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Bibliographic Details
Main Author:	Franco J. Segnini-Rodríguez
Format:	Artículo científico
Language:	es
Published:	Asociación Colombiana de Cirugía 2023
Subjects:	Medicina pandemias apendicitis tiempo de internación Infecciones por coronavirus complicaciones posoperatorias
Online Access:	https://www.redalyc.org/articulo.oa?id=355576260010 https://www.redalyc.org/journal/3555/355576260010/ https://www.redalyc.org/journal/3555/355576260010/html/ https://www.redalyc.org/journal/3555/355576260010/355576260010.epub https://www.redalyc.org/journal/3555/355576260010/movil https://doi.org/10.30944/20117582.2281
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Estudio de los desenlaces perioperatorios de la apendicitis aguda durante la pandemia por COVID-19: un estudio observacional analítico de cohorte Franco J. Segnini-Rodríguez Neil Valentín Vega-Peña María Paula Gamboa Luis Carlos Domínguez Juan David Lotero Mitzi Stephanie Flórez Medicina pandemias apendicitis tiempo de internación Infecciones por coronavirus complicaciones posoperatorias Introducción. La condición de pandemia por COVID-19 impactó a la sociedad y los sistemas de salud a nivel mundial. Las adaptaciones institucionales procuraron mantener la calidad de la atención a pesar de un contexto organizacional desfavorable. La apendicitis aguda requirió ser manejada en un nuevo escenario institucional. El objetivo de este estudio fue evaluar la efectividad del tratamiento quirúrgico de la apendicitis durante la pandemia.Métodos. Estudio observacional analítico, retrospectivo, en el que se incluyeron pacientes sometidos a apendicectomía, antes y durante la pandemia por COVID-19. Se evaluaron las complicaciones, infección del sitio operatorio, reingresos y estancia hospitalaria. Adicionalmente, se analizaron los desenlaces en los 3 picos epidemiológicos de la pandemia. Se efectuaron estadísticas descriptivas y analíticas entre los grupos a comparar.Resultados. Se incluyeron 1521 pacientes con apendicitis, 48,3 % operados antes y 51,7 % durante la pandemia. No hubo diferencias entre los grupos en complicaciones (p=0,352), infección del sitio operatorio (p=0,191), reingreso en los primeros 30 días (p=0,605) y estancia hospitalaria (p=0,514). El manejo de la apendicitis durante el tercer pico fue similar a las prácticas habituales. El tiempo de evolución fue mayor durante la pandemia (p=0,04) y los pacientes fueron llevados a cirugía más pronto que previo a la pandemia (p<0,001). Conclusiones. No se evidenció un incremento de complicaciones quirúrgicas, reingresos, estancia hospitalaria ni infección del sitio operatorio en los pacientes operados durante la pandemia. Hubo un efecto favorable para los pacientes como consecuencia de la adaptación institucional en la pandemia por COVID-19. 2023 artículo científico 2011-7582 https://www.redalyc.org/articulo.oa?id=355576260010 https://www.redalyc.org/journal/3555/355576260010/ https://www.redalyc.org/journal/3555/355576260010/html/ https://www.redalyc.org/journal/3555/355576260010/355576260010.epub https://www.redalyc.org/journal/3555/355576260010/movil https://doi.org/10.30944/20117582.2281 es http://www.redalyc.org/revista.oa?id=3555 Revista Colombiana de Cirugía application/pdf Asociación Colombiana de Cirugía Revista Colombiana de Cirugía (Colombia) Num.2 Vol.38

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