Impact of COVID-19 on surgical activities and personnel: lessons for the future

Autor: Margherita Manservigi, Michele Rubbini, Michele Alessandro Cavallo, Leo Massari, Paolo Perri, Matteo Chiozza, Domenico Lacavalla, Alba Scerrati, Gennaro Capone, Gaetano Caruso, Giorgio Cavallesco, Vincenzo Gasbarro, Pantaleo Greco, Alberto Maria Maruca, Savino Occhionorelli, Elisa Piccolo, Carlo V. Feo, Niccolò Salgari, Paolo Carcoforo, Marta Fazzin, G Anania, Ruby Martinello, Maria E Forini, Antonio Caldaria, Nicolò Fabbri
Rok vydání: 2021
Předmět:
Zdroj: Minerva surgery. 77(1)
ISSN: 2724-5438
Popis: Background Covid-19 pandemic has impacted professional, economic and social activities. In the surgical field, it has brought changes to operating activities, the organization of workforces, the protection measures for patients and personnel against possible intraoperative transmissions as well as training young surgeons. This study intends to assess the extent of this impact in our institution. Methods The patients operated on in nine Operating Units(OUs) in the period February 1 - March 31 2020 with follow-ups on April 30 2020 were evaluated both retrospectively and prospectively. Organizational, clinical and impact parameters on staff were evaluated. Results Of the 833 consecutive admitted patients, 742 were operated on ,705 of whom were recruited for the study. Compared to the same period in 2019 there was a decrease in the number of operations (742 compared to 1187), similar use of intensive care unit (ICU), a diagnostic activity only for symptomatic patients, heterogeneity in organizational behaviors, an impact on staff who highlighted concerns about getting sick or passing the infection on to others (87.64%) or their family members (75.14%). Conclusions The study made it possible to detect the need to make significant changes in the clinical, organizational and teaching fields, for which some operational proposals are suggested.
Databáze: OpenAIRE