The Investigators aim to assess; 1. whether the changes in managing patients during COVID has reduced the negative appendicectomy rate? 2. compare the difference in outcomes of conservatively and surgically managed Acute Appendicitis? 3. Whether there uniformity in prescribing postoperative antibiotics with resultant outcomes? 4. Whether the incidence of complicated appendicitis has increased?
As acute appendicitis is the most commonly managed emergency presentation for surgeons, the investigators aim to assess whether the changes in managing patients during COVID has reduced the negative appendicectomy rate, to compare the difference in outcomes of conservatively and surgically managed Acute Appendicitis? to assess whether there uniformity in prescribing postoperative antibiotics with resultant outcomes? to assess whether the incidence of complicated appendicitis has increased? This will be a single centre retrospective observational study. All the patients presenting in A\&E department with a diagnosis of acute appendicitis to be included. the only exclusion criteria are the age of participants for less than 5 years. The data will be analysed and calculated using SPSS version 23.
Study Type
OBSERVATIONAL
Enrollment
200
Laparoscopic or Open Appendicectomy
The Princess Alexandra Hospital NHS Trust
Harlow, Essex, United Kingdom
RECRUITINGNegative Appendicectomy Rate
Negative appendicectomy rate will be calculated to define the benefits of increasing the preoperative scanning in the form of ultrasound, CT scan or both.
Time frame: 8 months
Outcomes of Conservative vs Operative Management
The outcomes of both conservatively and operatively managed patients will be assessed to define the best management approach.
Time frame: 8 months
Increased Open Appendicectomy Rate
The rate of laparoscopic to open and open appendicectomy rate will be calculated to understand if the surgical practice has been changed during COVID-19 pandemic?
Time frame: 8 months
Surgical site infection in patients on antibiotics
The rate of incidence of superficial and deep wound infection will be calculated to define the applicability of use of Antibiotics
Time frame: 8 months
Length of Stay
The number of days of postoperative admission in hospital will be assessed while comparing the type of surgery and co-morbidities.
Time frame: 8 months
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