Matches in SemOpenAlex for { <https://semopenalex.org/work/W3132830580> ?p ?o ?g. }
Showing items 1 to 85 of
85
with 100 items per page.
- W3132830580 endingPage "251" @default.
- W3132830580 startingPage "245" @default.
- W3132830580 abstract "La apendicitis aguda (AA) es la patología quirúrgica urgente más frecuente en pediatría. La pandemia por la COVID-19 ha generado un descenso en las consultas a urgencias, pudiendo conllevar un retraso en la atención sanitaria y un aumento en la gravedad de las patologías. El objetivo es analizar la tasa de AA complicadas durante la pandemia, en comparación con el mismo periodo del año anterior. Estudio retrospectivo observacional de cohortes unicéntrico que incluyó a pacientes menores de 14 años atendidos en urgencias con diagnóstico de AA durante los meses de marzo a mayo de 2019 (no pandemia) y 2020 (pandemia). Se incluyeron 90 pacientes (41 en no pandemia y 49 en pandemia). No se encontraron diferencias en el tiempo desde el inicio de la clínica hasta la consulta en urgencias entre los dos periodos (37 h vs. 38 h, p = 0,881), pero sí en el tiempo desde la llegada a urgencias hasta la intervención quirúrgica (7:00 h vs. 10:30 h; p = 0,004). La diferencia se acentuó al comparar el mes de marzo con abril-mayo de 2020 (6 h vs. 12 h; p = 0,001). No se observaron diferencias significativas en la tasa de AA complicadas en el diagnóstico intraoperatorio (35% vs. 33%; p = 0,870) ni anatomopatológico (35% vs. 48%; p = 0,222), ni tampoco en el número de complicaciones postoperatorias, duración de ingreso y reingresos. Se objetivó un aumento del diagnóstico anatomopatológico de AA con periapendicitis (47% vs. 81%; p = 0,001). Durante la pandemia se observó una demora desde la llegada a urgencias hasta la intervención quirúrgica en niños diagnosticados de AA. Esta demora se tradujo en un incremento del diagnóstico de AA evolucionadas histológicamente, pero sin objetivarse un aumento de las complicaciones de la enfermedad. Acute appendicitis (AA) is the most frequent urgent surgical pathology in pediatrics. The COVID-19 pandemic has led to a decrease in emergency department (ED) visits, which can lead to a delay in health care and an increase in the severity of the pathologies. The objective is to analyze the rate of complicated AA during the pandemic, compared to the same period of the previous year. Retrospective unicenter observational cohort study that included patients under 14 years of age seen in the ED with a diagnosis of AA during the months of March to May 2019 (non-pandemic) and 2020 (pandemic). 90 patients were included (41 in non-pandemic and 49 in pandemic). No difference was found between the two periods in the time from the clinic onset until the visit to the ED (37 h vs 38 h, p = 0.881), but there was a difference in the time from arrival at the ED until the surgery (7:00 h vs 10:30 h, p = 0.004). The difference was accentuated when comparing the month of March with April-May 2020 (6 h vs 12 h; p = 0.001). No significant differences were observed in the rate of complicated AA in intraoperative diagnosis (35% vs 33%; p = 0.870) or anatomopathology (35% vs 48%; p = 0.222), nor in the number of postoperative complications, length of hospitalization and readmissions. An increase in the anatomopathological diagnosis of AA with periapendicitis was observed (47% vs 81%; p = 0.001) During the pandemic, a delay from arrival at the ED until the surgery was observed in children diagnosed with AA. This delay resulted in an increase in the diagnosis of histologically evolved AA, but without an increase in the clinical complications of the disease." @default.
- W3132830580 created "2021-03-01" @default.
- W3132830580 creator A5017727252 @default.
- W3132830580 creator A5072571178 @default.
- W3132830580 creator A5083004679 @default.
- W3132830580 creator A5090622715 @default.
- W3132830580 date "2021-04-01" @default.
- W3132830580 modified "2023-10-02" @default.
- W3132830580 title "Impacto de la COVID-19 en la forma de presentación y evolución de la apendicitis aguda en pediatría" @default.
- W3132830580 cites W1772603254 @default.
