The impact of COVID-19 on the plastic surgery activity in a high-complexity university hospital in Brazil: the importance of reconstructive plastic surgery during the pandemic.

Autor: Pagotto VPF; Hospital das Clínicas, University of Sao Paulo Medical School, Rua Dr. Ovídio Pires de Campos, 225, São Paulo, São Paulo 05403-010 Brazil., Abbas L; Hospital das Clínicas, University of Sao Paulo Medical School, Rua Dr. Ovídio Pires de Campos, 225, São Paulo, São Paulo 05403-010 Brazil., Goldenberg DC; Hospital das Clínicas, University of Sao Paulo Medical School, Rua Dr. Ovídio Pires de Campos, 225, São Paulo, São Paulo 05403-010 Brazil., Lobato RC; Hospital das Clínicas, University of Sao Paulo Medical School, Rua Dr. Ovídio Pires de Campos, 225, São Paulo, São Paulo 05403-010 Brazil., do Nascimento BB; Hospital das Clínicas, University of Sao Paulo Medical School, Rua Dr. Ovídio Pires de Campos, 225, São Paulo, São Paulo 05403-010 Brazil., Monteiro GGR; Hospital das Clínicas, University of Sao Paulo Medical School, Rua Dr. Ovídio Pires de Campos, 225, São Paulo, São Paulo 05403-010 Brazil., Camargo CP; Hospital das Clínicas, University of Sao Paulo Medical School, Rua Dr. Ovídio Pires de Campos, 225, São Paulo, São Paulo 05403-010 Brazil., de Freitas Busnardo F; Hospital das Clínicas, University of Sao Paulo Medical School, Rua Dr. Ovídio Pires de Campos, 225, São Paulo, São Paulo 05403-010 Brazil., Gemperli R; Hospital das Clínicas, University of Sao Paulo Medical School, Rua Dr. Ovídio Pires de Campos, 225, São Paulo, São Paulo 05403-010 Brazil.
Jazyk: angličtina
Zdroj: European journal of plastic surgery [Eur J Plast Surg] 2020; Vol. 43 (6), pp. 819-824. Date of Electronic Publication: 2020 Aug 21.
DOI: 10.1007/s00238-020-01729-6
Abstrakt: Background: The Hospital das Clínicas - University of Sao Paulo Medical School (HCFMUSP) is the largest university hospital complex in Brazil. HCFMUSP has been converted into a reference center for coronavirus disease 2019. The Division of Plastic Surgery postponed non-essential surgeries and outpatient consultations, accomplishing new guidelines (ANG) of national and international organizations. Even with these challenges arising from the pandemic, alternatives were considered to maintain institutional characteristics. This study aims to analyze this new scenario and the impact on patients' assistance and Plastic Surgery residents training.
Methods: Total number of surgeries, type of procedures, and outpatient consultations in 2020, before (pre-ANG) and after (post-ANG) ANG, were compared with the same period in 2019 (2019-pre and 2020-post).
Results: A marked reduction in the total number of surgeries and outpatient consultations was observed in the post-ANG period. In the post-ANG period, 267 operations were performed (26.7 ± 20.3/week), while in the 2019-post period, 1036 surgeries were performed (103.6 ± 9.7/week) ( p  = 0.0002). Similarly, 1571 consultations were conducted in the post-ANG period (157.1 ± 93.6/week), while in the 2019-post period, 3907 were performed (390.7 ± 43.1/week) ( p  = 0.0003). However, in the post-ANG period, an increase in the proportion of reconstructive compared with aesthetic surgery was observed. The maintenance of highly complex procedures such as microsurgical transplants was also identified.
Conclusions: The predominant profile of reconstructive surgeries at the Division of Plastic Surgery allowed the continuity of procedures at all technical complexity levels, patient care maintenance, and Plastic Surgery residents training.Level of evidence: not ratable.
Competing Interests: Conflict of interestVitor Penteado Figueiredo Pagotto, Laielly Abbas, Dov Charles Goldenberg, Rodolfo Costa Lobato, Bruno Baptista do Nascimento, Gustavo Gomes Ribeiro Monteiro, Cristina Pires Camargo, Fabio de Freitas Busnardo, and Rolf Gemperli declare no conflict of interest.
(© Springer-Verlag GmbH Germany, part of Springer Nature 2020.)
Databáze: MEDLINE
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