Research Article

Characteristics of Acute Appendicitis before and during the COVID-19 Pandemic: Single Center Experience

Table 2

Treatment characteristics of the patients in the two groups observed.

VariableTotal
N = 427
Pre-COVID group
N = 240
COVID group
N = 187
value

Duration of symptoms, hours, self-reported24 (1–240)24 (3–168)24 (1–240)0.065

Treatment modality, n (%)
Open appendectomy104 (24.36)54 (22.50)50 (26.74)0.368
Laparoscopic appendectomy323 (75.64)186 (77.50)137 (73.26)

Administration of antibiotics, n (%)332 (77.75)160 (66.67)172 (91.98)<0.001

Grade of appendicitis, n (%)
Normal appendix48 (11.24)33 (13.75)15 (8.02)0.085
Uncomplicated appendicitis295 (69.09)166 (69.17)129 (68.98)0.085
Complicated appendicitis84 (19.67)41 (17.08)43 (22.99)0.085

Postoperative peritoneal drain, n (%)152 (35.60)78 (32.50)74 (39.57)0.130
Length of admission (days)5 (2–33)5 (2–33)5 (3–32)0.990

Final diagnostic imaging, n (%)
Ultrasound137 (32.08)80 (33.33)57 (30.48)0.531
CT39 (9.13)24 (10.00)15 (8.02)0.481

We did not notice any significant differences in the duration of symptoms between the pre-COVID-19 and COVID-19 groups. There was no change in the representation of operational techniques. We noticed higher rate of antibiotics administration during the COVID-19 period. The incidence of complicated appendicitis was not higher in the COVID-19 period. Also, the length of hospital stay did not change during the COVID-19 era. Imaging techniques were equally represented before and in the COVID-19 era.