Pregled bibliografske jedinice broj: 1252887
Is there an increased incidence of orchiectomy in pediatric patients with acute testicular torsion during COVID-19 pandemic?–A retrospective multicenter study
Is there an increased incidence of orchiectomy in pediatric patients with acute testicular torsion during COVID-19 pandemic?–A retrospective multicenter study // Journal of Pediatric Urology, 17 (2021), 4; 479e1-479e6 doi:10.1016/j.jpurol.2021.04.017 (međunarodna recenzija, članak, znanstveni)
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Naslov
Is there an increased incidence of orchiectomy in
pediatric patients with acute testicular torsion
during COVID-19 pandemic?–A retrospective
multicenter study
Autori
Pogorelić, Zenon ; Milanović, Karla ; Veršić, Ana Bosak ; Pasini, Miram ; Divković, Dalibor ; Pavlović, Oliver ; Lučev, Josip ; Žufić, Vanja
Izvornik
Journal of Pediatric Urology (1477-5131) 17
(2021), 4;
479e1-479e6
Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni
Ključne riječi
Testicular torsion ; Acute scrotum ; COVID-19 ; Pandemic ; Urologic emergencies ; Children
Sažetak
Introduction: Testicular torsion is a real emergency condition which requires prompt diagnosis and surgical management to prevent testicular loss. During the coronavirus (COVID-19) pandemic, an increased avoidance of the emergency departments for non-COVID-19 illnesses has been reported in the medical literature. Objective: The aim of this study was to investigate whether the COVID-19 pandemic caused increased number of orchiectomies in pediatric patients presenting with acute testicular torsion compared to pre-COVID-19 period. Study design: A total number of 119 pediatric patients who underwent surgery for acute testicular torsion from January 2019 to December 2020 were enrolled in retrospective multi-center study from six institutions in Croatia. The patients were divided in two groups. The first group (pre-COVID-19) consisted of the patients who underwent surgery before COVID-19 pandemic (n = 68), while the second group (COVID-19) consisted of the patients who underwent surgery during the COVID-19 pandemic (n = 51). Main outcomes of the study were orchiectomy rates and time from onset of the symptoms to emergency department presentation. Results: During the COVID-19 pandemic period 43.1% (22/51) of the patients underwent orchiectomy while orchiectomy was performed in 16.2% (11/68) of the patients from the pre-COVID group (p = 0.001). Median time from onset of the symptoms to emergency department presentation during COVID-19 pandemic and pre-COVID-19 periods was 14h (IQR 5, 48) and 6h (IQR 3, 22) (p = 0.007), respectively. A higher proportion of patients waited over 24 h to present to emergency department during the COVID-19 pandemic compared to the pre-COVID-19 period (47% vs 8.8%, p = 0.007). Conclusion: During COVID-19 pandemic a significantly higher rates of orchiectomies and increase in delayed presentations for testicular torsion was found. More patient education during pandemic in regards to management of emergency conditions such as testicular torsion is required.
Izvorni jezik
Engleski
Znanstvena područja
Kliničke medicinske znanosti
POVEZANOST RADA
Ustanove:
Klinički bolnički centar Osijek,
KBC Split,
Opća bolnica Šibenik,
Klinički bolnički centar Zagreb,
Medicinski fakultet, Split,
Klinički bolnički centar Rijeka,
Opća bolnica Zadar
Profili:
Oliver Pavlović
(autor)
Dalibor Divković
(autor)
Zenon Pogorelić
(autor)
Josip Lučev
(autor)
Citiraj ovu publikaciju:
Časopis indeksira:
- Current Contents Connect (CCC)
- Web of Science Core Collection (WoSCC)
- Science Citation Index Expanded (SCI-EXP)
- SCI-EXP, SSCI i/ili A&HCI
- Scopus
- MEDLINE