ArticleMilitary medicine2021
Perforated Appendicitis: An Unintended Consequence During the Coronavirus-19 Pandemic.
Article in Military medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.
- Spontaneous Resolution of Uncomplicated Appendicitis may Explain Increase in Proportion of Complicated Appendicitis During Covid-19 Pandemic: a Systematic Review and Meta-analysis.World journal of surgery · 2023Pooled it
- Global burden of the COVID-19 associated patient-related delay in emergency healthcare: a panel of systematic review and meta-analyses.Globalization and health · 2022Pooled it
- Perioperative severity of acute appendicitis during the confinement related to SARS COVID-19: a retrospective comparative cohort.Surgical endoscopy · 2025Article
- Enhancing Aerosol Mitigation in Medical Procedures: A CFD-Informed Respiratory Barrier Enclosure.Bioengineering (Basel, Switzerland) · 2024Article
- Comparison of Clinical, Pathological, and Procedural Characteristics of Adult and Pediatric Acute Appendicitis before and during the COVID-19 Pandemic.Children (Basel, Switzerland) · 2024Article
- Development and demonstration of the protective efficacy of a convertible respiratory barrier enclosure: a simulation study.Clinical and experimental emergency medicine · 2024Article
- Impact of the Coronavirus (COVID-19) Pandemic on the Care of Pediatric Acute Appendicitis.The American surgeon · 2023Article
- First publication of endemic channels as part of a pediatric Antimicrobial Stewardship Program: when to turn on the alarms? Recommendations of a pediatric ASP program.BMC infectious diseases · 2023Article
- Has the frequency of complicated appendicitis changed in children in the first year of the COVID-19 pandemic?Annals of pediatric surgery · 2023Article
- Effect of the COVID-19 pandemic on patients with presumed diagnosis of acute appendicitis.World journal of clinical cases · 2022Article
- Comparison of the prevalence of perforated appendicitis during and before COVID19 pandemic.Annals of medicine and surgery (2012) · 2022Article
- Reduced number of admissions with acute appendicitis but not severe acute appendicitis at two Sydney hospitals during the first COVID-19 lockdown period.ANZ journal of surgery · 2022Article
- 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
- Impact of COVID-19 on appendicitis presentations in children in Australia and New Zealand.ANZ journal of surgery · 2022Article
- The radiologic roadmap for treatment of an acute appendicitis patient who tested positive for coronavirus disease 19.BJR case reports · 2022Article
- Characteristics of Acute Appendicitis before and during the COVID-19 Pandemic: Single Center Experience.Emergency medicine international · 2022Article
- Did the COVID-19 Pandemic Prolong the Time Till Diagnosis and Worsen Outcomes for Children with Acute Appendicitis?Medicina (Kaunas, Lithuania) · 2021Article
- Surgical Infection Society Guidance for Restoration of Surgical Services during the Coronavirus Disease-2019 Pandemic.Surgical infections · 2021Article
- Impact of COVID-19 on cervical cancer screening: Challenges and opportunities to improving resilience and reduce disparities.Preventive medicine · 2021Article
- Associations of Delay in Doctor Consultation With COVID-19 Related Fear, Attention to Information, and Fact-Checking.Frontiers in public health · 2021Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe coronavirus disease 2019 (COVID-19) pandemic has had major clinical impact across the globe. Delayed presentation for medical emergencies has been noted by the medical community. There has been limited reporting on the impact for the care for emergent surgical conditions. We sought to describe the effect of the global pandemic on the presentation and outcomes for the most common urgent general surgery disease process, acute appendicitis.
methodsWe performed a retrospective review of patients admitted to the United States Naval Hospital Okinawa during the COVID-19 pandemic, from January 2020 to May 2020 (COVID cohort), and compared them to a historical cohort (pre-COVID cohort) over the prior 2 years. Demographics, clinical presentation data, and interventions were collected.
resultsOf the 80 patients with appendicitis, 20% presented perforated. Most patients were male (71%), presented with 1 day of symptoms and had a length of stay of 1 to 2 days. Comparing groups, 13% of the pre-COVID group vs. 31% of the COVID cohort presented perforated (P = .04), with a symptom duration of 1.6 vs. 2.7 days before presentation (P = .075), respectively.
conclusionsThe COVID-19 pandemic and the global systematic response has impacted unrelated medical and surgical conditions. At our overseas military hospital with minimal disease burden, we observed a delay in presentation for acute appendicitis with a higher incidence of perforation. Patients should be empowered to continue to seek care for urgent and emergent medical and surgical conditions so that they are not harmed by fear of COVID-19 rather than by COVID-19 itself.
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