Article ; Online: Continuing our work: transplant surgery and surgical oncology in a tertiary referral COVID-19 center.
2020 Volume 72, Issue 2, Page(s) 281–289
Abstract: ... oncologic cases and transplantations were performed during the COVID-19 outbreak. Careful selection ... in a tertiary referral COVID-19 center. The official bulletins of the Italian National Institute ... of consecutive oncological and transplant procedures performed during the outbreak were reviewed. Patients ...
Abstract | COVID-19 is rapidly spreading worldwide. Healthcare systems are struggling to properly allocate resources while ensuring cure for diseases outside of the infection. The aim of this study was to demonstrate how surgical activity was affected by the virus outbreak and show the changes in practice in a tertiary referral COVID-19 center. The official bulletins of the Italian National Institute for the Infectious Diseases "L. Spallanzani" were reviewed to retrieve the number of daily COVID-19 patients. Records of consecutive oncological and transplant procedures performed during the outbreak were reviewed. Patients with a high probability of postoperative intensive care unit (ICU) admission were considered as high risk and defined by an ASA score ≥ III and/or a Charlson Comorbidity Index (CCI) ≥ 6 and/or a Revised Cardiac Risk Index for Preoperative Risk (RCRI) ≥ 3. 72 patients were operated, including 12 (16.6%) liver and kidney transplantations. Patients had few comorbidities (26.3%), low ASA score (1.9 ± 0.5), CCI (3.7 ± 1.3), and RCRI (1.2 ± 0.6) and had overall a low risk of postoperative ICU admission. Few patients had liver cirrhosis (12.5%) or received preoperative systemic therapy (16.6%). 36 (50%) high-risk surgical procedures were performed, including major hepatectomies, pancreaticoduodenectomies, total gastrectomies, multivisceral resections, and transplantations. Despite this, only 15 patients (20.8%) were admitted to the ICU. Only oncologic cases and transplantations were performed during the COVID-19 outbreak. Careful selection of patients allowed to perform major cancer surgeries and transplantations without further stressing hospital resources, meanwhile minimizing collateral damage to patients. |
---|---|
MeSH term(s) | Aged ; COVID-19 ; Coronavirus Infections ; Female ; Humans ; Italy ; Kidney Transplantation/statistics & numerical data ; Liver Transplantation/statistics & numerical data ; Male ; Middle Aged ; Neoplasms/surgery ; Pandemics ; Pneumonia, Viral ; Surgical Procedures, Operative/statistics & numerical data ; Tertiary Care Centers ; Time Factors |
Keywords | covid19 |
Language | English |
Publishing date | 2020-06-04 |
Publishing country | Italy |
Document type | Journal Article |
ZDB-ID | 2572692-4 |
ISSN | 2038-3312 ; 2038-131X |
ISSN (online) | 2038-3312 |
ISSN | 2038-131X |
DOI | 10.1007/s13304-020-00825-3 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
Full text online
More links
Kategorien
In stock of ZB MED Cologne/Königswinter
Zs.B 101: Show issues | Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular ab Jg. 2022: Lesesaal (EG) |
Order via subito
This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.