Article ; Online: Mitigating surgical emergency practice during COVID-19 pandemic?
2021 Volume 92, Page(s) 312–316
Abstract: Purpose: To define the change in Emergency Surgical Unit (ESU) workload during the COVID-19 pandemic.: Methods: Patient data for a three-week period was prospectively collected for ESU patients during lockdown period and compared to the ESU workload ... ...
Abstract | Purpose: To define the change in Emergency Surgical Unit (ESU) workload during the COVID-19 pandemic. Methods: Patient data for a three-week period was prospectively collected for ESU patients during lockdown period and compared to the ESU workload for the same time period prior to lockdown. Results: Surgical emergencies admissions reduced by 2.5 times during our study period (p value = 0.001). In this changed paradigm, the overall number of surgical emergencies were reduced. A high mortality (n = 4, 5.7%) was noted during lockdown period as compared to pre-lockdown period (n = 1, 0.58%, p value = 0.025). Almost half of surgical admissions were tested for COVID-19 based on their symptoms and more than third (n=14, 38.9%) of them were positive. Gastrointestinal symptoms were common in COVID-19 positive group (85.7%) and only a third (36%) of COVID-19 positive patients needed surgical attention. Chest x-ray findings were comparable to PCR testing in terms of sensitivity and specificity but CT chest was more sensitive. Conclusions: It remains unclear how COVID-19 reduced surgical emergencies. A significant proportion of COVID-19 presented with gastrointestinal symptoms. In a new outbreak all General Surgical patients should be tested with CRP and WCC used as a triage adjunct. Key words: Coronavirus, COVID-19, Emergency Surgery Pandemic, General Surgery. |
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MeSH term(s) | COVID-19/diagnosis ; Communicable Disease Control ; Emergencies ; Emergency Service, Hospital/organization & administration ; Gastrointestinal Diseases/etiology ; Humans ; Pandemics ; SARS-CoV-2 ; Surgical Procedures, Operative ; Workload |
Language | English |
Publishing date | 2021-07-01 |
Publishing country | Italy |
Document type | Comparative Study ; Journal Article |
ZDB-ID | 418927-9 |
ISSN | 2239-253X ; 0003-469X |
ISSN (online) | 2239-253X |
ISSN | 0003-469X |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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