Impact of the COVID-19 pandemic lockdown on the utilization of acute surgical care in the State of Salzburg, Austria: retrospective, multicenter analysis.

IF 0.6 4区 医学 Q4 SURGERY European Surgery-Acta Chirurgica Austriaca Pub Date : 2021-01-01 Epub Date: 2021-03-04 DOI:10.1007/s10353-021-00692-1
Jaroslav Presl, Martin Varga, Christof Mittermair, Stefan Mitterwallner, Michael Weitzendorfer, Ana Gabersek, Kurosch Borhanian, Andreas Heuberger, Helmut Weiss, Klaus Emmanuel, Burkhard von Rahden, Oliver Owen Koch
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引用次数: 6

Abstract

Background: Some medical disciplines have reported a strong decrease of emergencies during the coronavirus disease 2019 (COVID-19) pandemic; however, the effect of the lockdown on general surgery emergencies remains unclear.

Methods: This study is a retrospective, multicenter analysis of general surgery emergency operations performed during the period from 1 March to 15th 2020 lockdown and in the same time period of 2019 in three medical centers providing emergency surgical care to the area Salzburg-North, Austria.

Results: In total 165 emergency surgeries were performed in the study period of 2020 compared to 287 in 2019. This is a significant decrease of 122 (42.5%) emergency surgeries during the COVID-19 lockdown (p = 0.005). The length of hospital stay was reduced to 3 days in 2020 compared to 4 in 2019. Appendectomy remained the most performed emergency surgery for both periods; however the number of surgeries was reduced to less than a half, with 72 cases in 2019 and 33 cases in 2020 (p = 0.118). Emergency colon surgery observed the strongest decrease of 75% from 17 cases in 2019 to 4 in 2020. In addition, the emergency abdominal wall hernia, cholecystectomies for acute cholecystitis, small surgeries and proctological emergencies recorded drops of 70%, 39%, 33% and 47% respectively. The strongest reduction in frequencies of emergency surgeries was reported from the designated COVID center in the examined region.

Conclusions: Emergency general surgery is an essential service that continues to run under all circumstances. Our data show that COVID-19-related restrictions have resulted in a significant decrease in the utilization of acute surgical care.

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2019冠状病毒病大流行封锁对奥地利萨尔茨堡州急性外科护理利用的影响:回顾性多中心分析
背景:据报道,在2019冠状病毒病(COVID-19)大流行期间,一些医学学科的突发事件大幅减少;然而,封锁对普通外科急诊的影响尚不清楚。方法:本研究对2020年3月1日至15日封锁期间和2019年同期在奥地利萨尔茨堡北部地区提供紧急外科护理的三家医疗中心进行的普通外科急诊手术进行了回顾性多中心分析。结果:2020年共实施急诊手术165例,而2019年为287例。在新冠肺炎封锁期间,紧急手术减少了122例(42.5%)(p = 0.005)。住院时间从2019年的4天减少到2020年的3天。在这两个时期,阑尾切除术仍然是最常用的急诊手术;但2019年为72例,2020年为33例(p = 0.118),减少到一半以下。急诊结肠手术减少最多,从2019年的17例减少到2020年的4例,减少了75%。急诊腹壁疝、急性胆囊炎胆囊切除术、小手术和肛肠急症分别下降70%、39%、33%和47%。受调查地区指定的COVID中心报告的紧急手术频率下降幅度最大。结论:急诊普外科在任何情况下都是一项必要的服务。我们的数据显示,与covid -19相关的限制导致急性外科护理的利用率显着下降。
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来源期刊
CiteScore
1.10
自引率
0.00%
发文量
36
审稿时长
6-12 weeks
期刊介绍: The journal European Surgery – Acta Chirurgica Austriaca focuses on general surgery, endocrine surgery, thoracic surgery, heart and vascular surgery. Special features include new surgical and endoscopic techniques such as minimally invasive surgery, robot surgery, and advances in surgery-related biotechnology and surgical oncology. The journal especially addresses benign and malignant esophageal diseases, i.e. achalasia, gastroesophageal reflux disease, Barrett’s esophagus, and esophageal adenocarcinoma. In keeping with modern healthcare requirements, the journal’s scope includes inter- and multidisciplinary disease management (diagnosis, therapy and surveillance).
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