{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:26:32Z","timestamp":1777447592371,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2020,11,1]],"date-time":"2020-11-01T00:00:00Z","timestamp":1604188800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The global crisis resulting from the coronavirus pandemic has imposed a large burden on health systems worldwide. Nonetheless, acute abdominal surgical emergencies are major causes for nontrauma-related hospital admissions and their incidences were expected to remain unchanged. Surprisingly, a significant decrease in volume and a higher proportion of complicated cases are being observed worldwide.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The present study assesses the local impact of the coronavirus pandemic on the emergency presentation of acute appendicitis in a Brazilian hospital. A retrospective analysis was conducted on patients undergoing emergency surgery for the clinically suspected diagnosis of acute appendicitis during the 2-month period of March and April 2020 and the same time interval in the previous year. Data on demographics, timing of symptom onset and hospital presentation, intraoperative details, postoperative complications, hospital length of stay, and histological examination of the specimen were retrieved from individual registries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The number of appendectomies during the pandemic was 36, which represents a 56% reduction compared to the 82 patients operated during the same period in 2019. The average time of symptom onset to hospital arrival was significantly higher in 2020 (40.6 vs. 28.2 hours, P = .02). The classification of appendicitis revealed a significant higher proportion of complicated cases than the previous year (33.3% vs. 15.2%, P = .04). The rate of postoperative complications and the average length of stay were not statistically different between the groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Further assessment of patients\u2019 concerns and systematic monitoring of emergency presentations are expected to help us understand and adequately address this issue.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0003134820972098","type":"journal-article","created":{"date-parts":[[2020,11,6]],"date-time":"2020-11-06T21:13:18Z","timestamp":1604697198000},"page":"1508-1512","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":47,"title":["Impact of COVID-19 Outbreak on the Emergency Presentation of Acute Appendicitis"],"prefix":"10.1177","volume":"86","author":[{"given":"Mariana","family":"Kumaira Fonseca","sequence":"first","affiliation":[{"name":"Hospital Moinhos de Vento, Porto Alegre, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eduardo N.","family":"Trindade","sequence":"additional","affiliation":[{"name":"Hospital Moinhos de Vento, Porto Alegre, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Omero P.","family":"Costa Filho","sequence":"additional","affiliation":[{"name":"Hospital Moinhos de Vento, Porto Alegre, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miguel P.","family":"N\u00e1cul","sequence":"additional","affiliation":[{"name":"Hospital Moinhos de Vento, Porto Alegre, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Artur P.","family":"Seabra","sequence":"additional","affiliation":[{"name":"Hospital Moinhos de Vento, Porto Alegre, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,11,6]]},"reference":[{"key":"bibr1-0003134820972098","doi-asserted-by":"publisher","DOI":"10.1038\/s41591-020-0796-5"},{"issue":"1","key":"bibr2-0003134820972098","first-page":"157","volume":"91","author":"Cucinotta D","year":"2020","journal-title":"Acta Biomed: Atenei Parmensis"},{"key":"bibr3-0003134820972098","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(20)30120-1"},{"key":"bibr4-0003134820972098","unstructured":"OpenDataSUS [database online]. Brazil: Health Ministry (2020) Updated August 6. 2020."},{"key":"bibr5-0003134820972098","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.9329"},{"key":"bibr6-0003134820972098","doi-asserted-by":"publisher","DOI":"10.1093\/jscr\/rjaa109"},{"key":"bibr7-0003134820972098","doi-asserted-by":"publisher","DOI":"10.1186\/s13017-015-0053-2"},{"key":"bibr8-0003134820972098","doi-asserted-by":"publisher","DOI":"10.1590\/1806-9282.66.9.1187"},{"key":"bibr9-0003134820972098","doi-asserted-by":"publisher","DOI":"10.1007\/s13304-020-00779-6"},{"key":"bibr10-0003134820972098","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.11667"},{"key":"bibr11-0003134820972098","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-020-02250-2"},{"key":"bibr12-0003134820972098","doi-asserted-by":"crossref","unstructured":"Cano-Valderrama O, Morales X, Ferrigni CJ, et al. (2020 acute care surgery during the COVID-19 pandemic in Spain: Changes in volume, causes and complications. A multicentre retrospective cohort study. Int J Surg.80:157-161.","DOI":"10.1016\/j.ijsu.2020.07.002"},{"key":"bibr13-0003134820972098","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-020-05599-8"},{"key":"bibr14-0003134820972098","doi-asserted-by":"publisher","DOI":"10.1186\/s13017-020-00306-3"},{"key":"bibr15-0003134820972098","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.11806"},{"key":"bibr16-0003134820972098","first-page":"1","volume":"00","author":"Snapiri O","year":"2020","journal-title":"Acta Paediatr"},{"key":"bibr17-0003134820972098","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacr.2020.06.002"},{"key":"bibr18-0003134820972098","first-page":"3","volume":"1","author":"Wong L","year":"2020","journal-title":"NEJM Catal"},{"key":"bibr19-0003134820972098","first-page":"5","volume":"1","author":"Deerberg-Wittram J","year":"2020","journal-title":"NEJM Catal"},{"key":"bibr20-0003134820972098","doi-asserted-by":"publisher","DOI":"10.1016\/j.jviscsurg.2020.04.014"},{"key":"bibr21-0003134820972098","doi-asserted-by":"publisher","DOI":"10.1308\/rcsann.2020.0097"},{"key":"bibr22-0003134820972098","unstructured":"Brat G, Heresey S, Chhabra K, et al. Protecting surgical teams during the COVID-19 Outbreak: A narrative review and clinical considerations. Ann Surg. Epub ahead of print."},{"key":"bibr23-0003134820972098","unstructured":"S\u00f8reide K, Hallet J, Matthews JB, et al. Immediate and long-term impact of the COVID-19 pandemic on delivery of surgical services. Br J Surg. Epub ahead of print."},{"key":"bibr24-0003134820972098","first-page":"9","volume":"1","author":"Polanczyk C","year":"2020","journal-title":"NEJM Catal"},{"key":"bibr25-0003134820972098","unstructured":"Ag\u00eancia Nacional de Sa\u00fade Supplementar. Dados Gerais Beneficia\u00farios de planos privados de sa\u00fade, por cobertura assistencial (Brasil \u2013 2010-2020). Accessed September 26, 2020. https:\/\/www.ans.gov.br\/perfil-do-setor\/dados-gerais."}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0003134820972098","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0003134820972098","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0003134820972098","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:34:59Z","timestamp":1777379699000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0003134820972098"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11]]},"references-count":25,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2020,11]]}},"alternative-id":["10.1177\/0003134820972098"],"URL":"https:\/\/doi.org\/10.1177\/0003134820972098","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,11]]}}}