Manejo de Apendicite Aguda Durante a Pandemia de COVID-19 em um Hospital de Referência no Brasil
DOI:
10.46551/ruc.v22n2a06Palavras-chave:
Apendicite, Abdome agudo, SARS-CoV-2, CoronavírusResumo
Objetivo: Comparar dados epidemiológicos e clínicos, acesso a exames diagnósticos e tempo do início dos sintomas até o tratamento cirúrgico de pacientes com apendicite aguda (AA) durante a pandemia de COVID-19 ao período correspondente do ano anterior (não pandêmico). Métodos: Trata-se de um estudo transversal, analítico e retrospectivo, realizado a partir de registros médicos de pacientes com AA em um hospital de referência em Montes Claros – Minas Gerais, Brasil. Resultados: Na vigência da pandemia, houve acréscimo de 10,7% nos casos de AA; o acesso à propedêutica não apresentou diferença estatisticamente significativa (exames laboratoriais: p = 0,059; ultrassonografia de abdome: p = 0,576 e tomografia computadorizada de abdome: p = 0,593) e o tratamento cirúrgico foi realizado em todos os pacientes com diagnóstico de AA, não sendo indicado tratamento conservador. Prevaleceram achados de AA em fases iniciais nos exames anatomopatológicos das peças cirúrgicas, sem diferença estatística nos períodos avaliados (p = 0,905). Conclusões: Apesar da sobrecarga dos serviços de saúde durante o período pandêmico, não houve diferença estatisticamente significativa dos dados epidemiológicos e clínicos, do acesso aos exames laboratoriais e de imagem, assim como da indicação e realização de procedimento cirúrgico da AA, contribuindo para o manejo dessa patologia de modo correlato ao período não pandêmico.
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