The Adverse Impact of the COVID-19 Pandemic on Abdominal Emergencies: A Retrospective Clinico-Pathological Analysis

The COVID-19 pandemic has caused a worldwide significant drop of admissions to the emergency department (ED). The aim of the study was to retrospectively investigate the pandemic impact on ED admissions, management, and severity of three abdominal emergencies (appendicitis, diverticulitis, and chole...

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Autores principales:	Elena Vissio, Enrico Costantino Falco, Gitana Scozzari, Antonio Scarmozzino, Do An Andrea Trinh, Mario Morino, Mauro Papotti, Luca Bertero, Paola Cassoni
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	COVID-19 surgical emergency abdominal emergency emergency department pathology Medicine R
Acceso en línea:	https://doaj.org/article/91fe9cc703d4499f8b9115d81bc93da8
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spelling	oai:doaj.org-article:91fe9cc703d4499f8b9115d81bc93da82021-11-25T18:00:54ZThe Adverse Impact of the COVID-19 Pandemic on Abdominal Emergencies: A Retrospective Clinico-Pathological Analysis10.3390/jcm102252542077-0383https://doaj.org/article/91fe9cc703d4499f8b9115d81bc93da82021-11-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/22/5254https://doaj.org/toc/2077-0383The COVID-19 pandemic has caused a worldwide significant drop of admissions to the emergency department (ED). The aim of the study was to retrospectively investigate the pandemic impact on ED admissions, management, and severity of three abdominal emergencies (appendicitis, diverticulitis, and cholecystitis) during the COVID-19 pandemic using 2017–2019 data as a control. The difference in clinical and pathological disease severity was the primary outcome measure while differences in (i) ED admissions, (ii) triage urgency codes, and (iii) surgical rates were the second ones. Overall, ED admissions for the selected conditions decreased by 34.9% during the pandemic (control: 996, 2020: 648) and lower triage urgency codes were assigned for cholecystitis (control: 170/556, 2020: 66/356, <i>p</i> < 0.001) and appendicitis (control: 40/178, 2020: 21/157, <i>p</i> = 0.031). Less surgical procedures were performed in 2020 (control: 447, 2020: 309), but the surgical rate was stable (47.7% in 2020 vs. 44.8% in 2017–2019). Considering the clinical and pathological assessments, a higher percentage of severe cases was observed in the four pandemic peak months of 2020 (control: 98/192, 2020: 87/109; <i>p</i> < 0.001 and control: 105/192, 2020: 87/109; <i>p</i> < 0.001). For the first time in this study, pathological findings objectively demonstrated an increased disease severity of the analyzed conditions during the early COVID-19 pandemic.Elena VissioEnrico Costantino FalcoGitana ScozzariAntonio ScarmozzinoDo An Andrea TrinhMario MorinoMauro PapottiLuca BerteroPaola CassoniMDPI AGarticleCOVID-19surgical emergencyabdominal emergencyemergency departmentpathologyMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5254, p 5254 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	COVID-19 surgical emergency abdominal emergency emergency department pathology Medicine R
spellingShingle	COVID-19 surgical emergency abdominal emergency emergency department pathology Medicine R Elena Vissio Enrico Costantino Falco Gitana Scozzari Antonio Scarmozzino Do An Andrea Trinh Mario Morino Mauro Papotti Luca Bertero Paola Cassoni The Adverse Impact of the COVID-19 Pandemic on Abdominal Emergencies: A Retrospective Clinico-Pathological Analysis
description	The COVID-19 pandemic has caused a worldwide significant drop of admissions to the emergency department (ED). The aim of the study was to retrospectively investigate the pandemic impact on ED admissions, management, and severity of three abdominal emergencies (appendicitis, diverticulitis, and cholecystitis) during the COVID-19 pandemic using 2017–2019 data as a control. The difference in clinical and pathological disease severity was the primary outcome measure while differences in (i) ED admissions, (ii) triage urgency codes, and (iii) surgical rates were the second ones. Overall, ED admissions for the selected conditions decreased by 34.9% during the pandemic (control: 996, 2020: 648) and lower triage urgency codes were assigned for cholecystitis (control: 170/556, 2020: 66/356, <i>p</i> < 0.001) and appendicitis (control: 40/178, 2020: 21/157, <i>p</i> = 0.031). Less surgical procedures were performed in 2020 (control: 447, 2020: 309), but the surgical rate was stable (47.7% in 2020 vs. 44.8% in 2017–2019). Considering the clinical and pathological assessments, a higher percentage of severe cases was observed in the four pandemic peak months of 2020 (control: 98/192, 2020: 87/109; <i>p</i> < 0.001 and control: 105/192, 2020: 87/109; <i>p</i> < 0.001). For the first time in this study, pathological findings objectively demonstrated an increased disease severity of the analyzed conditions during the early COVID-19 pandemic.
format	article
author	Elena Vissio Enrico Costantino Falco Gitana Scozzari Antonio Scarmozzino Do An Andrea Trinh Mario Morino Mauro Papotti Luca Bertero Paola Cassoni
author_facet	Elena Vissio Enrico Costantino Falco Gitana Scozzari Antonio Scarmozzino Do An Andrea Trinh Mario Morino Mauro Papotti Luca Bertero Paola Cassoni
author_sort	Elena Vissio
title	The Adverse Impact of the COVID-19 Pandemic on Abdominal Emergencies: A Retrospective Clinico-Pathological Analysis
title_short	The Adverse Impact of the COVID-19 Pandemic on Abdominal Emergencies: A Retrospective Clinico-Pathological Analysis
title_full	The Adverse Impact of the COVID-19 Pandemic on Abdominal Emergencies: A Retrospective Clinico-Pathological Analysis
title_fullStr	The Adverse Impact of the COVID-19 Pandemic on Abdominal Emergencies: A Retrospective Clinico-Pathological Analysis
title_full_unstemmed	The Adverse Impact of the COVID-19 Pandemic on Abdominal Emergencies: A Retrospective Clinico-Pathological Analysis
title_sort	adverse impact of the covid-19 pandemic on abdominal emergencies: a retrospective clinico-pathological analysis
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/91fe9cc703d4499f8b9115d81bc93da8
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The Adverse Impact of the COVID-19 Pandemic on Abdominal Emergencies: A Retrospective Clinico-Pathological Analysis

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