Clinical outcomes of children with COVID-19 and appendicitis: a propensity score matched analysis
Topic overview
This multi-center retrospective study compared outcomes of upfront appendectomy in children with and without COVID-19 infection during the pandemic. Using propensity-matched cohorts, researchers found that children with COVID-19 actually had shorter hospital stays, fewer drain placements, and lower readmission rates, suggesting COVID-19 status should not delay surgical management of appendicitis.
Key takeaways
- Children with COVID-19 and appendicitis can safely undergo upfront appendectomy with outcomes similar to COVID-negative patients.
- COVID-positive children had shorter hospital stays (1 vs 2 days) and fewer postoperative complications than matched controls.
- No difference in mechanical ventilation rates between COVID-positive and COVID-negative pediatric appendectomy patients.
- Early pandemic non-operative management is no longer necessary; upfront surgical approach is safe for COVID-positive children.
- Propensity-matched analysis of 1,360 pairs showed lower drain placement (2.4% vs 4.1%) and readmissions (9.0% vs 11.4%) in COVID group.
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How to cite: GlobalCastMD. Clinical outcomes of children with COVID-19 and appendicitis: a propensity score matched analysis. GlobalCastMD Medical Library. 2024-10-08. https://dev.library.globalcastmd.com/article/9260?via_space=staycurrentmd
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