ArticleAcademic radiology2021
Trends in Pediatric Appendicitis and Imaging Strategies During Covid-19 in the United States.
Article in Academic radiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled 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
- Hospitalization costs of pediatric acute appendicitis in Western Romania: a single-center retrospective study.Journal of medicine and life · 2026Article
- The rate of complicated appendicitis during a nonpharmaceutical intervention in two territories with different COVID-19 incidence.BMC gastroenterology · 2025Article
- Can the Combination of White Blood Cell Count and C-Reactive Protein Rule Out Pediatric Appendicitis, a Retrospective Analysis?HCA healthcare journal of medicine · 2025Article
- The impact of the COVID-19 pandemic on acute appendicitis patients in a tertiary care center in Lebanon.BMC surgery · 2024Observational
- Management of pediatric appendicitis during the COVID-19 pandemic: A nationwide multicenter cohort study.Journal of pediatric surgery · 2023Article
- 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
- The impact of COVID-19 on surgical procedures in Japan: analysis of data from the National Clinical Database.Surgery today · 2022Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
RATIONALE AND
objectivesTo determine if, during the first wave of the COVID-19 pandemic, 1) the proportion of complicated appendicitis changed, and 2) if imaging strategies for appendicitis in children changed. MATERIALS AND
methodsRetrospective cross-sectional study using administrative data from the Pediatric Health Information System, inclusive of pediatric patients diagnosed with appendicitis from March to May in 2017, 2018, 2019 and 2020. We compared trends during COVID-19 pandemic (March-May 2020) with corresponding pre-COVID-19 periods in 2017-201.9 Study outcomes were the proportion of complicated appendicitis and trends in imaging for appendicitis explained by patient-level variables.
resultsThe proportion of complicated appendicitis cases increased by 4.4 percentage points, from 46.5% pre-COVID-19 (2017-2019) to 50.9% during COVID-19 (2020), p < 0.001. Mean count of uncomplicated acute appendicitis cases decreased from pre-COVID-19 to the 2020 COVID-19 period (2017: n = 2555; 2018: n = 2679; 2019: n = 2722; 2020: n = 2231). Mean count of complicated appendicitis was unchanged between study periods (2017: n = 2189; 2018: n = 2302, 2019: n = 2442; 2020: n = 2311). Imaging approaches were largely unchanged between study periods; ultrasound was the most utilized modality in both study periods (68.3%, 70.2%; p = 0.033).
conclusionDuring the first wave of the COVID-19 pandemic, the proportion of complicated appendicitis cases increased without an absolute increase in the number of complicated appendicitis cases, but instead a decrease in the number of uncomplicated acute appendicitis diagnoses.
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