TY - JOUR
T1 - Reduction in Time from Admission to Operation of Women with Suspected Adnexal Torsion During the COVID-19 Pandemic
AU - Meller, Nir
AU - Levin, Gabriel
AU - Cohen, Adiel
AU - Mohr-Sasson, Aya
AU - Lahav, Hadar
AU - Cohen, Shlomo B.
AU - Mashiach, Roy
AU - Meyer, Raanan
N1 - Publisher Copyright:
© 2024 Israel Medical Association. All rights reserved.
PY - 2024/7
Y1 - 2024/7
N2 - Background: Data regarding the management of adnexal torsion (AT) during the coronavirus disease 2019 (COVID-19) pandemic are scarce. Objectives: To study the effects of actions to limit the spread of COVID-19 on AT management. Methods: We conducted a retrospective cohort study of all women who underwent laparoscopy for suspected AT between March 2011 and February 2021. We compared the COVID-19 pandemic period, (15 March 2020-2 August 2021, group A) to a parallel period (2019-2020, group B), and a 9-year period preceding the pandemic (March 2011-Febru-ary 2020, group C). Results: We performed 97 laparoscopics in group A, 82 in group B, and 635 in group C. The proportion of women presenting following in vitro fertilization treatment was lower (odds ratio [OR] 0.22, 95% confidence interval [95%CI] (0.06-0.86), P < 0.023). Time from admission to decision to operate was shorter (2.7 vs. 3.9 hours, P = 0.028) in group A than group B. Time from admission to surgery was shorter (9.1 vs. 12.5 hours, P= 0.005) and the rate of surgically confirmed AT was lower (59 [60.8%] vs. 455 [71.7%], P = 0.030, OR 0.61,95%CI 0.39-0.95) in group A than group C. Among surgically confirmed AT cases only, mean time from admission to decision was shorter in group A than group B (2.6 vs. 4.6 hours, P= 0.014). Conclusions: We identified differences in time from admission to clinical decision and from admission to surgery among women with suspected AT during the COVID-19 pandemic.
AB - Background: Data regarding the management of adnexal torsion (AT) during the coronavirus disease 2019 (COVID-19) pandemic are scarce. Objectives: To study the effects of actions to limit the spread of COVID-19 on AT management. Methods: We conducted a retrospective cohort study of all women who underwent laparoscopy for suspected AT between March 2011 and February 2021. We compared the COVID-19 pandemic period, (15 March 2020-2 August 2021, group A) to a parallel period (2019-2020, group B), and a 9-year period preceding the pandemic (March 2011-Febru-ary 2020, group C). Results: We performed 97 laparoscopics in group A, 82 in group B, and 635 in group C. The proportion of women presenting following in vitro fertilization treatment was lower (odds ratio [OR] 0.22, 95% confidence interval [95%CI] (0.06-0.86), P < 0.023). Time from admission to decision to operate was shorter (2.7 vs. 3.9 hours, P = 0.028) in group A than group B. Time from admission to surgery was shorter (9.1 vs. 12.5 hours, P= 0.005) and the rate of surgically confirmed AT was lower (59 [60.8%] vs. 455 [71.7%], P = 0.030, OR 0.61,95%CI 0.39-0.95) in group A than group C. Among surgically confirmed AT cases only, mean time from admission to decision was shorter in group A than group B (2.6 vs. 4.6 hours, P= 0.014). Conclusions: We identified differences in time from admission to clinical decision and from admission to surgery among women with suspected AT during the COVID-19 pandemic.
KW - abdominal pain
KW - coronavirus disease 2019 (COVID-19)
KW - laparoscopy
KW - medical management
KW - ovarian torsion
UR - http://www.scopus.com/inward/record.url?scp=85200193556&partnerID=8YFLogxK
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C2 - 39082448
AN - SCOPUS:85200193556
SN - 1565-1088
VL - 26
SP - 405
EP - 409
JO - Israel Medical Association Journal
JF - Israel Medical Association Journal
IS - 7
ER -