- W3132830580 cites W1852357579 @default.
- W3132830580 cites W1972380992 @default.
- W3132830580 cites W2021333173 @default.
- W3132830580 cites W2029964758 @default.
- W3132830580 cites W2052759618 @default.
- W3132830580 cites W2068257742 @default.
- W3132830580 cites W2094764659 @default.
- W3132830580 cites W2114135187 @default.
- W3132830580 cites W2321817148 @default.
- W3132830580 cites W2402056617 @default.
- W3132830580 cites W2583549666 @default.
- W3132830580 cites W2618590358 @default.
- W3132830580 cites W3004896587 @default.
- W3132830580 cites W3012797451 @default.
- W3132830580 cites W3015905059 @default.
- W3132830580 cites W3022070512 @default.
- W3132830580 cites W3022998955 @default.
- W3132830580 cites W3024192447 @default.
- W3132830580 cites W3025144824 @default.
- W3132830580 cites W3033370314 @default.
- W3132830580 cites W3037503133 @default.
- W3132830580 cites W3037599804 @default.
- W3132830580 cites W3038045675 @default.
- W3132830580 cites W3038368204 @default.
- W3132830580 doi "https://doi.org/10.1016/j.anpedi.2020.12.003" @default.
- W3132830580 hasPublicationYear "2021" @default.
- W3132830580 type Work @default.
- W3132830580 sameAs 3132830580 @default.
- W3132830580 citedByCount "7" @default.
- W3132830580 countsByYear W31328305802021 @default.
- W3132830580 countsByYear W31328305802022 @default.
- W3132830580 countsByYear W31328305802023 @default.
- W3132830580 crossrefType "journal-article" @default.
- W3132830580 hasAuthorship W3132830580A5017727252 @default.
- W3132830580 hasAuthorship W3132830580A5072571178 @default.
- W3132830580 hasAuthorship W3132830580A5083004679 @default.
- W3132830580 hasAuthorship W3132830580A5090622715 @default.
- W3132830580 hasBestOaLocation W31328305801 @default.
- W3132830580 hasConcept C138885662 @default.
- W3132830580 hasConcept C142724271 @default.
- W3132830580 hasConcept C15708023 @default.
- W3132830580 hasConcept C2779134260 @default.
- W3132830580 hasConcept C3008058167 @default.
- W3132830580 hasConcept C524204448 @default.
- W3132830580 hasConcept C71924100 @default.
- W3132830580 hasConceptScore W3132830580C138885662 @default.
- W3132830580 hasConceptScore W3132830580C142724271 @default.
- W3132830580 hasConceptScore W3132830580C15708023 @default.
- W3132830580 hasConceptScore W3132830580C2779134260 @default.
- W3132830580 hasConceptScore W3132830580C3008058167 @default.
- W3132830580 hasConceptScore W3132830580C524204448 @default.
- W3132830580 hasConceptScore W3132830580C71924100 @default.
- W3132830580 hasIssue "4" @default.
- W3132830580 hasLocation W31328305801 @default.
- W3132830580 hasLocation W31328305802 @default.
- W3132830580 hasLocation W31328305803 @default.
- W3132830580 hasOpenAccess W3132830580 @default.
- W3132830580 hasPrimaryLocation W31328305801 @default.
- W3132830580 hasRelatedWork W1506200166 @default.
- W3132830580 hasRelatedWork W1995515455 @default.
- W3132830580 hasRelatedWork W2048182022 @default.
- W3132830580 hasRelatedWork W2080531066 @default.
- W3132830580 hasRelatedWork W2604872355 @default.
- W3132830580 hasRelatedWork W2748952813 @default.
- W3132830580 hasRelatedWork W2899084033 @default.
- W3132830580 hasRelatedWork W3031052312 @default.
- W3132830580 hasRelatedWork W3032375762 @default.
- W3132830580 hasRelatedWork W3108674512 @default.
- W3132830580 hasVolume "94" @default.
- W3132830580 isParatext "false" @default.
- W3132830580 isRetracted "false" @default.
- W3132830580 magId "3132830580" @default.
- W3132830580 workType "article" @default.