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Appendectomy: Cross-sectional study of the effects of COVID-19 in a hospital in South Brazil.
Gonçales, Tierre Aguiar; Moszkowicz, Thiago Lucas Bastos de Melo; Debastiani, Mariana Severo; Parreira, Marcos Souza; Lima, Julia Kasali; Alves, Rafael José Vargas; Bica, Claudia Giuliano.
Afiliación
  • Gonçales TA; Graduate Program in Pathology at the Federal University of Health Sciences of Porto Alegre (UFCSPA), Porto Alegre, RS, Brazil.
  • Moszkowicz TLBM; Graduate Program in Pathology at the Federal University of Health Sciences of Porto Alegre (UFCSPA), Porto Alegre, RS, Brazil.
  • Debastiani MS; Undergraduate Medicine Program at the Federal University of Health Sciences of Porto Alegre (UFCSPA), Porto Alegre, RS, Brazil.
  • Parreira MS; Undergraduate Medicine Program at the Federal University of Health Sciences of Porto Alegre (UFCSPA), Porto Alegre, RS, Brazil.
  • Lima JK; Undergraduate Medicine Program at the Federal University of Health Sciences of Porto Alegre (UFCSPA), Porto Alegre, RS, Brazil.
  • Alves RJV; Department of Internal Medicine, Federal University of Health of Porto Alegre (UFCSPA), Porto Alegre, RS, Brazil.
  • Bica CG; Clinical Oncology Department, Hospital Santa Rita, Complexo Hospitalar Santa Casa de Misericórdia de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil.
Surg Open Sci ; 21: 1-6, 2024 Sep.
Article en En | MEDLINE | ID: mdl-39268330
ABSTRACT

Background:

COVID-19 has further burdened the Brazilian healthcare system, especially emergencies. Patients may have delayed seeking care for surgical abdominal pain. Delays in the approach may have impacted clinical evolution and outcomes. This study evaluated appendectomies and their complications performed by the public system during one-year follow-up of COVID-19 in a hospital in southern Brazil. Materials and

methods:

In this hospital-based cross-sectional study, we included adult patients who underwent appendectomy from March 2019 to April 2021 (n = 162). Patients were divided into pre-pandemic (n = 78) and pandemic (n = 84) groups based on the surgery date. The analyzed variables included hospitalization duration, intensive care unit (ICU) admission, surgical approach, histopathological findings, COVID-19 testing, patient outcomes, and 30-day survival rate.

Results:

The cohorts exhibited similar epidemiology, with the sex ratio and average age being maintained. No statistical difference was found in the 30-day survival rate and clinical outcomes. Of the four patients admitted to the ICU, three belonged to the pandemic cohort and tested negative for COVID-19. Only 47.6 % of the patients in the pandemic cohort underwent COVID-19 polymerase chain reaction examination; one tested positive (2.5 %).

Conclusion:

This study demonstrated that there was no increased risk for appendectomies during the first wave of the pandemic. Surgeries were safe during this period. Patients continued to access the emergency service despite surgical abdominal pain and restrictive measures imposed by health authorities. The similar results observed across cohorts are attributed to the readiness of the teams and the availability of medical surgical equipment in safe quantities.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE País/Región como asunto: America do sul / Brasil Idioma: En Revista: Surg Open Sci Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE País/Región como asunto: America do sul / Brasil Idioma: En Revista: Surg Open Sci Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Estados Unidos