ArticlePediatric surgery international2020
The role of a pediatric tertiary care center in avoiding collateral damage for children with acute appendicitis during the COVID-19 outbreak.
Article in Pediatric surgery international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Management and outcomes of acute appendicitis in children during the COVID-19 pandemic: a systematic review and meta-analysis.Pediatric surgery international · 2023Pooled it
- Consequences of Social Distancing Measures During the COVID-19 Pandemic First Wave on the Epidemiology of Children Admitted to Pediatric Emergency Departments and Pediatric Intensive Care Units: A Systematic Review.Frontiers in pediatrics · 2022Pooled it
- Clinical Manifestations of Acute COVID-19 in Previously Healthy Pediatric Patients Diagnosed by Rapid Antigen Screening in a Community-Based, Outpatient Primary Care Pediatrics Practice.Children (Basel, Switzerland) · 2024Article
- Reasons for Delayed Diagnosis of Pediatric Acute Appendicitis during the COVID-19 Era: A Narrative Review.Diagnostics (Basel, Switzerland) · 2023Review
- Unanticipated consequences of COVID-19 pandemic policies on pediatric acute appendicitis surgery.Journal of pediatric surgery · 2023Article
- Investigating changes in incidence and severity of pediatric appendicitis during the COVID-19 pandemic in Canada: an interrupted time series analysis.World journal of pediatrics : WJP · 2023Article
- Has the frequency of complicated appendicitis changed in children in the first year of the COVID-19 pandemic?Annals of pediatric surgery · 2023Article
- Increase in pediatric complicated appendicitis during the COVID-19 pandemic: a multi-center retrospective study.Surgery today · 2022Article
- Moving to Medical Treatment for COVID-19 Influence on Pediatric Appendicitis: A Meta-Analysis.Cureus · 2022Review
- Changes in hospital admissions and complications of acute appendicitis during the COVID-19 pandemic: A systematic review and meta-analysis.Health sciences review (Oxford, England) · 2022Review
- Severe acute respiratory syndrome coronavirus 2 pandemic related morbidity and mortality in patients with pediatric surgical diseases: A concerning challenge.World journal of methodology · 2022Review
- Incidence of Complicated Appendicitis during the COVID-19 Pandemic versus the Pre-Pandemic Period: A Systematic Review and Meta-Analysis of 2782 Pediatric Appendectomies.Diagnostics (Basel, Switzerland) · 2022Review
- How the First Year of COVID-19 Affected Elective Pediatric Urology Patients: A Longitudinal Study Based on Waiting Lists and Surveys From 10 European Centers.Frontiers in public health · 2022Article
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8 authors.
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No grant is acknowledged in the PubMed record.
Abstract
purposeTo evaluate the impact of the COVID-19 pandemic-related lockdown on management and outcomes of children with acute appendicitis.
methodsA retrospective cohort study was conducted, including children treated for acute appendicitis (January 20th-May 11th, 2020). The data regarding the severity of appendicitis and outcome were collected and compared for two time periods, before and after the nationwide lockdown (March 17th, 2020).
resultsThe number of cases of acute appendicitis increased by 77% during the lockdown (n = 39 vs. n = 69, p = 0.03). During the lockdown, children treated for appendicitis were older (11.1 vs. 8.9 years, p = 0.003), and were more likely to live more than 5 km away from our institution (77% vs. 52%, p = 0.017). Less children had previously consulted a general practitioner (15% vs. 33%, p = 0.028), whereas more children were transferred from other hospitals (52% vs. 31%, p = 0.043). There was no difference in terms of length of hospital stay, rate of postoperative intra-abdominal abscess, ER visits, and readmissions between both periods. Three children (4%) were diagnosed with COVID-19 and appendicitis.
conclusionsDespite an increase in the number of children with appendicitis managed at our hospital during the COVID-19-related lockdown, management, and outcome remained similar. Although our pediatric center was strongly affected by this pandemic, maintaining our prior practice strategies for acute appendicitis avoided the occurrence of collateral damage for those children.
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