Pediatric Surgery Department, Lithuanian University of Health Sciences, Eivenių Str. 2, LT-50161 Kaunas, Lithuania.
Department of Surgery, Lithuanian University of Health Sciences, Eivenių Str. 2, LT-50161 Kaunas, Lithuania.
Medicina (Kaunas). 2021 Nov 11;57(11):1234. doi: 10.3390/medicina57111234.
: Our aim was to see if the COVID-19 pandemic led to an increase of time until diagnosis, operation, and time spent in Emergency room (ER), and if it resulted in more cases of complicated appendicitis and complication rates in children. : We conducted a retrospective analysis of patients admitted to the Pediatric Surgery Department with acute appendicitis during a 4-month period of the first COVID-19 pandemic and compared it to the previous year data-the same 4-month period in 2019. : During the pandemic, the time spent in the ER until arriving at the department increased significantly 2.85 vs. 0.98 h < 0.001, and the time spent in the department until the operation 5.31 vs. 2.66 h, = 0.03. However, the time from the beginning of symptoms till ER, operation time and the length of stay at the hospital, as well as the overall time until operation did not differ and did not result in an increase of complicated appendicitis cases or postoperative complications. : The COVID-19-implemented quarantine led to an increase of the time from the emergency room to the operating room by 4 h. This delay did not result in a higher rate of complicated appendicitis and complication rates, allowing for surgery to be postponed to daytime hours if needed.
: 我们的目的是观察 COVID-19 大流行是否导致诊断、手术和在急诊室 (ER) 停留的时间延长，以及是否导致更多儿童复杂性阑尾炎病例和并发症发生率增加。: 我们对小儿外科在 COVID-19 大流行的 4 个月期间收治的急性阑尾炎患者进行了回顾性分析，并将其与前一年（2019 年同期）的数据进行了比较。: 在大流行期间，从到达急诊室到进入科室的时间显著增加，从 2.85 小时增加到 0.98 小时， < 0.001，从进入科室到手术的时间也从 5.31 小时增加到 2.66 小时， = 0.03。然而，从症状开始到 ER、手术时间和住院时间以及直到手术的总时间并没有差异，也没有导致复杂性阑尾炎病例或术后并发症的增加。: COVID-19 实施的隔离导致从急诊室到手术室的时间增加了 4 小时。这种延迟并没有导致复杂性阑尾炎和并发症发生率的增加，如果需要，可以将手术推迟到白天进行。
