Colecistite aguda durante a pandemia de Covid-19: existe alguma diferença?

Abstract

ABSTRACT: Objectives: To compare the clinical profile of patients undergoing cholecystectomy for acute cholecystitis before and during the COVID-19 pandemic, in addition to the management and its relationship with the patient's prognosis. Methods: a retrospective cohort study carried out in a tertiary hospital. Patients were divided into pre-pandemic (April to July 2019) and pandemic (April to July 2020) groups. health systems, and clinicians of these patients, mainly directed to the prognosis of this condition. Results: There was a predominance of individuals during the pre-pandemic period (63.6%), with the most prevalent being female (50.6%) and white (89.6%). The biggest difference in structural aspects was evidenced in the time between the first symptoms and admission, with the pre-pandemic and pandemic groups presenting a median of 2 and 5 days, respectively. In both groups, there was a predominance of patients classified in Grade II of the Tokyo classification. Still, it was found that in the pandemic there was a higher incidence of biliary injury. Conclusion: The epidemiological characterization of patients was similar to that found in the literature. The pandemic has increased the time interval between the onset of symptoms and hospital admission, which can interfere with the patient's prognosis, as well as health services. Finally, there was an increase in the number of complications during the pandemic.