{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T22:56:37Z","timestamp":1788994597839,"version":"build-2803163510"},"reference-count":38,"publisher":"MDPI AG","issue":"22","license":[{"start":{"date-parts":[[2021,11,11]],"date-time":"2021-11-11T00:00:00Z","timestamp":1636588800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Banca del Piemonte","award":["Not applicable"],"award-info":[{"award-number":["Not applicable"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>The COVID-19 pandemic has caused a worldwide significant drop of admissions to the emergency department (ED). The aim of the study was to retrospectively investigate the pandemic impact on ED admissions, management, and severity of three abdominal emergencies (appendicitis, diverticulitis, and cholecystitis) during the COVID-19 pandemic using 2017\u20132019 data as a control. The difference in clinical and pathological disease severity was the primary outcome measure while differences in (i) ED admissions, (ii) triage urgency codes, and (iii) surgical rates were the second ones. Overall, ED admissions for the selected conditions decreased by 34.9% during the pandemic (control: 996, 2020: 648) and lower triage urgency codes were assigned for cholecystitis (control: 170\/556, 2020: 66\/356, p &lt; 0.001) and appendicitis (control: 40\/178, 2020: 21\/157, p = 0.031). Less surgical procedures were performed in 2020 (control: 447, 2020: 309), but the surgical rate was stable (47.7% in 2020 vs. 44.8% in 2017\u20132019). Considering the clinical and pathological assessments, a higher percentage of severe cases was observed in the four pandemic peak months of 2020 (control: 98\/192, 2020: 87\/109; p &lt; 0.001 and control: 105\/192, 2020: 87\/109; p &lt; 0.001). For the first time in this study, pathological findings objectively demonstrated an increased disease severity of the analyzed conditions during the early COVID-19 pandemic.<\/jats:p>","DOI":"10.3390\/jcm10225254","type":"journal-article","created":{"date-parts":[[2021,11,11]],"date-time":"2021-11-11T23:04:46Z","timestamp":1636671886000},"page":"5254","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["The Adverse Impact of the COVID-19 Pandemic on Abdominal Emergencies: A Retrospective Clinico-Pathological Analysis"],"prefix":"10.3390","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3948-0641","authenticated-orcid":false,"given":"Elena","family":"Vissio","sequence":"first","affiliation":[{"name":"Pathology Unit, Department of Medical Sciences, \u201cCitt\u00e0 della Salute e della Scienza di Torino\u201d University Hospital, University of Turin, 10126 Turin, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enrico Costantino","family":"Falco","sequence":"additional","affiliation":[{"name":"Pathology Unit, Department of Medical Sciences, \u201cCitt\u00e0 della Salute e della Scienza di Torino\u201d University Hospital, University of Turin, 10126 Turin, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5108-3876","authenticated-orcid":false,"given":"Gitana","family":"Scozzari","sequence":"additional","affiliation":[{"name":"Hospital Medical Direction, Molinette Hospital, \u201cCitt\u00e0 della Salute e della Scienza di Torino\u201d University Hospital, 10126 Turin, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Scarmozzino","sequence":"additional","affiliation":[{"name":"Hospital Medical Direction, Molinette Hospital, \u201cCitt\u00e0 della Salute e della Scienza di Torino\u201d University Hospital, 10126 Turin, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3359-432X","authenticated-orcid":false,"given":"Do An Andrea","family":"Trinh","sequence":"additional","affiliation":[{"name":"Pathology Unit, Department of Medical Sciences, \u201cCitt\u00e0 della Salute e della Scienza di Torino\u201d University Hospital, University of Turin, 10126 Turin, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mario","family":"Morino","sequence":"additional","affiliation":[{"name":"General Surgery 1U, Department of Surgical Sciences, \u201cCitt\u00e0 della Salute e della Scienza di Torino\u201d University Hospital, University of Turin, 10126 Turin, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mauro","family":"Papotti","sequence":"additional","affiliation":[{"name":"Pathology Unit, Department of Oncology, \u201cCitt\u00e0 della Salute e della Scienza di Torino\u201d University Hospital, University of Turin, 10126 Turin, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9887-7668","authenticated-orcid":false,"given":"Luca","family":"Bertero","sequence":"additional","affiliation":[{"name":"Pathology Unit, Department of Medical Sciences, \u201cCitt\u00e0 della Salute e della Scienza di Torino\u201d University Hospital, University of Turin, 10126 Turin, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1977-7410","authenticated-orcid":false,"given":"Paola","family":"Cassoni","sequence":"additional","affiliation":[{"name":"Pathology Unit, Department of Medical Sciences, \u201cCitt\u00e0 della Salute e della Scienza di Torino\u201d University Hospital, University of Turin, 10126 Turin, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2021,11,11]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"518","DOI":"10.1002\/jmv.25699","article-title":"The first two cases of 2019-nCoV in Italy: Where they come from?","volume":"92","author":"Giovanetti","year":"2020","journal-title":"J. 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