The management of adult appendicitis during the COVID-19 pandemic: an interim analysis of a UK cohort study.

Techniques in Coloproctology
H Javanmard-EmamghissiCOVID: HAREM (Had Appendicitis, Resolved/Recurred Emergency Morbidity/Mortality) Collaborators Group

Abstract

Acute appendicitis (AA) is the most common general surgical emergency. Early laparoscopic appendicectomy is the gold-standard management. SARS-CoV-2 (COVID-19) brought concerns of increased perioperative mortality and spread of infection during aerosol generating procedures: as a consequence, conservative management was advised, and open appendicectomy recommended when surgery was unavoidable. This study describes the impact of the first weeks of the pandemic on the management of AA in the United Kingdom (UK). Patients 18 years or older, diagnosed clinically and/or radiologically with AA were eligible for inclusion in this prospective, multicentre cohort study. Data was collected from 23rd March 2020 (beginning of the UK Government lockdown) to 1st May 2020 and included: patient demographics, COVID status; initial management (operative and conservative); length of stay; and 30-day complications. Analysis was performed on the first 500 cases with 30-day follow-up. The patient cohort consisted of 500 patients from 48 sites. The median age of this cohort was 35 [26-49.75] years and 233 (47%) of patients were female. Two hundred and seventy-one (54%) patients were initially treated conservatively; with only 26 (10%) cases progressi...Continue Reading

Associated Clinical Trials

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Citations

Sep 10, 2020·Diagnostics·Dragos SerbanCătălin Aliuș
Aug 30, 2020·World Journal of Surgery·Lachlan DickMartin Berlansky
Jan 21, 2021·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Cristian A AngeramoNicolas A Rotholtz
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Aug 28, 2021·International Journal of Environmental Research and Public Health·Ayesha AliLaure de Preux
Sep 2, 2021·Revista da Associação Médica Brasileira·Rodrigo Piltcher-da-SilvaLeandro Totti Cavazzola

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