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J Korean Soc Emerg Med > Volume 33(3); 2022 > Article
Journal of The Korean Society of Emergency Medicine 2022;33(3): 297-303.
코로나19 대유행이 소아 합병 충수돌기염 발병률에 미치는 영향 비교연구
제환준1 , 정동길1 , 송금종2 , 문형준1 , 이동욱1 , 김도의1 , 이현정1 , 김현준1
1순천향대학교 부속 천안병원 응급의학과
2순천향대학교 부속 천안병원 외과
Impact of the COVID-19 pandemic on incidence of complicated appendicitis in pediatric patients: a before and after study
Hwanjun Je1 , Dongkil Jeong1 , Geum Jong Song2 , Hyung Jun Moon1 , Dong Wook Lee1 , Doh-Eui Kim1 , Hyun Jung Lee1 , Hyun Joon Kim1
1Department of Emergency Medicine, Soonchunhyang University Hospital Cheonan, Cheonan, Korea
2Department of Surgery, Soonchunhyang University Hospital Cheonan, Cheonan, Korea
Correspondence  Dongkil Jeong ,Tel: 041-570-2299, Fax: 041-592-3806, Email: 397012@gmail.com,
Received: July 12, 2021; Revised: August 31, 2021   Accepted: October 15, 2021.  Published online: June 30, 2022.
ABSTRACT
Objective:
After the coronavirus disease 2019 (COVID-19) outbreak, there have been some changes in the way the medical system deals with suspected infectious diseases. These changes may also affect non-COVID-19 patients. Acute appendicitis is a common disease that requires emergent surgical intervention in pediatric patients, and delayed diagnosis and treatment may cause some complications. This study analyzed the impact of the COVID-19 pandemic on the incidence of complicated appendicitis in pediatric patients presenting to emergency departments in South Korea.
Method:
The target group (post-COVID group) included patients aged under 15 years and diagnosed with acute appendicitis between February 23 and November 30, 2020. Patients diagnosed during the same period in 2019 were selected as the control group (pre-COVID group). The difference in the incidence of complicated appendicitis before and after the COVID-19 outbreak was investigated, and the association with various variables was analyzed using the odds ratios and 95% confidence intervals.
Results:
The study enrolled a total of 94 patients: 54 in the pre-COVID group and 40 in the post-COVID group. There was no statistically significant variation in the incidence of complicated appendicitis (31.5% vs 35.0%, P=0.723) between the groups. In-hospital time was longer in the post-COVID group (7 hours vs. 10.5 hours, P=0.014), but pre-hospital time showed no significant difference (16 hours vs. 22 hours, P=0.768). In the multivariable logistic regression analysis, pre-hospital time (odds ratio [OR], 1.08; P=0.004), erythrocyte sedimentation rate (OR, 33.24; P<0.001), and the presence of fever (OR, 21.11, P=0.002) showed a significant correlation.
Conclusion:
Post the COVID-19 pandemic outbreak, there was no difference in the incidence of pediatric complicated appendicitis in South Korea.
Key words: Appendicitis; COVID-19; Pediatric; Coronavirus
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