About: Limiting operations for acute appendicitis in children: lessons learned from the U.S. epicenter of the COVID-19 pandemic()

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
title	Limiting operations for acute appendicitis in children: lessons learned from the U.S. epicenter of the COVID-19 pandemic()
Creator	Shi, Yan Author, Corresponding Bagrodia, Naina Dolgin, Stephen Glick, Richard Hong, Andrew James, Douglas Kvasnovsky, Charlotte Lipskar, Aaron Prince, Jose Rich, Barrie Sathya, Chethan Soffer, Sam
source	Elsevier; Medline; PMC; WHO
abstract	INTRODUCTION: The COVID-19 pandemic resulted in the suspension of non-emergent surgeries throughout New York. Our tertiary care children's hospital pivoted towards a trial of non-operative management (NOM) for all patients presenting with acute appendicitis to limit operating room use. We describe our pandemic-based NOM strategy for appendicitis, with expanded inclusion criteria and limited intravenous antibiotics. METHODS: We performed a retrospective study of children treated for acute appendicitis at our center from 3/31/2020–5/3/2020 during the peak of the New York pandemic. We compared appendicitis volume to similar months in prior years. We evaluated failure of NOM, length of stay, and compared characteristics of children we successfully treated with our expanded NOM protocol to previously published inclusion criteria for NOM. RESULTS: 45.5% of children (25/55) with acute appendicitis underwent NOM. Of the 30 who underwent surgery, 13 had complicated appendicitis while 17 had simple appendicitis. Three patients were COVID-positive, although none had respiratory symptoms. The majority of patients presenting with acute appendicitis (78.2%) did not meet previously published criteria for NOM. CONCLUSIONS: We treated a similar volume of children with acute appendicitis during the pandemic compared to prior years. We applied NOM to nearly half of patients, even as we expanded published inclusion criteria to minimize operative resources. TYPE OF STUDY: Retrospective study, level of evidence: IV.
has issue date	2020-06-23(xsd:dateTime)
bibo:doi	10.1016/j.jpedsurg.2020.06.024
bibo:pmid	32620267
has license	no-cc
sha1sum (hex)	b47ad5f556d7187703ec1ca6529501317b81edff
schema:url	https://doi.org/10.1016/j.jpedsurg.2020.06.024
resource representing a document's title	Limiting operations for acute appendicitis in children: lessons learned from the U.S. epicenter of the COVID-19 pandemic()
has PubMed Central identifier	PMC7309720
has PubMed identifier	32620267
schema:publication	J Pediatr Surg
resource representing a document's body	covid:b47ad5f556d7187703ec1ca6529501317b81edff#body_text
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