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Background The impact of the coronavirus disease 2019 (COVID-19) pandemic on medical services is overwhelming due to limited medical resources. During its initial surge in 2020, Taiwan's government rapidly established diverse public actions, which helped maintain the medical supply without travel restrictions. However, whether the fear of being infected with COVID-19 interfered with health-seeking behavior (HSB) remains unclear. Therefore, this study aimed to elucidate whether acute complicated appendicitis (ACA) rates in adults were affected by the COVID-19 pandemic.
Methods A retrospective analysis of acute appendicitis in adults was performed between January 1 and June 30, 2020 (COVID-19 period). The control period was collected from the first two quarters for the preceding 3 years. Outcome measures were ACA and length of hospital stays.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Complicated appendicitis | The development of complicated appendicitis, diagnosed during appendectomy or by pre-operative image study |
| |
| Non-complicated appendicitis | No development of complicated appendicitis, diagnosed during appendectomy or by pre-operative image study |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| impact of COVID-19 on Health-Seeking Behaviors | Other | The impact of the coronavirus disease 2019 (COVID-19) pandemic on medical services is overwhelming due to limited medical resources. During its initial surge in 2020, Taiwan's government rapidly established diverse public actions, which helped maintain the medical supply without travel restrictions. However, whether the fear of being infected with COVID-19 interfered with health-seeking behavior (HSB) remains unclear. Therefore, this study aimed to elucidate whether acute complicated appendicitis (ACA) rates in adults were affected by the COVID-19 pandemic. |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of complicated appendicitis | The primary outcome measure was the occurrence of ACA defined as abscess observed in computed tomography, presence of appendiceal perforation determined by surgical documentation, or a description of gangrenous appendicitis assessed by pathological reports. | baseline, pre-surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Length of hospital stays | the duration of hospital stays after surgery | up to 4 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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A retrospective analysis of acute appendicitis in adults was performed between January 1 and June 30, 2020 (COVID-19 period). The control period was collected from the first two quarters for the preceding 3 years. Outcome measures were ACA and length of hospital stays.
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| ID | Term |
|---|---|
| D000086382 | COVID-19 |
| D015438 | Health Behavior |
| D001064 | Appendicitis |
| ID | Term |
|---|---|
| D011024 | Pneumonia, Viral |
| D011014 | Pneumonia |
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
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|
| D014777 |
| Virus Diseases |
| D018352 | Coronavirus Infections |
| D003333 | Coronaviridae Infections |
| D030341 | Nidovirales Infections |
| D012327 | RNA Virus Infections |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D001519 | Behavior |
| D059413 | Intraabdominal Infections |
| D005759 | Gastroenteritis |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
| D002429 | Cecal Diseases |
| D007410 | Intestinal Diseases |