Comparative analysis of the management of acute appendicitis between the normal period and COVID-19 pandemic
Yıl: 2021 Cilt: 27 Sayı: 1 Sayfa Aralığı: 22 - 25 Metin Dili: İngilizce DOI: 10.14744/tjtes.2020.46487 İndeks Tarihi: 10-06-2022
Comparative analysis of the management of acute appendicitis between the normal period and COVID-19 pandemic
Öz: BACKGROUND: Acute appendicitis is the most common abdominal surgical emergency. There is no adequate information to evaluate the effects of the COVID-19 pandemic on acute appendicitis and its surgical management. The present comparative study reports
successful appendectomy and infection control in patients with appendicitis during the COVID-19 pandemic and last year covering
the same period.
METHODS: This retrospective observational study was conducted in acute appendicitis-treated patients from 13.03.19 to 13.05.19
and from 13.03.20 to 13.05.20, respectively.
RESULTS: This study included 150 patients (110 patients in 2019; 40 patients in 2020 (during COVID-19 pandemic)). The patients
were named as Group A (Normal period) and Group B (Pandemic period), respectively. The groups were comparable as there was
no significant difference between the mean age, mean BMI, and mean length of stay. There is a significant difference between the comorbidities of Group A and Group B (p=0.033). There was no significant difference between the laboratory and radiological findings
of Group A and Group B. There was a significant difference between the perforation number of Group A and Group B (p=0.029).
There was no significant difference between the needs of ICU and conversion from laparoscopic to conventional appendectomy of
Group A and Group B.
CONCLUSION: The findings obtained in this study suggest that late admission to the hospital caused complicated cases and made
acute appendicitis management more difficult during the pandemic period, which was already a troubling period. During the COVID-19
pandemic, the principles applied to emergency surgery for infected patients should be applied to both suspected and confirmed cases.
Anahtar Kelime: Akut apandisit yönetiminin normal dönemde ve COVID-19 pandemisi esnasında karşılaştırmalı analizi
Öz: AMAÇ: Bilindiği üzere akut apandisit, en sık acil abdominal cerrahi nedenidir. COVID-19 pandemisinin akut apandisit ve cerrahi tedavisi üzerindeki
etkilerini değerlendirmek amacıyla yapılan çalışmalar kısıtlıdır ve yeterli bilgi mevcut değildir. Mevcut karşılaştırmalı çalışma, COVID-19 pandemisi
sırasında ve geçen yıl aynı periyodu kapsayan dönemde apendektomi ameliyatı geçiren hastaların apendektomi sonuçlarını ve enfeksiyon kontrolünü
bildirmeyi amaçlamaktadır.
GEREÇ VE YÖNTEM: Gerçekleştirilen geriye dönük gözlemsel çalışma, karşılaştırmalı olarak 13.03.19–13.05.19 ve 13.03.20–13.05.20 tarihleri
arasında akut apandisit nedeniyle ameliyat edilen hastalar üzerinde gerçekleştirildi.
BULGULAR: Çalışmaya 150 hasta (2019’da 110 hasta; 2020’de 40 hasta [COVID-19 pandemi sırasında]) dahil edildi ve hastalar sırasıyla Grup
A (Normal dönem) ve Grup B (Pandemi dönemi) olarak isimlendirildi. Ortalama yaş, ortalama VKİ ve ortalama kalış süresi arasında anlamlı bir
fark olmadığı için istatistiksel olarak kıyaslanabilir gruplar olarak değerlendirildi. Grup A ve Grup B komorbiditeleri arasında anlamlı fark gözlendi
(p=0.033). Grup A ve Grup B’nin laboratuvar değerleri ve radyolojik bulguları arasında anlamlı bir fark yoktu. Grup A ile Grup B’nin perforasyon
sayısı arasında anlamlı fark tespit edildi (p=0.029). Grup A ve Grup B’nin yoğun bakım ihtiyacı ile laparoskopiden konvansiyonel apendektomiye
geçiş sayıları arasında anlamlı bir fark yoktu.
