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Acta clinica Croatica, Vol. 62. No. 4, 2023.

Professional paper

https://doi.org/10.20471/acc.2023.62.04.19

Management of Acute Appendicitis during COVID-19 Pandemic in Croatia: a Single-Center Study

Goran Glavčić orcid id orcid.org/0000-0002-2199-5938 ; Department of Surgery, Sestre milosrdnice University Hospital Center, Zagreb, Croatia *
Zvonimir Misir orcid id orcid.org/0000-0001-5875-134X ; Department of Surgery, Sestre milosrdnice University Hospital Center, Zagreb, Croatia; School of Dental Medicine, University of Zagreb, Zagreb, Croatia
Suzana Janković orcid id orcid.org/0000-0003-4103-5122 ; Department of Surgery, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Zdenko Bilić ; Department of Surgery, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Petra Radulović orcid id orcid.org/0000-0002-2902-0297 ; Ljudevit Jurak Department of Pathology and Cytology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Nina Blažević orcid id orcid.org/0000-0001-6657-8268 ; Department of Internal Medicine, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Marin Glavčić orcid id orcid.org/0000-0002-9065-4010 ; School of Medicine, University of Zagreb, Zagreb, Croatia (student)

* Corresponding author.

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Abstract

The aim of the study was to evaluate the impact of the COVID-19 pandemic on
the number of patients presenting to the emergency room with acute appendicitis and subsequent
results of surgical treatment. Our single center retrospective study was conducted in Sestre milosrdnice
University Hospital Center, Zagreb, Croatia. We analyzed data on the patients diagnosed with
acute appendicitis, their duration of symptoms, length of hospital stay, histopathologic diagnosis, and
operative techniques, recorded from September 1, 2019 to October 17, 2020. The results showed a
statistically significant increase in the ratio of open laparotomies (p=0.006) and ratio of perforated
appendicitis (p=0.047) during the COVID-19 pandemic in relation to the pre-pandemic period. The
time between symptom onset and hospitalization, measured in days, did not demonstrate a statistically
significant increase (p=0.379), and minor increase in the postoperative length of stay was not statistically
significant either (p=0.879).

Keywords

Appendicitis; Emergency surgery; COVID-19; Pandemic

Hrčak ID:

320593

URI

https://hrcak.srce.hr/320593

Publication date:

31.12.2023.

Article data in other languages: croatian

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