Impact of the COVID-19 pandemic on management and outcomes in acute appendicitis: Should these new practices be the norm?
In early 2020, the COVID-19 pandemic significantly altered management of surgical patients globally. International guidelines recommended that non-operative management be implemented wherever possible (e.g. in proven uncomplicated appendicitis) to reduce pressure on healthcare services and reduce risk of peri-operative viral transmission. We sought to compare our management and outcomes of appendicitis during lockdown vs a non-pandemic period.All presentations to our department with a clinical diagnosis of acute appendicitis between 12/03/2020 and 30/06/2020 were compared to the same 110-day period in 2019. Quantity and severity of presentations, use of radiological investigations, rate of operative intervention and histopathological findings were variables collected for comparison.There was a reduction in appendicitis presentations (from 74 to 56 cases), and an increase in radiological imaging (from 70.27% to 89.29%) (P = 0.007) from 2019 to 2020. In 2019, 93.24% of patients had appendicectomy, compared to 71.42% in 2020(P
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Authors: Kate Somers, Sami Abd Elwahab, Muhammad Zeeshan Raza, Sorcha O’Grady, Joshua DeMarchi, Abeeda Butt, John Burke, William Robb, Colm Power, Niamh McCawley, Deborah McNamara, David Kearney, Arnold D K Hill