.
  • 16. Zvizdic Z, Vranic S. Decreased number of acute appendicitis cases in pe- diatric population during the COVID-19 pandemic: Any link? J Pediatr Surg 2021;56:199–200.
  • 17. Dubey S, Biswas P, Ghosh R, Chatterjee S, Dubey MJ, Chatterjee S, et al. Psychosocial impact of COVID-19. Diabetes Metab Syndr 2020;14:779–88.
  • 18. Penfold RB, Chisolm DJ, Nwomeh BC, Kelleher KJ. Geographic dispar- ities in the risk of perforated appendicitis among children in Ohio: 2001- 2003. Int J Health Geogr 2008;7:56.
  • 19. Bratu I, Martens PJ, Leslie WD, Dik N, Chateau D, Katz A. Pediatric ap- pendicitis rupture rate: Disparities despite universal health care. J Pediatr Surg 2008;43:1964–9.
  • 20. Baxter KJ, Nguyen HT, Wulkan ML, Raval MV. Association of health care utilization with rates of perforated appendicitis in children 18 years or younger. JAMA Surg 2018;153:544–50.
  • 21. Sander S. A review of the studies about appendicitis performed by cen- ters of pediatric surgery in Turkey, and a preliminary study to formulate an index for pediatric appendicitis. Çocuk Cerrahisi Derg 2016;30:61– 88.
  • 22. Groselj-Grenc M, Repse S, Vidmar D, Derganc M. Clinical and labora- tory methods in diagnosis of acute appendicitis in children. Croat Med J 2007;48:353–61.
  • 23. Gurunluoglu K, Tasci A, Gozukara Bag H, Demircan M. Comparison of routine laboratory tests in acute appendicitis and intussusception in childhood. Ann Med Res 2019;26:265–9.
  • 24. Demircan M. Increased admissions and hospitalizations to pediatric burn center during COVID 19 pandemic. Burns 2021;47:487–8.
  • 25. Chiaravalli S, Ferrari A, Sironi G, Gattuso G, Bergamaschi L, Puma N, et al. A collateral effect of the COVID-19 pandemic: Delayed diagnosis in pediatric solid tumors. Pediatr Blood Cancer 2020;67:e28640.
APA Taşçı A, GÜRÜNLÜOĞLU K, yıldız t, ARSLAN A, akpınar n, SERBEST ÇİN E, Demircan M (2022). Impact of COVID-19 pandemic on pediatric appendicitis hospital admission time and length of hospital stay. , 1095 - 1099. 10.14744/tjtes.2021.06777
Chicago Taşçı Aytaç,GÜRÜNLÜOĞLU Kubilay,yıldız turan,ARSLAN Ahmet Kadir,akpınar necmettin,SERBEST ÇİN ECEM,Demircan Mehmet Impact of COVID-19 pandemic on pediatric appendicitis hospital admission time and length of hospital stay. (2022): 1095 - 1099. 10.14744/tjtes.2021.06777
MLA Taşçı Aytaç,GÜRÜNLÜOĞLU Kubilay,yıldız turan,ARSLAN Ahmet Kadir,akpınar necmettin,SERBEST ÇİN ECEM,Demircan Mehmet Impact of COVID-19 pandemic on pediatric appendicitis hospital admission time and length of hospital stay. , 2022, ss.1095 - 1099. 10.14744/tjtes.2021.06777
AMA Taşçı A,GÜRÜNLÜOĞLU K,yıldız t,ARSLAN A,akpınar n,SERBEST ÇİN E,Demircan M Impact of COVID-19 pandemic on pediatric appendicitis hospital admission time and length of hospital stay. . 2022; 1095 - 1099. 10.14744/tjtes.2021.06777
Vancouver Taşçı A,GÜRÜNLÜOĞLU K,yıldız t,ARSLAN A,akpınar n,SERBEST ÇİN E,Demircan M Impact of COVID-19 pandemic on pediatric appendicitis hospital admission time and length of hospital stay. . 2022; 1095 - 1099. 10.14744/tjtes.2021.06777
IEEE Taşçı A,GÜRÜNLÜOĞLU K,yıldız t,ARSLAN A,akpınar n,SERBEST ÇİN E,Demircan M "Impact of COVID-19 pandemic on pediatric appendicitis hospital admission time and length of hospital stay." , ss.1095 - 1099, 2022. 10.14744/tjtes.2021.06777
ISNAD Taşçı, Aytaç vd. "Impact of COVID-19 pandemic on pediatric appendicitis hospital admission time and length of hospital stay". (2022), 1095-1099. https://doi.org/10.14744/tjtes.2021.06777
APA Taşçı A, GÜRÜNLÜOĞLU K, yıldız t, ARSLAN A, akpınar n, SERBEST ÇİN E, Demircan M (2022). Impact of COVID-19 pandemic on pediatric appendicitis hospital admission time and length of hospital stay. Ulusal Travma ve Acil Cerrahi Dergisi, 28(8), 1095 - 1099. 10.14744/tjtes.2021.06777
Chicago Taşçı Aytaç,GÜRÜNLÜOĞLU Kubilay,yıldız turan,ARSLAN Ahmet Kadir,akpınar necmettin,SERBEST ÇİN ECEM,Demircan Mehmet Impact of COVID-19 pandemic on pediatric appendicitis hospital admission time and length of hospital stay. Ulusal Travma ve Acil Cerrahi Dergisi 28, no.8 (2022): 1095 - 1099. 10.14744/tjtes.2021.06777
MLA Taşçı Aytaç,GÜRÜNLÜOĞLU Kubilay,yıldız turan,ARSLAN Ahmet Kadir,akpınar necmettin,SERBEST ÇİN ECEM,Demircan Mehmet Impact of COVID-19 pandemic on pediatric appendicitis hospital admission time and length of hospital stay. Ulusal Travma ve Acil Cerrahi Dergisi, vol.28, no.8, 2022, ss.1095 - 1099. 10.14744/tjtes.2021.06777
AMA Taşçı A,GÜRÜNLÜOĞLU K,yıldız t,ARSLAN A,akpınar n,SERBEST ÇİN E,Demircan M Impact of COVID-19 pandemic on pediatric appendicitis hospital admission time and length of hospital stay. Ulusal Travma ve Acil Cerrahi Dergisi. 2022; 28(8): 1095 - 1099. 10.14744/tjtes.2021.06777
Vancouver Taşçı A,GÜRÜNLÜOĞLU K,yıldız t,ARSLAN A,akpınar n,SERBEST ÇİN E,Demircan M Impact of COVID-19 pandemic on pediatric appendicitis hospital admission time and length of hospital stay. Ulusal Travma ve Acil Cerrahi Dergisi. 2022; 28(8): 1095 - 1099. 10.14744/tjtes.2021.06777
IEEE Taşçı A,GÜRÜNLÜOĞLU K,yıldız t,ARSLAN A,akpınar n,SERBEST ÇİN E,Demircan M "Impact of COVID-19 pandemic on pediatric appendicitis hospital admission time and length of hospital stay." Ulusal Travma ve Acil Cerrahi Dergisi, 28, ss.1095 - 1099, 2022. 10.14744/tjtes.2021.06777
ISNAD Taşçı, Aytaç vd. "Impact of COVID-19 pandemic on pediatric appendicitis hospital admission time and length of hospital stay". Ulusal Travma ve Acil Cerrahi Dergisi 28/8 (2022), 1095-1099. https://doi.org/10.14744/tjtes.2021.06777