A dramatic reduction in surgical consults in a University Teaching Hospital during the COVID-19 pandemic (original) (raw)

A commentary on “Impact of the Coronavirus (COVID-19) pandemic on surgical practice - Part 1″

International Journal of Surgery, 2020

Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre-including this research content-immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

Rapid Response of an Academic Surgical Department to the COVID-19 Pandemic: Implications for Patients, Surgeons, and the Community

Journal of the American College of Surgeons

free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre-including this research content-immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

The American College of Surgeons Responds to COVID-19

Journal of the American College of Surgeons, 2020

Impact of the Coronavirus (Covid-19) Pandemic on Surgical Practice: A Literature Review

The World Health Organization (WHO) has subsequently designated this ongoing disease as Coronavirus Disease 2019 (COVID-19). One month later, the COVID-19 outbreak was declared a pandemic. The rapid global spread of viral infections and diseases led to the introduction of broad containment and reduction strategies in affected countries worldwide. Since the early phase of the pandemic, operating rooms have been converted into additional ICUs to support critically ill patients, and non-urgent and non-cancerous surgical procedures have been cancelled or postponed to a later date. The impact of COVID-19 on surgical practice is widespread, ranging from labor and staff issues, procedure priorities, the risk of intraoperative virus transmission and the impact on surgical education. The impact on surgical practice includes the use of surgical facilities, redeploying staff, staff preparation, national referral procedure and preoperative phase. The impact of COVID-19 on surgeons' daily practice and surgeon education is enormous. The cancellation of elective and nonurgent surgeries has allowed surgeons to become an important staff resource for the health system to deal with the COVID-19 pandemic. Surgeons are considering safe, non-surgical alternative options for treating their patients during COVID-19.

Immediate and Long-Term Impacts of COVID-19 on Surgical Services and Patient

BJSTR

Background: In December 2019 COVID 19 originated in Wuhan, Hubei province, of China, but as of 23july 2021 >192 million cases and >4 million deaths have been reported globally. These dramatic figures have a profound, potentially long-lasting and extensive effect on the delivery of surgical services worldwide. Objective: Aimed to support surgical teams and health service by identifying key domains that should be covered in pandemic preparedness plans. Methods: The data and information is collected from various international journals and electronic media published throughout the world. Results: As regions with the highest volume of operations per capita are being hit, a large number of operations are being postponed. Patients are being deprived of surgeries, with uncertain loss of function and risk of adverse prognosis as a collateral damage by the pandemic. No major entity has enlisted the difficulties faced by general public as conditions for general surgeries are not on par with the ones required. Surgical services need a backup plan for maintaining surgical care in an ongoing or post pandemic time phase. Conclusion: A pandemic is a rapidly changing scenario, requiring reorganization and teamwork flexibility of the healthcare delivery. In future research required to study the impact of COVID-19 infection on postoperative outcomes, identifying risk stratification strategies, and determining whether prophylaxis using anti-COVID drugs and how to reduces rates of hospital-acquired COVID-19 infection.

A scoping review of the impact of COVID-19 pandemic on surgical practice

Annals of Medicine and Surgery, 2020

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Characterizing Surgical Volumes During the COVID-19 Pandemic

Journal of the American College of Surgeons, 2021

The Impact of the COVID-19 Pandemic on Surgical Activities: A Single-Center Experience and Literature Review

Cureus, 2022

The aim of this article is to investigate the effect of the coronavirus disease 2019 (COVID-19) pandemic on our surgical department, which is situated in Athens, Greece, as well as to review published literature on the COVID-19 pandemic's impact on surgical activities in our department. Material and methods We retrospectively reviewed the surgical procedures that were performed in the surgical department of a tertiary University hospital in Athens, Greece, before and during the pandemic. Furthermore, we performed a literature review evaluating articles on surgical activity and COVID-19 published from the beginning of the pandemic up until the January of 2022 on the PubMed database. Results In total, 894 patients were included in the study. Of those, 264 (29.5%) underwent surgery during the control period and 630 (70.5%) in the pandemic period. Overall, we performed 20.5% fewer surgeries in the postsanitary period. In particular, elective surgeries decreased on average by 23.9%, emergency procedures decreased by 8.9%, and oncology surgeries increased by an average of 6.4% after the year 2020. Concerning the review of literature, 51 studies were selected for this review. According to them, the main effect of the pandemic on the surgical sector was reflected in the reduction of total surgeries, mainly due to the postponement of elective surgical procedures, which showed a median reduction of 54% compared to the pre-COVID-19 period. A smaller decrease was observed in the number of emergency and oncological surgeries. Conclusions Reduced surgical activity during the pandemic, due to the health measures imposed, requires courageous corrective interventions to avoid its adverse effects, such as disease progression, increased treatment costs, reduced quality of life, and ultimately the survival of the patients.

General Surgery Operating Room Practice in Patients with COVID-19

Turkish Journal of Surgery

The virus COVID-19, which emerged in China in December 2019, was announced by the World Health Organization as a pandemic in January 2020. It is known that infection is not severe and may even progress without symptoms in patients who have come into contact with COVID-19. Although various organizations have been informed about how to take measures to protect the patient and the surgeon in case of diseases requiring urgent or elective surgery in people infected with COVID-19 or in cases with high suspicion, there is still no definite judgment between patients, physicians and health authorities. In this study, which was prepared with the initiative of the Turkish Surgical Association, we tried to shed light on what should be done and how surgeons should act in patients whose operation is mandatory in light of the available data.

A dramatic reduction in surgical consults in a University Teaching Hospital during the COVID-19 pandemic (original) (raw)

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