TARTIŞMA: Çalışmamızda da görüldüğü üzere, hastaneye geç başvuru, komplike olgulara neden olmuş ve zaten sıkıntılı bir dönem olan pandemi
sürecinde, akut apandisit yönetimini daha da zorlaştırmıştır. COVID-19 salgını sırasında, acil cerrahide uygulanan ilkeler hem şüpheli hem de doğrulanmış COVID-19 olgularına uygulanmalıdır.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | meriç s, Vartanoglu Aktokmakyan T, tokocin m, aktimur y, Hacım N, Gülcicek O (2021). Comparative analysis of the management of acute appendicitis between the normal period and COVID-19 pandemic. , 22 - 25. 10.14744/tjtes.2020.46487 |
| Chicago | meriç serhat,Vartanoglu Aktokmakyan Talar,tokocin merve,aktimur yunus emre,Hacım Nadir Adnan,Gülcicek Osman Bilgin Comparative analysis of the management of acute appendicitis between the normal period and COVID-19 pandemic. (2021): 22 - 25. 10.14744/tjtes.2020.46487 |
| MLA | meriç serhat,Vartanoglu Aktokmakyan Talar,tokocin merve,aktimur yunus emre,Hacım Nadir Adnan,Gülcicek Osman Bilgin Comparative analysis of the management of acute appendicitis between the normal period and COVID-19 pandemic. , 2021, ss.22 - 25. 10.14744/tjtes.2020.46487 |
| AMA | meriç s,Vartanoglu Aktokmakyan T,tokocin m,aktimur y,Hacım N,Gülcicek O Comparative analysis of the management of acute appendicitis between the normal period and COVID-19 pandemic. . 2021; 22 - 25. 10.14744/tjtes.2020.46487 |
| Vancouver | meriç s,Vartanoglu Aktokmakyan T,tokocin m,aktimur y,Hacım N,Gülcicek O Comparative analysis of the management of acute appendicitis between the normal period and COVID-19 pandemic. . 2021; 22 - 25. 10.14744/tjtes.2020.46487 |
| IEEE | meriç s,Vartanoglu Aktokmakyan T,tokocin m,aktimur y,Hacım N,Gülcicek O "Comparative analysis of the management of acute appendicitis between the normal period and COVID-19 pandemic." , ss.22 - 25, 2021. 10.14744/tjtes.2020.46487 |
| ISNAD | meriç, serhat vd. "Comparative analysis of the management of acute appendicitis between the normal period and COVID-19 pandemic". (2021), 22-25. https://doi.org/10.14744/tjtes.2020.46487 |
| APA | meriç s, Vartanoglu Aktokmakyan T, tokocin m, aktimur y, Hacım N, Gülcicek O (2021). Comparative analysis of the management of acute appendicitis between the normal period and COVID-19 pandemic. Ulusal Travma ve Acil Cerrahi Dergisi, 27(1), 22 - 25. 10.14744/tjtes.2020.46487 |
| Chicago | meriç serhat,Vartanoglu Aktokmakyan Talar,tokocin merve,aktimur yunus emre,Hacım Nadir Adnan,Gülcicek Osman Bilgin Comparative analysis of the management of acute appendicitis between the normal period and COVID-19 pandemic. Ulusal Travma ve Acil Cerrahi Dergisi 27, no.1 (2021): 22 - 25. 10.14744/tjtes.2020.46487 |
| MLA | meriç serhat,Vartanoglu Aktokmakyan Talar,tokocin merve,aktimur yunus emre,Hacım Nadir Adnan,Gülcicek Osman Bilgin Comparative analysis of the management of acute appendicitis between the normal period and COVID-19 pandemic. Ulusal Travma ve Acil Cerrahi Dergisi, vol.27, no.1, 2021, ss.22 - 25. 10.14744/tjtes.2020.46487 |
| AMA | meriç s,Vartanoglu Aktokmakyan T,tokocin m,aktimur y,Hacım N,Gülcicek O Comparative analysis of the management of acute appendicitis between the normal period and COVID-19 pandemic. Ulusal Travma ve Acil Cerrahi Dergisi. 2021; 27(1): 22 - 25. 10.14744/tjtes.2020.46487 |
| Vancouver | meriç s,Vartanoglu Aktokmakyan T,tokocin m,aktimur y,Hacım N,Gülcicek O Comparative analysis of the management of acute appendicitis between the normal period and COVID-19 pandemic. Ulusal Travma ve Acil Cerrahi Dergisi. 2021; 27(1): 22 - 25. 10.14744/tjtes.2020.46487 |
| IEEE | meriç s,Vartanoglu Aktokmakyan T,tokocin m,aktimur y,Hacım N,Gülcicek O "Comparative analysis of the management of acute appendicitis between the normal period and COVID-19 pandemic." Ulusal Travma ve Acil Cerrahi Dergisi, 27, ss.22 - 25, 2021. 10.14744/tjtes.2020.46487 |
| ISNAD | meriç, serhat vd. "Comparative analysis of the management of acute appendicitis between the normal period and COVID-19 pandemic". Ulusal Travma ve Acil Cerrahi Dergisi 27/1 (2021), 22-25. https://doi.org/10.14744/tjtes.2020.46487 |
