Coronavirus Disease Pandemic Effect on Medical-Seeking Behaviors Even in One Resource-Competent Community: A Case Controlled Study
Abstract
1. Introduction
2. Materials and Methods
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Non-Complicated Appendicitis (N = 102) | Complicated Appendicitis (N = 43) | p Value | |
---|---|---|---|
Age, year, median (IQR) | 55.5 (36.8, 65.1) | 53.3 (36.4, 65.5) | 0.710 |
Gender | 0.360 | ||
Female | 46 (45.1%) | 23 (53.5%) | |
Male | 56 (54.9%) | 20 (46.5%) | |
Body mass index, median (IQR) | 23.0 (21.3, 25.2) | 23.5 (21.0, 25.1) | 0.970 |
Charlson comorbidity index score | 0.140 | ||
≤2 | 97 (95.1%) | 38 (88.4%) | |
>2 | 5 (4.9%) | 5 (11.6%) | |
Residence in Taipei/New Taipei City | 93 (91.2%) | 38 (88.4%) | 0.690 |
Duration of symptoms until presentation to ER, n (%) | 0.001 | ||
≤48 h | 93 (91.2%) | 33 (79.1%) | |
>48 h | 9 (8.8%) | 9 (20.9%) | |
Time from ER visit to surgery (hours), median (IQR) | 11.0 (10.0, 14.0) | 13.0 (11.0, 15.0) | 0.190 |
Body temperature > 38 degrees Celsius | 27 (26.5%) | 20 (46.5%) | 0.019 |
White blood count, 109/L, median (IQR) | 11.0 (9.0, 14.8) | 10.2 (7.9, 11.7) | 0.170 |
Appendectomy performed | 100 (98.0%) | 36 (83.7%) | 0.001 |
Length of hospital stays (day), median (IQR) | 4.0 (3.0, 7.0) | 5.0 (3.0, 11.0) | 0.080 |
Control Period (N = 320) | COVID-19 Period (N = 145) | p Value | |
---|---|---|---|
Age, year, median (IQR) | 47.9 (33.4, 63.4) | 55.2 (36.8, 65.4) | 0.088 |
Gender | 0.220 | ||
Female | 172 (53.8%) | 69 (47.6%) | |
Male | 148 (46.3%) | 76 (52.4%) | |
Body mass index, median (IQR) | 23.0 (21.0, 24.7) | 23.1 (21.3, 25.1) | 0.210 |
Charlson comorbidity index score | 0.690 | ||
≤2 | 301 (94.1%) | 135 (93.1%) | |
>2 | 19 (5.9%) | 10 (6.9%) | |
Residence in Taipei/New Taipei City | 290 (90.6%) | 131 (90.3%) | 0.920 |
Duration of symptoms until presentation to ER, n (%) | 0.011 | ||
≤48 h | 291 (90.9%) | 120 (82.8%) | |
>48 h | 29 (9.1%) | 25 (17.2%) | |
Time from ER visit to surgery (hours), median (IQR) | 10.0 (9.0, 13.0) | 11.0 (10.0, 14.0) | 0.340 |
Body temperature > 38 degrees Celsius | 129 (40.3%) | 47 (32.4%) | 0.100 |
White blood count, 109/L, median (IQR) | 9.4 (7.6, 11.6) | 10.8 (8.9, 13.2) | 0.010 |
Complicated appendicitis | 62 (19.4%) | 43 (29.7%) | 0.014 |
Length of hospital stays (day), median (IQR) | 4.0 (3.0, 6.0) | 5.0 (3.0, 8.0) | 0.043 |
Variables | Odds Ratio | 95% CI | p Value |
---|---|---|---|
Age (every one-year increment) | 1.01 | 0.99–1.02 | 0.245 |
Male gender (ref: female) | 0.93 | 0.58–1.50 | 0.793 |
Body mass index | 0.93 | 0.86–1.01 | 0.132 |
Charlson comorbidity index score > 2 (ref: ≤2) | 1.38 | 0.58–3.28 | 0.459 |
Residence in Taipei/New Taipei City | 0.76 | 0.40–1.42 | 0.395 |
Duration of symptoms until presentation >48 h (ref: ≤48 h) | 1.70 | 1.06–2.36 | 0.044 |
Body temperature > 38 degrees Celsius | 0.74 | 0.35–1.57 | 0.446 |
White blood counts | 1.01 | 0.76–2.97 | 0.985 |
COVID-19 period (ref: control period: 2017–2019) | 1.87 | 1.23–2.52 | 0.008 |
Variables | Coefficients | 95% Confident Interval | p Value | |
---|---|---|---|---|
Lower Limit | Upper Limit | |||
Age (every one-year increment) | 0.16 | −0.02 | 0.13 | 0.524 |
Male gender (ref: female) | 0.64 | −1.93 | 3.21 | 0.627 |
Body mass index | −0.15 | −0.60 | 0.31 | 0.530 |
Charlson comorbidity index score>2 (ref: ≤2) | 2.51 | 1.25 | 3.16 | <0.001 |
Residence in Taipei/New Taipei City | −3.05 | −7.4 | 1.29 | 0.168 |
Complicated appendicitis | 2.10 | 0.92 | 3.31 | <0.001 |
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Wang, F.; Wu, J.-M.; Lin, Y.-C.; Ho, T.-W.; Lin, H.-L.; Yu, H.-Y.; Lai, I.-R. Coronavirus Disease Pandemic Effect on Medical-Seeking Behaviors Even in One Resource-Competent Community: A Case Controlled Study. Int. J. Environ. Res. Public Health 2022, 19, 10822. https://doi.org/10.3390/ijerph191710822
Wang F, Wu J-M, Lin Y-C, Ho T-W, Lin H-L, Yu H-Y, Lai I-R. Coronavirus Disease Pandemic Effect on Medical-Seeking Behaviors Even in One Resource-Competent Community: A Case Controlled Study. International Journal of Environmental Research and Public Health. 2022; 19(17):10822. https://doi.org/10.3390/ijerph191710822
Chicago/Turabian StyleWang, Fang, Jin-Ming Wu, Yi-Chieh Lin, Te-Wei Ho, Hui-Lin Lin, Hsi-Yu Yu, and I-Rue Lai. 2022. "Coronavirus Disease Pandemic Effect on Medical-Seeking Behaviors Even in One Resource-Competent Community: A Case Controlled Study" International Journal of Environmental Research and Public Health 19, no. 17: 10822. https://doi.org/10.3390/ijerph191710822
APA StyleWang, F., Wu, J.-M., Lin, Y.-C., Ho, T.-W., Lin, H.-L., Yu, H.-Y., & Lai, I.-R. (2022). Coronavirus Disease Pandemic Effect on Medical-Seeking Behaviors Even in One Resource-Competent Community: A Case Controlled Study. International Journal of Environmental Research and Public Health, 19(17), 10822. https://doi.org/10.3390/ijerph191710822