The effect of COVID-19 pandemic on acute appendicitis and negative laparotomy

Ayşe Betül Öztürk; Cengizhan Kılıçaslan; Sibel Çiğdem Tuncer; Melike Ordu

Makale detayları

The effect of COVID-19 pandemic on acute appendicitis and negative laparotomy

Yazarlar:

Ayşe Betül Öztürk | Cengizhan Kılıçaslan | Sibel Çiğdem Tuncer | Melike Ordu

Yayıncı:

Selcuk University

Ana Başlıklar:

Klinik Tıp Bilimleri

Dergi:

Genel Tıp Dergisi Vol.33 Issue 3, pp.292-294

Belge Tipi:

Makale

Yayın Tarihi:

6/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001292820

pISSN:

2602-3741

Anahtar kelimeler:

Özet:

 BackgroundAims: Emergency service referrals frequently depend on non-urgent problems which are easy to solve without emergency services. Emergency services should be used effectively to raise service quality, patient and personnel satisfaction. Approximately 30 of emergency service referrals are pediatric patients. Covid-19 pandemia affecting the whole world, caused a decrease in non-covid patient emergency service referral numbers, consequently medically non-emergent patient numbers decreased too. Although the number of patients with a prediagnosis of acute appendicitis did not decrease during the pandemic, negative laparotomy rates decreased due to the effective use of emergency services. Material and Method: In this study we compared patients with prediagnosis of acute appendicitis and undergone appendectomy in our pediatric emergency service between 1 March-1 September 2019 and 1 March-1 September 2020. Patient records were evaluated retrospectively. Histopathological diagnoses were accepted as the gold standard. Result: Decreasing referrals of medically non-emergent patients to emergency services during pandemic led to improvement in service quality, so negative laparotomy rates declined. Looking at the literature, negative laparatomy rates of pediatric patients with the pre-diagnosis of acute appendicitis are 8-30. In the 6-month period in 2019 negative laparotomy rate of our clinic found as 11.2. When we examine the 6-month data of 2020 during pandemic we noticed that this rate declined to 2.8. There was also a statistically significant difference between 2019 and 2020 in terms of the length of stay in the hospital. Conclusions: Because of the decrease in referral numbers of medically non-emergent patients to emergency services during pandemic, much more qualified and scientific service was provided. Community education considering emergency service referral indications could reduce workload density and enhance service quality of emergency services.

 BackgroundAims: Emergency service referrals frequently depend on non-urgent problems which are easy to solve without emergency services. Emergency services should be used effectively to raise service quality, patient and personnel satisfaction. Approximately 30 of emergency service referrals are pediatric patients. Covid-19 pandemia affecting the whole world, caused a decrease in non-covid patient emergency service referral numbers, consequently medically non-emergent patient numbers decreased too. Although the number of patients with a prediagnosis of acute appendicitis did not decrease during the pandemic, negative laparotomy rates decreased due to the effective use of emergency services. Material and Method: In this study we compared patients with prediagnosis of acute appendicitis and undergone appendectomy in our pediatric emergency service between 1 March-1 September 2019 and 1 March-1 September 2020. Patient records were evaluated retrospectively. Histopathological diagnoses were accepted as the gold standard. Result: Decreasing referrals of medically non-emergent patients to emergency services during pandemic led to improvement in service quality, so negative laparotomy rates declined. Looking at the literature, negative laparatomy rates of pediatric patients with the pre-diagnosis of acute appendicitis are 8-30. In the 6-month period in 2019 negative laparotomy rate of our clinic found as 11.2. When we examine the 6-month data of 2020 during pandemic we noticed that this rate declined to 2.8. There was also a statistically significant difference between 2019 and 2020 in terms of the length of stay in the hospital. Conclusions: Because of the decrease in referral numbers of medically non-emergent patients to emergency services during pandemic, much more qualified and scientific service was provided. Community education considering emergency service referral indications could reduce workload density and enhance service quality of emergency services.

 BackgroundAims: Emergency service referrals frequently depend on non-urgent problems which are easy to solve without emergency services. Emergency services should be used effectively to raise service quality, patient and personnel satisfaction. Approximately 30 of emergency service referrals are pediatric patients. Covid-19 pandemia affecting the whole world, caused a decrease in non-covid patient emergency service referral numbers, consequently medically non-emergent patient numbers decreased too. Although the number of patients with a prediagnosis of acute appendicitis did not decrease during the pandemic, negative laparotomy rates decreased due to the effective use of emergency services. Material and Method: In this study we compared patients with prediagnosis of acute appendicitis and undergone appendectomy in our pediatric emergency service between 1 March-1 September 2019 and 1 March-1 September 2020. Patient records were evaluated retrospectively. Histopathological diagnoses were accepted as the gold standard. Result: Decreasing referrals of medically non-emergent patients to emergency services during pandemic led to improvement in service quality, so negative laparotomy rates declined. Looking at the literature, negative laparatomy rates of pediatric patients with the pre-diagnosis of acute appendicitis are 8-30. In the 6-month period in 2019 negative laparotomy rate of our clinic found as 11.2. When we examine the 6-month data of 2020 during pandemic we noticed that this rate declined to 2.8. There was also a statistically significant difference between 2019 and 2020 in terms of the length of stay in the hospital. Conclusions: Because of the decrease in referral numbers of medically non-emergent patients to emergency services during pandemic, much more qualified and scientific service was provided. Community education considering emergency service referral indications could reduce workload density and enhance service quality of emergency services.

