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Статья
Impact of the SARS-CoV-2 pandemic on emergency surgery services—a multi-national survey among WSES members
M. Reichert,
M. Sartelli,
M. Weigand,
C. Doppstadt,
M. Hecker,
A. Reinisch-Liese,
F. Bender,
I. Askevold,
W. Padberg,
F. Coccolini,
F. Catena,
A. Hecker,
A. Abdullaev,
A. Camacho-Ortiz,
A. Toro,
A. Chichom-Mefire,
A. Martínez-Pérez,
A. Kavalakat,
A. Mohamedahmed,
A. Litvin,
A. Brillantino,
A. Pesce,
A. Isik,
A. Kechagias,
A. Ismail,
B. Mantoglu,
B. Ibrahim,
B. Hecker,
B. Sakakushev,
C. Seretis,
D. Manatakis,
E. García,
E. Çolak,
E. Steyn,
E. Akin,
E. Gonullu,
F. Campanile,
F. Pata,
F. Roscio,
F. Linder,
G. Tomadze,
G. Pellino,
G. Casoni Pattacini,
G. Pirozzolo,
G. Machain,
G. Fraga,
H. Eltyeb,
I. Nikolopoulos,
I. Di Carlo,
J. Kim,
J. Saenz-Terrazas,
J. Sanjuan,
J. Liese,
J. Davies,
K. Platte,
L. Lottenberg,
L. Pagani,
L. Solaini,
L. Miller,
L. Bains,
L. Buonomo,
M. Waledziak,
M. Gachabayov,
M. Maegele,
M. Catarci,
M. Alberio,
M. Alberio,
M. Veroux,
M. Nardi,
M. Podda,
M. Sugrue,
M. Pisano,
M. Slavchev,
M. Ukkonen,
M. Bala,
M. Chirica,
M. Ouadii,
O. Ioannidis,
O. Chiara,
P. Kumar,
P. Örtenwall,
P. Navsaria,
R. Coimbra,
R. Somigli,
R. Sawyer,
S. Shebrain,
S. Di Saverio,
S. Marwah,
S. Zegarra,
S. Nour,
S. Abdelmahmoud,
S. Magnone,
S. Muhammad Ali,
T. Pintar,
T. Mishra,
V. Tomajer,
V. Lohsiriwat,
V. Shivpuje,
V. Khokha,
Y. Kobe,
2020
Background: The SARS-CoV-2 pandemic is a major challenge for health care services worldwide. It’s impact on oncologic therapies and elective surgery has been described recently, and the literature provides guidelines regarding appropriate elective patient treatment during the pandemic. However, the impact of SARS-CoV-2 pandemic on emergency surgery services has been poorly investigated up to now. Methods: A 17-item web survey had been distributed to emergency surgeons in June 2020 around the world, investigating the impact of SARS-CoV-2 pandemic on patients and septic diseases both requiring emergency surgery and the time-to-intervention in emergency surgery routine, as well as experiences with surgery in COVID-19 patients. Results: Ninety-eight collaborators from 31 countries responded to the survey. The majority (65.3%) estimated the impact of the SARS-CoV-2 pandemic on emergency surgical patient care as being strong or very strong. Due to the pandemic, 87.8% reported a decrease in the total number of patients undergoing emergency surgery and approximately 25% estimated a delay of more than 2 h in the time-to-diagnosis and another 2 h in the time-to-intervention. Fifty percent make structural problems with in-hospital logistics (e.g. transport of patients, closed normal wards etc.) mainly responsible for delayed emergency surgery and the frequent need (56.1%) for a triage of emergency surgical patients. 56.1% of the collaborators observed more severe septic abdominal diseases during the pandemic, especially for perforated appendicitis and severe septic cholecystitis (41.8% and 40.2%, respectively). 62.2% had experiences with surgery in COVID-19-infected patients. Conclusions: The results of The WSES COVID-19 emergency surgery survey are alarming. The combination of an estimated decrease in numbers of emergency surgical patients and an observed increase in more severe septic diseases may be a result of the fear of patients from infection with COVID-19 and a consecutive delayed hospital admission and diagnosis. A critical delay in time-to-diagnosis and time-to-intervention may be a result of changes in in-hospital logistics and operating room as well as intensive care capacities. Both reflect the potentially harmful impact of SARS-CoV-2 pandemic on emergency surgery services.
