Ann Ital Chir. 2023;94:209-213.
The aim of this study is to compare the numbers of patients, clinical outcomes, and complication rates of acute appendicitis before and after COVID-19 pandemic in our clinic.
This is a retrospective clinical study. Patients of 19 to 88 years of age that underwent emergency surgery with the diagnosis of acute appendicitis at Ankara City Hospital Department of General Surgery between 11 December 2019 and 11 June 2020 were included. The first case of COVID-19 in Turkey was announced on 11 March 2020. We studied the demographics, surgical procedures, and complication rates in 3 months periods before and after the first case was announced.
A total number of 462 patients were analyzed between the ages of 19-88, 184 of which (39.8%) were females and 278 were males (60.2%). 253 of these patients were diagnosed with AA and underwent surgery before March 11 whereas 209 patients were diagnosed and treated after March 11.
There was no statistical difference between the two groups in terms of complication rates before and after the pandemic. Although the rate of open appendectomy was increased after the pandemic, no statistical difference has been found.
No change was observed in terms of hospital admissions, methods of treatment, complication rates, length of stay before and after the COVID-19 pandemic.
Acute Appendicitis, Appendectomy, COVID-19.
本研究旨在比较我们诊所 COVID-19 大流行前后急性阑尾炎患者数量、临床结果和并发症发生率。
这是一项回顾性临床研究。纳入 2019 年 12 月 11 日至 2020 年 6 月 11 日期间在安卡拉城市医院普外科行急诊手术诊断为急性阑尾炎的 19 至 88 岁患者。土耳其首例 COVID-19 于 2020 年 3 月 11 日宣布。我们研究了首例病例宣布前后 3 个月期间的人口统计学、手术程序和并发症发生率。
在 19 至 88 岁的 462 名患者中进行了分析，其中 184 名（39.8%）为女性，278 名为男性（60.2%）。这些患者中有 253 例被诊断为 AA 并于 3 月 11 日前接受手术，而 209 例在 3 月 11 日后被诊断和治疗。
大流行前后两组的并发症发生率无统计学差异。尽管大流行后开放阑尾切除术的比例有所增加，但未发现统计学差异。
COVID-19 大流行前后，住院人数、治疗方法、并发症发生率和住院时间无变化。
急性阑尾炎、阑尾切除术、COVID-19。
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