 Amaç: Acil servis hizmetlerinin genellikle tıbben acil olmayan, acile başvurmadan kolaylıkla çözümlenebilecek problemlere bağlı olduğu görülmektedir. Hizmet kalitesi, hasta memnuniyeti ve çalışan memnuniyetini artırabilmek için acil servislerin etkin kullanılması gerekmektedir. Acil servis başvurularının yaklaşık 30unu çocuk acil servisi karşılamaktadır. Tüm dünyayı etkisi altına alan Covid-19 pandemisi nedeniyle acil servislere başvuru sayısı azalmış ve tıbbi anlamda acil olmayan hasta sayıları oldukça düşmüştür. Pandemi sürecinde apandisit ön tanısı ile çocuk acil servisinde değerlendirilen hasta sayılarında anlamlı bir azalma olmamasına rağmen acil servisin etkin kullanımı sağlanabildiği için negatif laparotomi oranları azalmıştır. Gereç ve Yöntem: Bu çalışmada 1 Mart 2019  1 Eylül 2019 tarihleri ile 1 Mart 2020-1 Eylül 2020 tarihleri arasında apandisit ön tanısı ile çocuk acilde değerlendirildikten sonra apendektomi yapılan olgular karşılaştırılmıştır. Retrospektif olarak dosyalar incelenmiş ve histopatolojik inceleme sonuçları altın standart olarak kabul edilmiştir. Sonuç: Tıbbi aciliyeti olmayan hastaların pandemi sürecinde acil servislere başvurmaması sonucu acil servislerde hizmet kalitesi artmış, bunun sonucu olarak da negatif laparotomi oranları azalmıştır.Literatür incelendiği zaman apandisit ön tanısı ile opere edilen çocuklarda negatiflaparotomi oranı 8-30 olarak karşımıza çıkmaktadır. 2019 yılındaki 6 aylık süreçte bizim kliniğimizde negatif laparotomi oranı 11,2 bulunmuştur. 2020 yılında pandemi sürecindeki 6 aylık veriler incelendiğinde bu oranın 2,8e gerilediği görülmektedir. Tartışma: Covid-19 pandemisi sürecinde acil servise, tıbbi aciliyeti olmayan hastaların başvuru sayısı azaldığı için daha kaliteli ve bilimsel hizmet sunulabilmiştir. Acil servislere hangi durumlarda başvurulması gerektiği konusunda iyi bir eğitim verilirse acil servislerin yükü azalacaktır ve daha kaliteli hizmet sunulabilecektir.

Makale detayları

The effect of COVID-19 pandemic on acute appendicitis and negative laparotomy

Yazarlar:

Ayşe Betül Öztürk | Cengizhan Kılıçaslan | Sibel Çiğdem Tuncer | Melike Ordu

Yayıncı:

Selcuk University

Ana Başlıklar:

Klinik Tıp Bilimleri

Dergi:

Genel Tıp Dergisi Vol.33 Issue 3, pp.292-294

Belge Tipi:

Makale

Yayın Tarihi:

6/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001292820

pISSN:

2602-3741

Emergency Health Services

Child

Negative Laparotomy

Qualified Health Care

Covid-19 Pandemic.

Acil Sağlık Hizmetleri

Çocuk

Negatif Laparotomi

Kaliteli Sağlık Hizmeti

Covid-19 PandemisiAcil Sağlık Hizmetleri

Çocuk

Negatif Laparotomi

Kaliteli Sağlık Hizmeti

Covid-19 Pandemisi

Sayı

Makale detayları

Yazarlar: Ayşe Betül Öztürk | Cengizhan Kılıçaslan | Sibel Çiğdem Tuncer | Melike Ordu

Yayıncı: Selcuk University

Ana Başlıklar: Klinik Tıp Bilimleri

Dergi: Genel Tıp Dergisi Vol.33 Issue 3, pp.292-294

Belge Tipi: Makale

Yayın Tarihi: 6/2023

Belge Dili: İngilizce

Document ID (Org No.): 2001292820

pISSN: 2602-3741

Sayı

Yazarlar:

Ayşe Betül Öztürk | Cengizhan Kılıçaslan | Sibel Çiğdem Tuncer | Melike Ordu

Yayıncı:

Selcuk University

Ana Başlıklar:

Klinik Tıp Bilimleri

Dergi:

Genel Tıp Dergisi Vol.33 Issue 3, pp.292-294

Belge Tipi:

Makale

Yayın Tarihi:

6/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001292820

pISSN:

2602-3741