ArticlePloS one2021
Comparison of acute appendicitis before and within lockdown period in COVID-19 era: A retrospective study from rural Nepal.
Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled 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
- Article
- Variations in clinical course and surgical outcomes of acute appendicitis during COVID-19 Pandemic: a multicenter cohort study.BMC surgery · 2023Article
- Has the frequency of complicated appendicitis changed in children in the first year of the COVID-19 pandemic?Annals of pediatric surgery · 2023Article
- Decision-making changes for patients and medical personnel in the management of acute appendicitis during the COVID-19 pandemic.BMC emergency medicine · 2022Article
- Incidence of complicated appendicitis during the COVID-19 pandemic: A systematic review and meta-analysis.International journal of surgery open · 2022Review
- Changes in the Incidence Rates of Gastrointestinal Diseases Due to the COVID-19 Pandemic in South Korea: A Long-Term Perspective.Journal of personalized medicine · 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
- Delayed diagnosis and subsequently increased severity of acute appendicitis (compatible with clinical-pathologic grounds) during the COVID-19 pandemic: an observational case-control study.BMC gastroenterology · 2022Observational
- Article
- Characteristics of Acute Appendicitis before and during the COVID-19 Pandemic: Single Center Experience.Emergency medicine international · 2022Article
- Impact of the SARS-CoV-2 pandemic on the course and treatment of appendicitis in the pediatric population.Scientific reports · 2021Article
- Did the COVID-19 Pandemic Prolong the Time Till Diagnosis and Worsen Outcomes for Children with Acute Appendicitis?Medicina (Kaunas, Lithuania) · 2021Article
- Impact of COVID-19 on the care of acute appendicitis: a single-center experience in Korea.Annals of surgical treatment and research · 2021Article
- Changes in children's surgical services during the COVID-19 pandemic at a tertiary-level government hospital in a lower middle-income country.BMJ paediatrics open · 2021Article
- Prospective study of laparoscopic management of appendicitis during the COVID pandemic in a single paediatric centre.African journal of paediatric surgery : AJPSArticle
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3 authors.
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No grant is acknowledged in the PubMed record.
Abstract
introductionThe world has been engulfed with the pandemic of the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) which have created significant impact in the emergency surgical health delivery including acute appendicitis. The main aim of this study was to compare the demographic and clinical parameters between two cohorts before the onset of lockdown and within the pandemic.
methodsA retrospective analysis was performed between two groups A and B, who presented with acute appendicitis three months prior to and after initiation of lockdown on March 24 2020 respectively in one of the tertiary centers of Nepal. These two cohorts were compared in demographics, clinicopathological characteristics and surgical aspects of acute appendicitis.
resultsThere were 42 patients in group A and 50 patients in group B. Mean age of the patients was 31.32±17.18 years with male preponderance in group B (N = 29). Mean duration of pain increased significantly in group B [57.8±25.9(B) vs 42.3±25.0(A) hours, P = 0.004] along with mean duration of surgery [51.06±9.4(B) vs 45.27±11.8(A) minutes, P = 0.015]. There was significant decrease in post-operative hospital stay among group B patients [3.04±1.1(B) vs 3.86±0.67(A) days, P = 0.0001]. Complicated cases increased in group B including appendicular perforation in 10 cases. Similarly, mean duration of presentation to hospital significantly increased in group B patients with perforation [69.6±21.01 vs 51.57±17.63 hours, P = 0.008].
conclusionDuring the adversity of the current pandemic, increased number of cases of acute appendicitis can be dealt with surgery as the chances of late presentation and complexity of the lesion exists.
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