Evidence map›Paper›PMID 34306672›Full record

ArticleAnnals of medicine and surgery (2012)2021

SARS-CoV-2 infection is not associated with a higher rate of post-operative complications in adult appendectomy patients in Peru: Cross-sectional study.

Eduardo Huamán Egoávil, Lacey LaGrone, Regina Ugarte Oscco, Sergio Endo Ramos, Alex Diaz Baltazar, César Vergel Cabrera

Open access · diamondAbstract read
In one paragraph

Article in Annals of medicine and surgery (2012), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.0field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Surgical management of acute appendicitis during the European COVID-19 second wave: safe and effective.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023
    Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Eduardo Huamán EgoávilSurgical Center of the Hospital Emergencia Ate Vitarte (HEAV), Carr. Central 506, Ate, 15491, Lima, Peru.
Lacey LaGroneTrauma, Acute Care Surgery, Medical Center of the Rockies, UCHealth, 2500 Rocky Mountain Ave., Suite 2200, Loveland, CO, 80538, USA.
Regina Ugarte OsccoSurgical Center of the Hospital Emergencia Ate Vitarte (HEAV), Carr. Central 506, Ate, 15491, Lima, Peru.
Sergio Endo RamosSurgical Center of the Hospital Emergencia Ate Vitarte (HEAV), Carr. Central 506, Ate, 15491, Lima, Peru.
Alex Diaz BaltazarSurgical Center of the Hospital Emergencia Ate Vitarte (HEAV), Carr. Central 506, Ate, 15491, Lima, Peru.
César Vergel CabreraSurgical Center of the Hospital Emergencia Ate Vitarte (HEAV), Carr. Central 506, Ate, 15491, Lima, Peru.
Hospital Base Guillermo Almenara Irigoyen · PEUniversity of Colorado Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe present outcomes of patients with SARS-CoV-2 undergoing appendectomy in order to aid in clarification of current controversies regarding safety of therapeutic options for emergency surgical diseases in patients with SARS-CoV-2. Peru has the greatest number of per capita deaths due to SARS-CoV-2 of any country and is one of few with a COVID-dedicated hospital. MATERIALS AND

methodsThis prospective observational study included all adult patients with acute appendicitis admitted to an urban, public, COVID-dedicated hospital over two months. Baseline characteristics and post-operative outcomes at 28 days are reported.

results58 patients, 35 male and 23 female, ages 15-73 years with SARS-CoV-2 as diagnosed by IgM (12%), IgG (19%) or both (69%) and acute appendicitis as diagnosed using the Alvarado Score and confirmed intraoperatively were enrolled. All patients presented with right lower quadrant pain, 86% with leukocytosis, 88% with nausea/emesis and no patients with respiratory complaints. All patients underwent open appendectomy, 90% under regional anesthesia. Average operative time was 54±25 min, length of stay 2.5±1.5 days. 14% of patients had a post-operative complication, all were minor, four (7%) incisional surgical site infections, one (2%) organ space, and three (5%) incisional seromas, no deaths or serious complications.

conclusionOpen surgical management of acute appendicitis with regional anesthesia in adults with pre-operative diagnosis of SARS-CoV-2 is feasible and not associated with an increased frequency or severity of post-operative complications, longer operative time, or extended hospitalization as compared to reports in similar patients without SARS-CoV-2.

Indexed as

Adult appendectomyGlobal surgerySARS-CoV-2 infection

Identifiers

PMID34306672
PMCPMC8294597
OpenAlexW3186235937

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.