ArticleThe Journal of surgical research2021
Statewide Impact of the COVID Pandemic on Pediatric Appendicitis in California: A Multicenter Study.
Article in The Journal of surgical research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
17 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
- 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
- Opioid Overdose-Related Emergency Department Visits Pre- and Post-COVID-19.The western journal of emergency medicine · 2026Article
- Article
- The increase in child abuse during the COVID-19 pandemic: unmasking its hidden impact.Pediatric research · 2025Article
- Clinical outcomes of children with COVID-19 and appendicitis: a propensity score matched analysis.Pediatric surgery international · 2024Article
- The impact of COVID-19 on racial and ethnic disparities in presentation with perforated appendicitis in children: A retrospective cohort study.Surgery open science · 2024Article
- Surgical aspects of pediatric abdominal pain in the era of COVID-19: clinical consideration and outcomes.Frontiers in pediatrics · 2024Article
- Reasons for Delayed Diagnosis of Pediatric Acute Appendicitis during the COVID-19 Era: A Narrative Review.Diagnostics (Basel, Switzerland) · 2023Review
- Management of pediatric appendicitis during the COVID-19 pandemic: A nationwide multicenter cohort study.Journal of pediatric surgery · 2023Article
- Impact of the Coronavirus (COVID-19) Pandemic on the Care of Pediatric Acute Appendicitis.The American surgeon · 2023Article
- Paediatric appendicitis: international study of management in the COVID-19 pandemic.The British journal of surgery · 2022Article
- Child Abuse and the COVID-19 Pandemic.The Journal of surgical research · 2022Article
- Clinical Experience of Emergency Appendectomy under the COVID-19 Pandemic in a Single Institution in South Korea.Medicina (Kaunas, Lithuania) · 2022Article
- Impact of COVID-19 on the incidence of CT-diagnosed appendicitis and its complications in the UK and Sweden.International journal of colorectal disease · 2022Article
- 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
- Incidence of Pediatric Perforated Appendicitis during the COVID-19 Pandemic; a Systematic Review and Meta-Analysis.Archives of academic emergency medicine · 2022Review
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
backgroundThe COVID-19 pandemic has resulted in delays in presentation for other urgent medical conditions, including pediatric appendicitis. Several single-center studies have reported worse outcomes, but no state-level data is available. We aimed to determine the statewide effect of the COVID-19 pandemic on the presentation and management of pediatric appendicitis patients. MATERIALS AND
methodsPatients < 18 years old with acute appendicitis at four tertiary pediatric hospitals in California between March 19, 2020 to September 19, 2020 (COVID-era) were compared to a pre-COVID cohort (March 19, 2019 to September 19, 2019). The primary outcome was the rate of perforated appendicitis. Secondary outcomes were symptom duration prior to presentation, and rates of non-operative management.
resultsRates of perforated appendicitis were unchanged (40.4% of 592 patients pre-COVID versus 42.1% of 606 patients COVID-era, P = 0.17). The median symptom duration was 2 days in both cohorts (P = 0.90). Computed tomography (CT) use rose from 39.8% pre-COVID to 49.4% during COVID (P = 0.002). Non-operative management increased during the pandemic (8.8% pre-COVID versus 16.2% COVID-era, P < 0.0001). Hospital length of stay (LOS) was longer (2 days pre-COVID versus 3 days during COVID, P < 0.0001).
conclusionsPediatric perforated appendicitis rates did not rise during the first six months of the COVID-19 pandemic in California in this multicenter study, and there were no delays in presentation noted. There was a higher rate of CT scans, non-operative management, and longer hospital lengths of stay.
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