dc.creator | Pata, Francesco | es |
dc.creator | Di Martino, Marcello | es |
dc.creator | Podda, Mauro | es |
dc.creator | Di Saverio, Salomone | es |
dc.creator | Ielpo, Benedetto | es |
dc.creator | Pellino, Gianluca | es |
dc.creator | Tallón Aguilar, Luis | es |
dc.creator | Pareja Ciuró, Felipe | es |
dc.date.accessioned | 2023-11-24T14:41:20Z | |
dc.date.available | 2023-11-24T14:41:20Z | |
dc.date.issued | 2022 | |
dc.identifier.citation | Pata, F., Di Martino, M., Podda, M., Di Saverio, S., Ielpo, B., Pellino, G.,...,Pareja Ciuró, F. (2022). Evolving Trends in the Management of Acute Appendicitis During COVID-19 Waves: The ACIE Appy II Study. WORLD JOURNAL OF SURGERY, 46 (9), 2021-2035. https://doi.org/10.1007/s00268-022-06649-z. | |
dc.identifier.issn | 0364-2313 | es |
dc.identifier.issn | 1432-2323 | es |
dc.identifier.uri | https://hdl.handle.net/11441/151616 | |
dc.description.abstract | Background In 2020, ACIE Appy study showed that COVID-19 pandemic heavily affected the management of
patients with acute appendicitis (AA) worldwide, with an increased rate of non-operative management (NOM)
strategies and a trend toward open surgery due to concern of virus transmission by laparoscopy and controversial
recommendations on this issue. The aim of this study was to survey again the same group of surgeons to assess if any
difference in management attitudes of AA had occurred in the later stages of the outbreak.
Methods From August 15 to September 30, 2021, an online questionnaire was sent to all 709 participants of the ACIE Appy study.
The questionnaireincluded questions on personal protectiveequipment (PPE),local policiesand screening for SARS-CoV-2infection,
NOM, surgical approach and disease presentations in 2021. The results were compared with the results from the previous study.
Results A total of 476 answers were collected (response rate 67.1%). Screening policies were significatively
improved with most patients screened regardless of symptoms (89.5% vs. 37.4%) with PCR and antigenic test as the
preferred test (74.1% vs. 26.3%). More patients tested positive before surgery and commercial systems were the
preferred ones to filter smoke plumes during laparoscopy. Laparoscopic appendicectomy was the first option in the
treatment of AA, with a declined use of NOM.
Conclusion Management of AA has improved in the last waves of pandemic. Increased evidence regarding SARS COV-2 infection along with a timely healthcare systems response has been translated into tailored attitudes and a
better care for patients with AA worldwide. | es |
dc.format | application/pdf | es |
dc.format.extent | 15 p. | es |
dc.language.iso | eng | es |
dc.publisher | SPRINGER | es |
dc.relation.ispartof | WORLD JOURNAL OF SURGERY, 46 (9), 2021-2035. | |
dc.rights | Atribución 4.0 Internacional | * |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | * |
dc.subject | Covid-19 | es |
dc.subject | Acute Appendicitis | es |
dc.subject | The ACIE Appy II Study | es |
dc.title | Evolving Trends in the Management of Acute Appendicitis During COVID-19 Waves: The ACIE Appy II Study | es |
dc.type | info:eu-repo/semantics/article | es |
dcterms.identifier | https://ror.org/03yxnpp24 | |
dc.type.version | info:eu-repo/semantics/publishedVersion | es |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | es |
dc.contributor.affiliation | Universidad de Sevilla. Departamento de Cirugía | es |
dc.relation.publisherversion | https://link.springer.com/article/10.1007/s00268-022-06649-z | es |
dc.identifier.doi | 10.1007/s00268-022-06649-z | es |
dc.journaltitle | WORLD JOURNAL OF SURGERY | es |
dc.publication.volumen | 46 | es |
dc.publication.issue | 9 | es |
dc.publication.initialPage | 2021 | es |
dc.publication.endPage | 2035 | es |