COVID-19-specific risk factor for early post-appendectomy complications (EPAC) in older patients: a retrospective study - Summary - MDSpire

COVID-19-specific risk factor for early post-appendectomy complications (EPAC) in older patients: a retrospective study

  • By

  • Tamer A. A. M. Habeeb

  • A. Hussain

  • Jose Bueno-Lledó

  • M. E. Giménez

  • A. Aiolfi

  • M. Chiaretti

  • I. A. Kryvoruchko

  • M. N. Manangi

  • Abd Al-Kareem Elias

  • Abdelmonem A.M Adam

  • Mohamed A. Gadallah

  • Saad Mohamed Ali Ahmed

  • Ahmed Khyrallh

  • Mohammed H. Alsayed

  • Esmail Tharwat Kamel Awad

  • Emad A. Ibrahim

  • Mohammed Hassan Elshafey

  • Mohamed fathy Labib

  • Mahmoud Hassib Morsi Badawy

  • Sobhy rezk ahmed Teama

  • Abdelhafez Seleem

  • Mohamed Ibrahim Abo Alsaad

  • Abouelatta KH Ali

  • Hamdi Elbelkasi

  • Mahmoud Ali abou zaid

  • Basma Ahmed Mohamed

  • Alaa Alwadees

  • Ahmed k. El-Taher

  • Mohamed Ibrahim Mansour

  • Mahmoud Abdou Yassin

  • Ahmed Salah Arafa

  • Mohamed Lotfy

  • Baher Atef

  • Mohamed Elnemr

  • Mostafa M Khairy

  • Abdelfatah H. Abdelwanis

  • ahmed mesbah Abdelaziz

  • Abdelshafy Mostafa

  • AbdElwahab M. Hamed

  • Tamer Wasefy

  • Ibrahim A. Heggy

  • Abdelrahman Mohamed Hasanin Nawar

  • November 5, 2025

  • 0 min

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Objective:

To evaluate the incidence and risk factors associated with early post-appendectomy complications (EPAC) in older patients during and after the COVID-19 pandemic, specifically from April 2020 to December 2024.

Key Findings:
  • Older patients often present with atypical symptoms leading to diagnostic delays.
  • The incidence of severe acute appendicitis is higher in older patients, with perforation rates approaching 70%.
  • COVID-19 infection during surgery may be a risk factor for EPAC, with a need for quantification of this risk.
Interpretation:

The study highlights the increased risk of complications in older patients undergoing appendectomy during the COVID-19 pandemic, emphasizing the need for tailored surgical approaches, careful patient management, and consideration of implications for clinical practice.

Limitations:
  • Retrospective design may introduce selection bias.
  • Limited generalizability due to the study being conducted in specific tertiary centers, and potential confounding factors should be acknowledged.
Conclusion:

The findings underscore the importance of recognizing COVID-19 as a potential risk factor for early complications in older patients undergoing appendectomy, necessitating further research and refined surgical protocols, particularly in diverse healthcare settings.

Original Source(s)

COVID-19-specific risk factor for early post-appendectomy complications (EPAC) in older patients: a retrospective study

  • by Tamer A. A. M. Habeeb, A. Hussain, Jose Bueno-Lledó, M. E. Giménez, A. Aiolfi, M. Chiaretti, I. A. Kryvoruchko, M. N. Manangi, Abd Al-Kareem Elias, Abdelmonem A.M Adam, Mohamed A. Gadallah, Saad Mohamed Ali Ahmed, Ahmed Khyrallh, Mohammed H. Alsayed, Esmail Tharwat Kamel Awad, Emad A. Ibrahim, Mohammed Hassan Elshafey, Mohamed fathy Labib, Mahmoud Hassib Morsi Badawy, Sobhy rezk ahmed Teama, Abdelhafez Seleem, Mohamed Ibrahim Abo Alsaad, Abouelatta KH Ali, Hamdi Elbelkasi, Mahmoud Ali abou zaid, Basma Ahmed Mohamed, Alaa Alwadees, Ahmed k. El-Taher, Mohamed Ibrahim Mansour, Mahmoud Abdou Yassin, Ahmed Salah Arafa, Mohamed Lotfy, Baher Atef, Mohamed Elnemr, Mostafa M Khairy, Abdelfatah H. Abdelwanis, ahmed mesbah Abdelaziz, Abdelshafy Mostafa, AbdElwahab M. Hamed, Tamer Wasefy, Ibrahim A. Heggy, Abdelrahman Mohamed Hasanin Nawar

  • November 5, 2025

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