Pediatric anesthesia & critical care
Patient and Process Outcomes among Pediatric Patients Undergoing Appendectomy during the COVID-19 Pandemic: An International Retrospective Cohort Study
Main finding · Hospital LOSResult — go to the resultAdjusted coefficient 1 95% CI 0.39–1.61Authors' conclusion
For children undergoing appendectomy, the COVID-19 pandemic did not significantly impact hospital length of stay.
Study context
- Population
- Patients younger than 18 yr undergoing primary appendectomy, 28 institutions of the PEACOC collaborative; matched on age, ASA Physical Status and sex
- Participants
- 3,351 participants · 28 institutions
- Exposure
- COVID-19 pandemic period vs prepandemic period
- Pandemicn = 1,618
- Prepandemicn = 1,684reference
- Outcome
- Hospital LOS
Methodological detailsinternational, multicentre, matched cohorts
- International
- Multicentre
- Matched cohorts
Main finding
As reported in the abstract
Adjusted coefficient
1
95% CI 0.39–1.61
P < 0.001
By group
- Centres with significantly longer LOS in pandemic period
- 8
- Centres with shorter LOS in pandemic period
- 13
- Centres without significant difference
- 7
Observational data: associations, not effects.
Secondary outcomes
Complicated appendicitis
absolute difference 5.5%
| Outcome | aOR (95% CI) | P value | |
|---|---|---|---|
| Complicated appendicitis | 1.32 (1.1–1.59) | P = 0.003 | |
| 0.512Adjusted odds ratio (log scale) |
| Outcome | Estimate | P value |
|---|---|---|
| Time to appendectomy, preoperative SARS-CoV-2 testing vs no testing | adjusted coefficient 306 min (95% CI 241–371) | P < 0.001 |
| Hospital LOS, preoperative SARS-CoV-2 testing vs no testing | adjusted coefficient 7.0 (95% CI 2.7–11.3) | P = 0.002 |
- Time to appendectomy, preoperative SARS-CoV-2 testing vs no testing: With testing 720 (IQR 430–1,112) min
- Time to appendectomy, preoperative SARS-CoV-2 testing vs no testing: Without testing 414 (IQR 231–770) min
- Hospital LOS, preoperative SARS-CoV-2 testing vs no testing: With testing 31 (IQR 20–83) h
- Hospital LOS, preoperative SARS-CoV-2 testing vs no testing: Without testing 24 (IQR 14–68) h
Original publication
Patient and Process Outcomes among Pediatric Patients Undergoing Appendectomy during the COVID-19 Pandemic: An International Retrospective Cohort Study. Anesthesiology. Published 4 April 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →