Increase in Pediatric Perforated Appendicitis in Covid 19 Ou
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Disruption of care pathways during a public health crisis may prevent children from obtaining a prompt assessment for surgical conditions. A recent study states that children residing in the epicenter of the pandemic showed an increased number of perforated appendicitis.

The aim of the study published by the Annals of Surgery was to determine whether perforated appendicitis rates in children were influenced by the Coronavirus disease 2019 (COVID-19) surge.

An analysis of all children presenting to 3 hospital sites with acute appendicitis was conducted corresponding with the peak COVID-19 outbreak in the New York City region. The primary outcome measure was appendiceal perforation.

55 children presented with acute appendicitis over 10 weeks. The findings were;

--Compared to a 5-year control cohort of 1291 patients, they observed a higher perforation rate and longer mean duration of symptoms in children with perforations during the COVID-19 period.

--There were no differences in perforation rates or median length of stay among children screening positive or negative for SARS-CoV-2.

In particular, children in the epicenter of the COVID-19 outbreak demonstrated higher rates of perforated appendicitis compared to historical controls. Preoperative detection of SARS-CoV-2 was not associated with inferior outcomes. Although children likely avoid much of the morbidity directly linked to COVID-19, disruption to local healthcare delivery systems may negatively impact other aspects of pediatric surgical disease.

Source: https://journals.lww.com/annalsofsurgery/Abstract/2021/03000/Increase_in_Pediatric_Perforated_Appendicitis_in.6.aspx
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