id author title date pages extension mime words sentences flesch summary cache txt cord-311030-k42iqh40 Kvasnovsky, Charlotte L Limiting operations for acute appendicitis in children: lessons learned from the U.S. epicenter of the COVID-19 pandemic() 2020-06-23 .txt text/plain 3167 167 42 Our tertiary care children's hospital pivoted towards a trial of non-operative management (NOM) for all patients presenting with acute appendicitis to limit operating room use. While we were able to operate on patients for appendicitis, we shifted to NOM for all patients with acute appendicitis in an effort to conserve resources, minimize non-emergent surgical procedures, and at certain intervals to allow for COVID testing to result. 4 We report our experience attempting to safely manage children with acute appendicitis while also minimizing healthcare resource utilization (operating room use and hospital stays) during a pervasive modern-era pandemic. We retrospectively collected data on all children diagnosed with acute appendicitis by our pediatric surgical service from 3/31/2020-5/3/2020, the five-week period during the peak of the COVID-19 pandemic in New York. Compared to the same period in prior years, we treated a similar number of patients with acute appendicitis during the COVID-19 pandemic (Figure 2 ). ./cache/cord-311030-k42iqh40.txt ./txt/cord-311030-k42iqh40.txt