Urgent/emergency surgery during COVID-19 state of emergency in Portugal: a retrospective and observational study

Autor: Andreia Filipa Sá, Sofia Fonseca Lourenço, Rafael da Silva Teixeira, Filinto Barros, António Costa, Paulo Lemos
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Brazilian Journal of Anesthesiology, Vol 71, Iss 2, Pp 123-128 (2021)
Druh dokumentu: article
ISSN: 0104-0014
DOI: 10.1016/j.bjane.2021.01.003
Popis: Background: SARS-CoV-2 virus changed society’s behaviour. Population was advised to reduce unnecessary heath care use to accommodate urgent cases and daily increase of COVID-19 patients. Health care facilities faced huge challenges, having to readjust their response to preserve good quality of care. In Portugal, a significant reduction in the number of admissions to the Emergency Department (ED) was reported all over the country, however the impact on the dynamics of undeferrable surgery remains to be reported. This study compares the volume and characteristics of urgent/emergency surgery during the 2020 COVID-19 pandemic with the homologous period in 2019, chronologically illustrating the national evolution of new COVID-19 cases and the social and hospital containment response. Methods: A retrospective observational study was conducted in a tertiary hospital center located in the most affected region by COVID-19 in Portugal. Medical records of patients who underwent urgent/emergency surgery between March 1st and May 2nd of both 2020 and 2019 were examined and the volume of surgeries were compared. Also, daily national updates from Portuguese Directorate-General for Health were analysed. Results: During the COVID-19 pandemic approximately 30% less patients underwent urgent/emergency surgery (99%CI = 0.18–0.61, p
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