From: Management of acute appendicitis during the COVID-19 pandemic: a retrospective cohort study
Variable | Operatively managed appendicitis Pre-COVID pandemic (n = 833) | Operatively managed appendicitis during COVID pandemic (n = 723) | Odds ratio (95% confidence interval) | p-value | |
---|---|---|---|---|---|
Length of stay (days), mean (SD) | Â | 3.1 (2.6) | 3.1 (3.0) | Â | 0.86 |
Imaging | No imaging | 175 (21.0%) | 102 (14.1%) | 1.6192 (1.2390–2.1161) | < 0.001 |
CT | 521 (62.5%) | 518 (71.6%) | |||
US | 137 (16.4%) | 102 (14.1%) | |||
MRI | 0 (0.0%) | 1 (0.1%) | |||
Operation performed | Appendicectomy | 764 (91.7%) | 653 (90.3%) | 0.8012 (0.5652–1.1358) | 0.005 |
Caecectomy | 15 (1.8%) | 35 (4.8%) | |||
Laparoscopy | 22 (2.6%) | 11 (1.5%) | |||
Laparotomy | 16 (1.9%) | 9 (1.2%) | |||
Right Hemicolectomy | 16 (1.9%) | 15 (2.1%) | |||
Laparoscopic converted to open | No | 804 (96.5%) | 700 (96.8%) | Â | 0.74 |
Yes | 29 (3.5%) | 23 (3.2%) | |||
ASA Score | 1 | 383 (46.0%) | 267 (37.0%) | Â | 0.001 |
2 | 358 (43.0%) | 349 (48.3%) | |||
3 | 82 (9.9%) | 96 (13.3%) | |||
4 | 7 (0.8%) | 10 (1.4%) | |||
Time from triage to operation (hours), median IQR | Â | 12.3 (6.4, 18.3) | 14.1 (7.5, 19.1) | 0.017 | |
Complicated appendicitis | No | 659 (79.1%) | 540 (74.7%) | 1.2835 (1.0130–1.6262) | 0.039 |
Yes | 174 (20.9%) | 183 (25.3%) | |||
Normal appendix | No | 749 (89.9%) | 682 (94.3%) | 0.5360 (0.3638–0.7898) | 0.001 |
Yes | 84 (10.1%) | 41 (5.7%) | |||
Admission WBC (× 109/L), mean (SD) |  | 12.7 (4.8) | 12.6 (5.3) |  | 0.67 |
Admission CRP (mg/L), mean (SD) | Â | 48.6 (70.1) | 44.2 (64.9) | Â | 0.21 |
Reoperation | No | 842 (98.9%) | 715 (99.0%) | Â | 0.83 |
Yes | 9 (1.1%) | 7 (1.0%) | |||
Drain | No | 680 (81.6%) | 552 (76.3%) | 1.3768 (1.0773–1.7596) | 0.01 |
Yes | 153 (18.4%) | 171 (23.7%) | |||
Post operative complication | No | 807 (96.9%) | 690 (95.4%) | Â | 0.14 |
Yes | 26 (3.1%) | 33 (4.6%) | |||
ICU Admission | No | 818 (98.2%) | 707 (97.8%) | Â | 0.85 |
Operation related | 10 (1.2%) | 10 (1.4%) | |||
Other | 5 (0.6%) | 6 (0.8%) | |||
Readmission within 30Â days | No | 796 (95.6%) | 692 (95.7%) | Â | 0.58 |
Operation related | 18 (2.2%) | 19 (2.6%) | |||
Other | 19 (2.3%) | 12 (1.7%) | |||
Death | Â | 0 | 0 | Â | Â |