Nicola Zampieri, Virginia Murri, Mauro Cinquetti, Amedeo Elio, Saverio Camoglio Francesco
Department of Surgery, Woman and Child Hospital, Dentistry, Paediatrics and Gynecology; Division of Pediatric Surgery, University of Verona, Verona, Italy.
Department of Maternal-Infant, Unit of Pediatrics and Neonatology, Fracastoro Hospital, Verona, Italy.
Pediatr Gastroenterol Hepatol Nutr. 2021 Jan;24(1):75-80. doi: 10.5223/pghn.2021.24.1.75. Epub 2021 Jan 8.
Appendicitis is the most frequent urgency in pediatric age; the aim of this study was to investigate the association of quarantine for severe acute respiratory syndrome coronavirus 2 pandemic and the incidence of pediatric appendicitis in a specific macro area.
We retrospectively analyzed the medical records of consecutive patients who underwent surgical exploration for acute appendicitis in the period March-April since 2014. This specific quarantine period was divided into two phases as indicated by National government. Patient data, demographics, characteristics and outcomes were studied and evaluated comparing patients treated during quarantine especially phase 1 vs. phase 2 (March-April 2020).
After reviewing medical charts following the inclusion and exclusion criteria, 155 patients were studied; focusing on the final outcome, it is possible to show a decreased amount of appendicitis during phase 1 and a progressive increase during phase 2; respect to previous years, there was a statistical increase in severity of appendicitis during quarantine (gangrenous vs. phlegmonous appendicitis).
During this specific quarantine there was a reduction in appendicitis and a progressive increase during phase 2. These results offer new perspective among disease incidences during lockdown.
阑尾炎是儿童期最常见的急症；本研究的目的是调查2019冠状病毒病大流行期间的隔离措施与特定宏观区域内小儿阑尾炎发病率之间的关联。
我们回顾性分析了自2014年3月至4月期间因急性阑尾炎接受手术探查的连续患者的病历。根据国家政府的指示，这个特定的隔离期分为两个阶段。研究并评估了患者数据、人口统计学、特征和结局，比较了隔离期间尤其是第1阶段与第2阶段（2020年3月至4月）接受治疗的患者。
按照纳入和排除标准查阅病历后，对155例患者进行了研究；关注最终结局，可以发现第1阶段阑尾炎病例数减少，而第2阶段逐渐增加；与前几年相比，隔离期间阑尾炎的严重程度有统计学意义的增加（坏疽性阑尾炎与蜂窝织炎性阑尾炎）。
在这个特定的隔离期间，阑尾炎病例数减少，而在第2阶段逐渐增加。这些结果为封锁期间的疾病发病率提供了新的视角。
