European Journal of Cardiovascular Medicine

Introduction: It is unknown whether the COVID-19 pandemic has had an impact on emergency surgical care worldwide. This study aimed to compare frequency, treatment strategies, severity, and complication rate of appendicitis during the COVID-19 pandemic with those of previous two years. Methods: In this single-center study, we identified all patients admitted with appendicitis, at the MYH Hospital, and compared these with patients hospitalized with appendicitis during the same calendar period the two previous years. Results: In all, 200 patients hospitalized with appendicitis were identified, 100 in Covid period group and the remaining 100 during the same calendar periods pre- Covid era group. Mean age was slightly increase during pandemic era, while the male female ratio 1.7 in precovid era while in covid era its 0.81. Fatality due to appendicitis during the COVID-19 period was seen four time than the pre covid period. Conclusions: COVID-19 gastrointestinal symptoms in children and adolescents resemble acute appendicitis and MIS. Abdominal pain, emesis, anorexia, and diarrhoea make acute appendicitis difficult to diagnose without preoperative imaging. The COVID-19 pandemic increased CT scan use to confirm diagnoses and reduce unnecessary surgery. After extensive research, analysis, and evaluation, COVID-19 did not affect complicated appendicitis. The above factor significantly delayed operative interventions. An extensive literature review shows that patient concerns about Covid-19 transmission reduced emergency department visits.