Investigating changes in incidence and severity of pediatric appendicitis during the COVID-19 pandemic in Canada: an interrupted time series analysis

doi:10.1007/s12519-022-00656-9

. 2023 Mar;19(3):288-292.

doi: 10.1007/s12519-022-00656-9. Epub 2022 Dec 27.

Investigating changes in incidence and severity of pediatric appendicitis during the COVID-19 pandemic in Canada: an interrupted time series analysis

Francesca Del Giorgio¹, Merieme Habti², Joanna Merckx¹, Jay S Kaufman¹, Jocelyn Gravel³, Nelson Piché⁴, Esli Osmanlliu⁵, Olivier Drouin^{6

7}

Affiliations

¹ Department of Epidemiology and Biostatistics, McGill University, Montreal, Canada.
² Department of Medicine, Université de Montréal, Montreal, Canada.
³ Department of Pediatric Emergency Medicine, Centre Hospitalier Universitaire Sainte-Justine, Montreal, Canada.
⁴ Department of Pediatric Surgery, Centre Hospitalier Universitaire Sainte-Justine, Montreal, Canada.
⁵ Division of Pediatric Emergency Surgery, Montreal Children's Hospital, Montreal, Canada.
⁶ Department of Social and Preventative Medicine, Université de Montréal, Montreal, Canada. o.drouin@UMontreal.ca.
⁷ Department of Pediatrics, Centre Hospitalier Universitaire Sainte-Justine, Montreal, Canada. o.drouin@UMontreal.ca.

PMID: 36574211
PMCID: PMC9792923
DOI: 10.1007/s12519-022-00656-9

Investigating changes in incidence and severity of pediatric appendicitis during the COVID-19 pandemic in Canada: an interrupted time series analysis

Francesca Del Giorgio et al. World J Pediatr. 2023 Mar.

. 2023 Mar;19(3):288-292.

doi: 10.1007/s12519-022-00656-9. Epub 2022 Dec 27.

Authors

Francesca Del Giorgio¹, Merieme Habti², Joanna Merckx¹, Jay S Kaufman¹, Jocelyn Gravel³, Nelson Piché⁴, Esli Osmanlliu⁵, Olivier Drouin^{6

7}

Affiliations

¹ Department of Epidemiology and Biostatistics, McGill University, Montreal, Canada.
² Department of Medicine, Université de Montréal, Montreal, Canada.
³ Department of Pediatric Emergency Medicine, Centre Hospitalier Universitaire Sainte-Justine, Montreal, Canada.
⁴ Department of Pediatric Surgery, Centre Hospitalier Universitaire Sainte-Justine, Montreal, Canada.
⁵ Division of Pediatric Emergency Surgery, Montreal Children's Hospital, Montreal, Canada.
⁶ Department of Social and Preventative Medicine, Université de Montréal, Montreal, Canada. o.drouin@UMontreal.ca.
⁷ Department of Pediatrics, Centre Hospitalier Universitaire Sainte-Justine, Montreal, Canada. o.drouin@UMontreal.ca.

PMID: 36574211
PMCID: PMC9792923
DOI: 10.1007/s12519-022-00656-9

No abstract available

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Conflict of interest statement

The authors have no conflict of interest to declare.

Figures

**Fig. 1**
Fitted versus predicted bimonthly incidence of emergency department visits for pediatric appendicitis during the COVID-19 pandemic, estimated via segmented Poisson regression. The gray zone indicates the 95% confidence interval of fitted values, the blue zone indicates the 95% confidence interval of predicted values, and dots represent the observed bimonthly counts. *COVID-19* coronavirus disease 2019

See this image and copyright information in PMC

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Reasons for Delayed Diagnosis of Pediatric Acute Appendicitis during the COVID-19 Era: A Narrative Review.
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Incidence and severity of pediatric appendicitis during the COVID‑19 pandemic.
Quaglietta PR, Baertschiger RM. Quaglietta PR, et al. World J Pediatr. 2023 Jul;19(7):710-712. doi: 10.1007/s12519-023-00712-y. Epub 2023 Apr 11. World J Pediatr. 2023. PMID: 37039925 Free PMC article. No abstract available.
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Miscia ME, Lauriti G, Di Renzo D, Cascini V, Lisi G. Miscia ME, et al. Pediatr Surg Int. 2023 Nov 28;40(1):11. doi: 10.1007/s00383-023-05594-9. Pediatr Surg Int. 2023. PMID: 38017246 Free PMC article.
Response to "Incidence and severity of pediatric appendicitis during the COVID‑19 pandemic".
Del Giorgio F, Gravel J, Piché N, Drouin O. Del Giorgio F, et al. World J Pediatr. 2023 Jul;19(7):713. doi: 10.1007/s12519-023-00713-x. Epub 2023 Apr 11. World J Pediatr. 2023. PMID: 37039926 Free PMC article. No abstract available.

