Department of General Surgery, Martyr Prof. Dr. Ilhan Varank Sancaktepe Training and Research Hospital, İstanbul-Turkey.
Department of Medical Pathology, Martyr Prof. Dr. Ilhan Varank Sancaktepe Training and Research Hospital, İstanbul-Turkey.
Ulus Travma Acil Cerrahi Derg. 2022 Jun;28(6):756-761. doi: 10.14744/tjtes.2021.53929.
The effects of the COVID-19 infection on the world's health system began to be reported in a short time, with the spread of the infection all over the world and it gained a global acceptance as a pandemic. It was predicted that patients who require urgent surgical procedures may not be able to access appropriate treatment during this period and may suffer from this process. In this process, we planned to report the effects of the pandemic process to this patient group by evaluating patients with acute appendicitis, which is the most common cause of acute abdomen among general surgery emergencies.
In our study, we compared the patients who applied to the Training and Research Hospital we collaborated, whose clinics were compatible with acute appendicitis, between March 11, 2020, and May 21, 2020, with those applied within the same time period with the year before. We evaluated clinical and pathological findings of the patients and the treatment applied.
In this study, there were 103 patients diagnosed with acute appendicitis before pandemic and 61 in pandemic period. We found that during the pandemic period, patients with acute appendicitis were admitted to the hospital less often, and in a later period, and more complicated clinical pictures were determined. Complicated appendicitis patients were higher in pandemic period compared with previous year (33.96% vs. 8.00% of patients, respectively; p<0.05).
We emphasized that diseases that need to be treated urgently should not be left behind during the pandemic. Furthermore, we shared our clinical practice to ensure early discharge of patients with acute appendicitis during the pandemic process.
COVID-19 感染对世界卫生系统的影响在短时间内开始报道，随着感染在全球范围内的传播，它被全球公认为大流行。据预测，在这段时间内，需要紧急手术的患者可能无法获得适当的治疗，并且可能会因此受到影响。在这个过程中，我们计划通过评估急性阑尾炎患者来报告大流行过程对这一患者群体的影响，急性阑尾炎是普通外科急症中最常见的急性腹痛原因。
在我们的研究中，我们比较了 2020 年 3 月 11 日至 5 月 21 日期间在我们合作的培训和研究医院就诊的、符合急性阑尾炎临床特征的患者与同年同期就诊的患者。我们评估了患者的临床和病理发现以及所应用的治疗。
本研究共纳入 103 例大流行前和 61 例大流行期间诊断为急性阑尾炎的患者。我们发现，在大流行期间，急性阑尾炎患者入院较晚，且临床症状更复杂。与前一年相比，大流行期间复杂阑尾炎患者比例更高（分别为 33.96%和 8.00%；p<0.05）。
我们强调，在大流行期间，不应忽视需要紧急治疗的疾病。此外，我们分享了我们的临床实践，以确保在大流行期间急性阑尾炎患者能够早日出院。
