Surgery for non-Covid-19 patients during the pandemic.

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Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_27E50696B852
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Surgery for non-Covid-19 patients during the pandemic.
Journal
PloS one
Author(s)
Hübner M., Zingg T., Martin D., Eckert P., Demartines N.
ISSN
1932-6203 (Electronic)
ISSN-L
1932-6203
Publication state
Published
Issued date
2020
Peer-reviewed
Oui
Editor
Ashkenazi Itamar
Volume
15
Number
10
Pages
e0241331
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
In the early phase of the Covid-19 pandemic, mainly data related to the burden of care required by infected patients were reported. The aim of this study was to illustrate the timeline of actions taken and to measure and analyze their impact on surgical patients.
This is a retrospective review of actions to limit Covid-19 spread and their impact on surgical activity in a Swiss tertiary referral center. Data on patient care, human resources and hospital logistics were collected. Impact on surgical activity was measured by comparing 6-week periods before and after the first measures were taken.
After the first Swiss Covid-19 case appeared on February 25, progressively restrictive measures were taken over a period of 23 days. Covid-19 positive inpatients increased from 5 to 131, and ICU patients from 2 to 31, between days 10 and 30, respectively, without ever overloading resources. A 43% decrease of elective visceral surgical procedures was observed after Covid-19 (295 vs 165, p<0.01), while the urgent operations (all specialties) decreased by 39% (1476 vs 897, p<0.01). Fifty-two and 38 major oncological surgeries were performed, respectively, representing a 27% decrease (p = 0.316). Outpatient consultations dropped by 59%, from 728 to 296 (p<0.01).
While allowing for maximal care of Covid-19 patients during the pandemic, the shift of resources limited the access to elective surgical care, with less impact on cancer care.
Keywords
Ambulatory Care/trends, Betacoronavirus/genetics, Coronavirus Infections/epidemiology, Coronavirus Infections/virology, Elective Surgical Procedures/trends, Health Care Rationing, Health Workforce/trends, Hospitalization/trends, Humans, Intensive Care Units, Neoplasms/surgery, Pandemics, Pneumonia, Viral/epidemiology, Pneumonia, Viral/virology, Polymerase Chain Reaction, Referral and Consultation/trends, Retrospective Studies, Surgical Oncology/trends, Switzerland/epidemiology, Tertiary Care Centers
Pubmed
Web of science
Open Access
Yes
Create date
26/10/2020 9:53
Last modification date
23/04/2021 20:26
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