References

1. Kruizinga MD, Peeters D, van Veen M, van Houten M, Wieringa J, Noordzij JG, et al. The impact of lockdown on pediatric ED visits and hospital admissions during the COVID-19 pandemic: a multicenter analysis and review of the literature. Eur J Pediatr. 2021;180:2271–9. - PMC - PubMed
1. Finkelstein Y, Maguire B, Zemek R, Osmanlliu E, Kam AJ, Dixon A, et al. Effect of the COVID-19 pandemic on patient volumes, acuity, and outcomes in pediatric emergency departments: a nationwide study. Pediatr Emerg Care. 2021;37:427–434. doi: 10.1097/PEC.0000000000002484. - DOI - PMC - PubMed
1. Polcwiartek LB, Polcwiartek C, Andersen MP, Østergaard L, Broccia MD, Gislason GH, et al. Consequences of coronavirus disease-2019 (COVID-19) lockdown on infection-related hospitalizations among the pediatric population in Denmark. Eur J Pediatr. 2021;180:1955–1963. doi: 10.1007/s00431-021-03934-2. - DOI - PMC - PubMed
1. Angoulvant F, Ouldali N, Yang DD, Filser M, Gajdos V, Rybak A, et al. Coronavirus disease 2019 pandemic: impact caused by school closure and national lockdown on pediatric visits and admissions for viral and nonviral infections—a time series analysis. Clin Infect Dis. 2021;72:319–322. doi: 10.1093/cid/ciaa710. - DOI - PMC - PubMed
1. Saverio SD, Podda M, Simone BD, Ceresoli M, Augustin G, Gori A, et al. Diagnosis and treatment of acute appendicitis: 2020 update of the WSES Jerusalem guidelines. World J Emerg Surg. 2020;15:27. doi: 10.1186/s13017-020-00306-3. - DOI - PMC - PubMed

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[1] Kruizinga MD, Peeters D, van Veen M, van Houten M, Wieringa J, Noordzij JG, et al. The impact of lockdown on pediatric ED visits and hospital admissions during the COVID-19 pandemic: a multicenter analysis and review of the literature. Eur J Pediatr. 2021;180:2271–9. - PMC - PubMed

[2] Kruizinga MD, Peeters D, van Veen M, van Houten M, Wieringa J, Noordzij JG, et al. The impact of lockdown on pediatric ED visits and hospital admissions during the COVID-19 pandemic: a multicenter analysis and review of the literature. Eur J Pediatr. 2021;180:2271–9. - PMC - PubMed

[3] Finkelstein Y, Maguire B, Zemek R, Osmanlliu E, Kam AJ, Dixon A, et al. Effect of the COVID-19 pandemic on patient volumes, acuity, and outcomes in pediatric emergency departments: a nationwide study. Pediatr Emerg Care. 2021;37:427–434. doi: 10.1097/PEC.0000000000002484. - DOI - PMC - PubMed

[4] Finkelstein Y, Maguire B, Zemek R, Osmanlliu E, Kam AJ, Dixon A, et al. Effect of the COVID-19 pandemic on patient volumes, acuity, and outcomes in pediatric emergency departments: a nationwide study. Pediatr Emerg Care. 2021;37:427–434. doi: 10.1097/PEC.0000000000002484. - DOI - PMC - PubMed

[5] Polcwiartek LB, Polcwiartek C, Andersen MP, Østergaard L, Broccia MD, Gislason GH, et al. Consequences of coronavirus disease-2019 (COVID-19) lockdown on infection-related hospitalizations among the pediatric population in Denmark. Eur J Pediatr. 2021;180:1955–1963. doi: 10.1007/s00431-021-03934-2. - DOI - PMC - PubMed

[6] Polcwiartek LB, Polcwiartek C, Andersen MP, Østergaard L, Broccia MD, Gislason GH, et al. Consequences of coronavirus disease-2019 (COVID-19) lockdown on infection-related hospitalizations among the pediatric population in Denmark. Eur J Pediatr. 2021;180:1955–1963. doi: 10.1007/s00431-021-03934-2. - DOI - PMC - PubMed

[7] Angoulvant F, Ouldali N, Yang DD, Filser M, Gajdos V, Rybak A, et al. Coronavirus disease 2019 pandemic: impact caused by school closure and national lockdown on pediatric visits and admissions for viral and nonviral infections—a time series analysis. Clin Infect Dis. 2021;72:319–322. doi: 10.1093/cid/ciaa710. - DOI - PMC - PubMed

[8] Angoulvant F, Ouldali N, Yang DD, Filser M, Gajdos V, Rybak A, et al. Coronavirus disease 2019 pandemic: impact caused by school closure and national lockdown on pediatric visits and admissions for viral and nonviral infections—a time series analysis. Clin Infect Dis. 2021;72:319–322. doi: 10.1093/cid/ciaa710. - DOI - PMC - PubMed

[9] Saverio SD, Podda M, Simone BD, Ceresoli M, Augustin G, Gori A, et al. Diagnosis and treatment of acute appendicitis: 2020 update of the WSES Jerusalem guidelines. World J Emerg Surg. 2020;15:27. doi: 10.1186/s13017-020-00306-3. - DOI - PMC - PubMed

[10] Saverio SD, Podda M, Simone BD, Ceresoli M, Augustin G, Gori A, et al. Diagnosis and treatment of acute appendicitis: 2020 update of the WSES Jerusalem guidelines. World J Emerg Surg. 2020;15:27. doi: 10.1186/s13017-020-00306-3. - DOI - PMC - PubMed

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Investigating changes in incidence and severity of pediatric appendicitis during the COVID-19 pandemic in Canada: an interrupted time series analysis

Affiliations

Investigating changes in incidence and severity of pediatric appendicitis during the COVID-19 pandemic in Canada: an interrupted time series analysis

Authors

Affiliations

Conflict of interest statement

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