Evidence map›Paper›PMID 34568625›Full record

ArticleInternational journal of surgery open2021

Conservative management of acute appendicitis in the era of COVID 19: A multicenter prospective observational study at the United Arab Emirates.

Fatima Y Al Hashmi, Abeer Al Zuabi, Ibrahim Yaseen Hachim, Guido H H Mannaerts, Omar Bekdache

Registry-linked trialAbstract read
In one paragraph

Article in International journal of surgery open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05104346 (Presentation and Outcomes of Acute Appendicitis During COVID Pandemic), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

NCT05104346 nacompletednot on this map

Presentation and Outcomes of Acute Appendicitis During COVID Pandemic: Lessons Learned From the Middle East (Multicenter Study)

TypeinterventionalSponsorMansoura UniversityRan2019 to 2021Enrolled1,945ConditionsAcute AppendicitisArmsappendectomy
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

5 authors.

Fatima Y Al HashmiGeneral Surgery Division, Sheikh Shakhbout Medical City, Abu Dhabi, United Arab Emirates.
Abeer Al ZuabiGeneral Surgery Division, Tawam Hospital, Al Ain, United Arab Emirates.
Ibrahim Yaseen HachimClinical Sciences Department, College of Medicine, University of Sharjah, United Arab Emirates.
Guido H H MannaertsGeneral Surgery Division, Tawam Hospital, Al Ain, United Arab Emirates.
Omar BekdacheTrauma Service, Tawam Hospital, Al Ain, United Arab Emirates.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND &

aimsSince its emergence in December 2019, the COVID-19 pandemic resulted in a profound impact on the health care system worldwide. We propose herein to evaluate the impact of implementing conservative management as an alternative approach to surgical appendectomy during COVID19 pandemic. MATERIALS AND

methodsOur study is a prospective multicenter study that includes a cohort of 158 patients admitted to the surgical departments in both Tawam Hospital and SSMC hospital, Abu Dhabi, UAE, from February 2020 till July 2020.

resultsOur results showed a significant decrease in length of hospital stay (LOS) (2.32 ± 0.83 days) among conservatively treated group compared to the surgically treated group (2.8 ± 1.47 days). Also, short term follow-up showed that 90% of those patients did not require further operative intervention or developed complications. Out of the 110 patients that were swapped for COVID19, nine (8.18%) were confirmed to be positive. Our protocol was to avoid surgical management for COVID19 positive patients unless indicated. This resulted in (8/9) of COVID19 positive patients to be treated conservatively.

conclusionsIn conclusion, our results showed that the implementation of conservative management in treating patients with acute appendicitis who were COVID19 positive maybe essential in reducing viral transmission risks as well as avoiding operative risks on COVID19 positive patients.

Indexed as

Acute appendicitisConservative managementCOVID-19

Identifiers

PMID34568625
PMCPMC8386107

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