Journal article
COVID-19 Pandemic and the Cholecystitis Experience at a Major Urban Safety-Net Hospital
JOURNAL OF SURGICAL RESEARCH, v 264
Aug 2021
PMID: 33812090
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background: Acute cholecystitis is a common reason for emergency general surgery admission. The declaration of the COVID-19 pandemic may have resulted in treatment delays and corresponding increases in severity of disease. This study compared cholecystitis admissions and disease severity pre- and postdeclaration of pandemic. Materials and Methods: Retrospective review of adult acute cholecystitis admissions (January 1,2020-May 31, 2020). Corresponding time periods in 2018 and 2019 comprised the historical control. Difference-in-differences analysis compared biweekly cholecystitis admissions pre- and postdeclaration in 2020 to the historical control. Odds of increased severity of disease presentation were assessed using multivariable logistic regression. Results: Cholecystitis admissions decreased 48.7% from 5.2 to 2.67 cases (RR 0.51 [0.28, 0.96], P = 0.04) following pandemic declaration when comparing 2020 to historical control (P = 0.02). After stratifying by severity, only Tokyo I admissions declined significantly postdeclaration (RR 0.42 [0.18, 0.97]), when compared to historical control (P = 0.02). There was no change in odds of presenting with severe disease after the pandemic declaration (aOR 1.00 [95% CI 0.30, 3.38] P < 0.99) despite significantly longer lengths of symptoms reported in mild cases. Conclusions: Postpandemic declaration we experienced a significant decrease in cholecystitis admissions without corresponding increases in disease severity. The pandemic impacted healthcare-seeking behaviors, with fewer mild presentations. Given that the pandemic did not increase odds of presenting with increased severity of disease, our data suggests that not all mild cases of cholecystitis progress to worsening disease and some may resolve without medical or surgical intervention. (C) 2021 Elsevier Inc. All rights reserved.
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Details
- Title
- COVID-19 Pandemic and the Cholecystitis Experience at a Major Urban Safety-Net Hospital
- Publication Details
- JOURNAL OF SURGICAL RESEARCH, v 264
- Publisher
- ACADEMIC PRESS INC ELSEVIER SCIENCE; SAN DIEGO
- Number of pages
- 6
- Grant note
- We would like to acknowledge Heidi Wing and Rachel Raubenhold for their maintenance of our emergency general surgery registry, and Dr. Sunday Clark for guidance in data analysis. Miriam Y Neufeld was supported, in part, by a National Institutes of Health T32 training grant (GM86308).
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Drexel University
- Web of Science ID
- WOS:000664031200022
- Scopus ID
- 2-s2.0-85104351267
- Other Identifier
- 991021860663304721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Surgery