Цитирование
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Версии
- 1. Version of Record от 2020-12-01
Метаданные
Об авторах
-
M. Reichert
Universitätsklinikum Gießen und Marburg, Standort Gießen -
M. Sartelli
Macerata Hospital -
M. Weigand
Universitätsklinikum Heidelberg -
C. Doppstadt
Universitätsklinikum Gießen und Marburg, Standort Gießen -
M. Hecker
Universitätsklinikum Gießen und Marburg, Standort Gießen -
A. Reinisch-Liese
Hospital and Clinics Wetzlar -
F. Bender
Universitätsklinikum Gießen und Marburg, Standort Gießen -
I. Askevold
Universitätsklinikum Gießen und Marburg, Standort Gießen -
W. Padberg
Universitätsklinikum Gießen und Marburg, Standort Gießen -
F. Coccolini
Azienda Ospedaliera-Universitaria Pisana -
F. Catena
Parma Maggiore Hospital -
A. Hecker
Universitätsklinikum Gießen und Marburg, Standort Gießen -
A. Abdullaev
Vladimir City Clinical Hospital of Emergency Medicine -
A. Camacho-Ortiz
Hospital Universitario Dr. Jose Eleuterio Gonzalez -
A. Toro
Augusta Hospital -
A. Chichom-Mefire
University of Buea -
A. Martínez-Pérez
Hospital Universitario Dr. Peset -
A. Kavalakat
Jubilee Mission Medical College -
A. Mohamedahmed
Sandwell General Hospital -
A. Litvin
Immanuel Kant Baltic Federal University -
A. Brillantino
Azienda Ospedaliera Di Rilievo Nazionale Antonio Cardarelli -
A. Pesce
Policlinico Abano Terme -
A. Isik
Erzincan Binali Yıldırım Üniversitesi -
A. Kechagias
Kanta-Hame Central Hospital -
A. Ismail
Aberdeen Royal Infirmary -
B. Mantoglu
Sakarya Üniversitesi -
B. Ibrahim
University Hospital of North Durham -
B. Hecker
St. Josefs Krankenhaus Gießen gGmbH -
B. Sakakushev
Medical University of Plovdiv -
C. Seretis
George Eliot Hospital NHS Trust -
D. Manatakis
Athens Naval Hospital -
E. García
Hospital Central Militar -
E. Çolak
University of Health Sciences -
E. Steyn
Tygerberg Hospital -
E. Akin
Sakarya Üniversitesi -
E. Gonullu
Sakarya Üniversitesi -
F. Campanile
Ospedale S. Giovanni Decollato Andosilla -
F. Pata
Nicola Giannettasio Hospital - F. Roscio
-
F. Linder
Gavle Hospital -
G. Tomadze
Tbilisi State Medical University -
G. Pellino
Hospital Universitari Vall d'Hebron -
G. Casoni Pattacini
Baggiovara Hospital -
G. Pirozzolo
Ospedale dell'Angelo -
G. Machain
Hospital de Clínicas -
G. Fraga
Universidade Estadual de Campinas -
H. Eltyeb
Northumbria Healthcare NHS Foundation Trust -
I. Nikolopoulos
Lewisham and Greenwich NHS Trust -
I. Di Carlo
Università degli Studi di Catania -
J. Kim
Inje University -
J. Saenz-Terrazas
Dar Al-Chifae Hospital -
J. Sanjuan
Hospital Universitario Marqués de Valdecilla -
J. Liese
Universitätsklinikum Gießen und Marburg, Standort Gießen -
J. Davies
Addenbrooke's Hospital -
K. Platte
Ziekenhuis Amstelveen -
L. Lottenberg
Charles E. Schmidt College of Medicine -
L. Pagani
Regional Hospital of Bolzano -
L. Solaini
Morgagni-Pierantoni Hospital -
L. Miller
Western Michigan University -
L. Bains
Maulana Azad Medical College -
L. Buonomo
Universidad de Buenos Aires -
M. Waledziak
Wojskowy Instytut Medyczny -
M. Gachabayov
Vladimir City Clinical Hospital of Emergency Medicine -
M. Maegele
Universität Witten/Herdecke -
M. Catarci
C. e G. Mazzoni Hospital - M. Alberio
-
M. Alberio
Azienda Ospedaliera Ospedale di Circolo e Fondazione Macchi di Varese -
M. Veroux
Università degli Studi di Catania -
M. Nardi
Ospedale San Pietro Fatebenefratelli -
M. Podda
Azienda Ospedaliero Universitaria di Cagliari -
M. Sugrue
Letterkenny University Hospital -
M. Pisano
Papa Giovanni XXIII Hospital -
M. Slavchev
St.George University Hospital -
M. Ukkonen
University Hospital of Tampere -
M. Bala
Hadassah University Medical Centre -
M. Chirica
Centre Hospitalier Universitaire de Grenoble -
M. Ouadii
Centre Hospitalier Universitaire Hassan II -
O. Ioannidis
Aristotle University of Thessaloniki -
O. Chiara
Università degli Studi di Milano - P. Kumar
-
P. Örtenwall
Sahlgrenska Universitetssjukhuset -
P. Navsaria
Groote Schuur Hospital -
R. Coimbra
Loma Linda University School of Medicine - R. Somigli
-
R. Sawyer
Western Michigan University Homer Stryker M.D. School of Medicine -
S. Shebrain
Western Michigan University Homer Stryker M.D. School of Medicine -
S. Di Saverio
Azienda Ospedaliera Ospedale di Circolo e Fondazione Macchi di Varese -
S. Marwah
Pt. B.D. Sharma PGIMS, Rohtak - S. Zegarra
-
S. Nour
North Bristol NHS Trust - S. Abdelmahmoud
-
S. Magnone
Papa Giovanni XXIII Hospital -
S. Muhammad Ali
Hamad Medical Corporation -
T. Pintar
Univerzitetni Klinični Center Ljubljana -
T. Mishra
All India Institute of Medical Sciences, Bhubaneswar -
V. Tomajer
IRCCS San Raffaele Scientific Institute -
V. Lohsiriwat
Siriraj Hospital -
V. Shivpuje
Yashodhara Superspeciality Hospital -
V. Khokha
City Hospital -
Y. Kobe
Chiba Emergency Medical Center
Название журнала
- World Journal of Emergency Surgery
Том
- 15
Выпуск
- 1
Номер гранта
- undefined
Тип документа
- journal article
Тип лицензии Creative Commons
- CC BY
Правовой статус документа
- Свободная лицензия
Источник
- scopus
