Impact of COVID-19 pandemic on pediatric appendicitis hospital admission time and length of hospital stay

dc.authoridTasci, Aytac/0000-0002-4024-5219
dc.authoridGURUNLUOGLU, Kubilay/0000-0002-8315-1765
dc.contributor.authorTasci, Aytac
dc.contributor.authorGurunluoglu, Kubilay
dc.contributor.authorYildiz, Turan
dc.contributor.authorArslan, Ahmet Kadir
dc.contributor.authorAkpinar, Necmettin
dc.contributor.authorCin, Ecem Serbest
dc.contributor.authorDemircan, Mehmet
dc.date.accessioned2025-03-23T19:30:20Z
dc.date.available2025-03-23T19:30:20Z
dc.date.issued2022
dc.departmentSinop Üniversitesi
dc.description.abstractBACKGROUND: Appendicitis is one of the most common surgical emergencies among children. In this retrospective clinical study, we attempted to determine the effects of the COVID-19 pandemic period on hospital admission time and length of hospital stay (LOS) in pediatric appendicitis cases. METHODS: We retrospectively compared pediatric appendectomies from the date of the first reported COVID-19 case to June 1, 2020, which is considered as the start of the normalization process, with pre-pandemic pediatric appendectomies of the same number of days in terms of age, gender, hospital admission time, LOS, parental educational level, laboratory values, and histopathological findings. RESULTS: There was an average increase of 2 days in the time from the onset of symptoms to hospital admission in pediatric appendicitis patients in the COVID-19 period (p=0.001). Furthermore, C-reactive protein value was statistically significantly higher in the COVID-19 period (p=0.018). Given the LOS, it was calculated as an average of 5 days in the pre-pandemic period and 4 days in the COVID-19 period, and this difference was statistically insignificant (p=0.273). There was no significant difference between the groups in terms of histopathological findings (p=0.176). The parental educational level had no effect on the admission time. CONCLUSION: The hospital admission time of pediatric appendicitis patients is significantly prolonged in the COVID-19 pandemic, but this prolongation had no histopathological effect. During the pandemic, the recovery of patients who required urgent treatment during the stay-at-home period was also negatively affected. Notwithstanding, we are of the opinion that the absence of an increase in the LOS may be due to the willingness of both families and physicians to keep the LOS as short as possible. Despite the increase in hospital admission time in pediatric appendicitis during the Covid 19 pandemic process, the lack of increase in the rate of complicated appendicitis may be an indicator of the importance of other factors in the development of complicated appendicitis.
dc.identifier.doi10.14744/tjtes.2021.06777
dc.identifier.endpage1099
dc.identifier.issn1306-696X
dc.identifier.issn1307-7945
dc.identifier.issue8
dc.identifier.pmid35920414
dc.identifier.scopusqualityQ3
dc.identifier.startpage1095
dc.identifier.urihttps://doi.org/10.14744/tjtes.2021.06777
dc.identifier.urihttps://hdl.handle.net/11486/5075
dc.identifier.volume28
dc.identifier.wosWOS:000858853800021
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherTurkish Assoc Trauma Emergency Surgery
dc.relation.ispartofUlusal Travma Ve Acil Cerrahi Dergisi-Turkish Journal of Trauma & Emergency Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WOS_20250323
dc.subjectAppendicitis COVID-19
dc.subjecthospital admission time
dc.subjectlength of hospital stay
dc.subjectparental educational level
dc.titleImpact of COVID-19 pandemic on pediatric appendicitis hospital admission time and length of hospital stay
dc.typeArticle

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