A Retrospective Study on the Impact of COVID-19 on Emergency General Surgery.

Autor:	Kretzmer L; Department of General Surgery, Worcestershire Acute Hospitals NHS Trust, Worcester, GBR., Elmaradny A; Department of General and UGI (Upper Gastrointestinal) Surgery, Worcestershire Acute Hospitals NHS Trust, Worcester, GBR., Jabir MA; Department of Surgical Oncology, South Egypt Cancer Institute, Assiut, EGY.; Department of General Surgery, Worcestershire Acute Hospitals NHS Trust, Worcester, GBR., Hussain R; Department of General Surgery, Worcestershire Acute Hospitals NHS Trust, Worcester, GBR., Bhambra M; Department of General Surgery, Worcestershire Acute Hospitals NHS Trust, Worcester, GBR., Mourad M; Department of General Surgery, Worcestershire Acute Hospitals NHS Trust, Worcester, GBR., Robinson SJ; Department of General Surgery, Worcestershire Acute Hospitals NHS Trust, Worcester, GBR., Wadley M; Department of General Surgery, Worcestershire Acute Hospitals NHS Trust, Worcester, GBR., Perry A; Department of General Surgery, Worcestershire Acute Hospitals NHS Trust, Worcester, GBR., Saad M; Department of General Surgery, Tanta University Hospital, Tanta, EGY.; Department of General Surgery, Worcestershire Acute Hospitals NHS Trust, Worcester, GBR.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2022 Sep 18; Vol. 14 (9), pp. e29281. Date of Electronic Publication: 2022 Sep 18 (Print Publication: 2022).
DOI:	10.7759/cureus.29281
Abstrakt:	Background The coronavirus pandemic has caused global disruption to all aspects of life. This disturbance has been most notable in the medical world. Political, societal, medical, and behavioral alterations have forced emergency surgical practices to adapt. This study investigated the impact of coronavirus 2019 (COVID-19) at a busy surgical center. Methodology This is a retrospective observational study. Three study periods were analyzed: pre-COVID, first wave, and second wave. Data were collected on referrals, diagnoses, investigations, management pathways, outcomes, patient behavior, and consultant practice. A one-way analysis of variance (ANOVA test) was used for the analysis of parametric data and the Mann-Whitney U test for non-parametric data. Results Declining numbers of patients presented across the three periods. There was a severe disruption in performing emergency general surgeries during the first wave, propagated by alterations in clinical decision-making, as well as fluctuations in societal and patient behavior. Despite the effects of the second wave being significantly more profound in terms of hospitalization and COVID-related mortality, a paradoxical, gradual return to the norm was noted, which was seen in referral pathways, imaging decisions, and management strategies. Conclusion Our data is suggestive of society, both within and outside the medical sphere, adjusting to life with COVID-19. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2022, Kretzmer et al.)
Databáze:	MEDLINE
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