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The Impact of COVID-19 pandemic on pediatric surgery practice: A cross-sectional study
BACKGROUND: Since the COVID-19 pandemic was declared by the World Health Organization on March 11, 2020, routine clinical practices were affected, including pediatric surgery services. We aimed to compare pediatric surgery practices, including the number and types of surgery, either elective or emer...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7491416/ https://www.ncbi.nlm.nih.gov/pubmed/32953094 http://dx.doi.org/10.1016/j.amsu.2020.09.020 |
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author | Gunadi, . Idham, Yofizal Paramita, Vincentia Meta Widya Fauzi, Aditya Rifqi Dwihantoro, Andi Makhmudi, Akhmad |
author_facet | Gunadi, . Idham, Yofizal Paramita, Vincentia Meta Widya Fauzi, Aditya Rifqi Dwihantoro, Andi Makhmudi, Akhmad |
author_sort | Gunadi, . |
collection | PubMed |
description | BACKGROUND: Since the COVID-19 pandemic was declared by the World Health Organization on March 11, 2020, routine clinical practices were affected, including pediatric surgery services. We aimed to compare pediatric surgery practices, including the number and types of surgery, either elective or emergency surgeries and outpatient services, before the outbreak and during the COVID-19 pandemic in our institution. MATERIAL AND METHODS: We retrospectively compared pediatric surgery practices, including elective and emergency surgeries, and outpatient services between the previous one-year period (March 2019–February 2020), the last three months of that period (December 2019–February 2020) before the outbreak, and the three months (March–May 2020) during the COVID-19 pandemic in our hospital. RESULTS: The frequency of elective surgeries during the pandemic was lower than during the last three months before the outbreak: 61 vs. 18 (~3-fold), 19 vs. 13 (~1.5-fold), 19 vs. 5 (~4-fold), and 30 vs. 15 (~2-fold) for digestive, neonate, urology and oncology cases, respectively. No laparoscopic procedures were performed during the pandemic compared with the one-year period before the outbreak (0 vs. 16 cases). The frequency of all emergency pediatric procedures before and during the COVID-19 pandemic was similar (29 vs. 20 cases, respectively). Moreover, a declining trend was also clearly apparent in the outpatient services during the pandemic compared with before the outbreak, both in the new and the established patients. CONCLUSIONS: The pediatric surgery practices in our institution have been severely affected by the COVID-19 pandemic, including elective and outpatient services. This setback needs a comprehensive strategy to avoid morbidity from the neglected elective surgeries during the pandemic, including the proper comparison between the real risk of COVID-19 cross-infection and the benefits of elective procedures. |
format | Online Article Text |
id | pubmed-7491416 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-74914162020-09-16 The Impact of COVID-19 pandemic on pediatric surgery practice: A cross-sectional study Gunadi, . Idham, Yofizal Paramita, Vincentia Meta Widya Fauzi, Aditya Rifqi Dwihantoro, Andi Makhmudi, Akhmad Ann Med Surg (Lond) Cross-sectional Study BACKGROUND: Since the COVID-19 pandemic was declared by the World Health Organization on March 11, 2020, routine clinical practices were affected, including pediatric surgery services. We aimed to compare pediatric surgery practices, including the number and types of surgery, either elective or emergency surgeries and outpatient services, before the outbreak and during the COVID-19 pandemic in our institution. MATERIAL AND METHODS: We retrospectively compared pediatric surgery practices, including elective and emergency surgeries, and outpatient services between the previous one-year period (March 2019–February 2020), the last three months of that period (December 2019–February 2020) before the outbreak, and the three months (March–May 2020) during the COVID-19 pandemic in our hospital. RESULTS: The frequency of elective surgeries during the pandemic was lower than during the last three months before the outbreak: 61 vs. 18 (~3-fold), 19 vs. 13 (~1.5-fold), 19 vs. 5 (~4-fold), and 30 vs. 15 (~2-fold) for digestive, neonate, urology and oncology cases, respectively. No laparoscopic procedures were performed during the pandemic compared with the one-year period before the outbreak (0 vs. 16 cases). The frequency of all emergency pediatric procedures before and during the COVID-19 pandemic was similar (29 vs. 20 cases, respectively). Moreover, a declining trend was also clearly apparent in the outpatient services during the pandemic compared with before the outbreak, both in the new and the established patients. CONCLUSIONS: The pediatric surgery practices in our institution have been severely affected by the COVID-19 pandemic, including elective and outpatient services. This setback needs a comprehensive strategy to avoid morbidity from the neglected elective surgeries during the pandemic, including the proper comparison between the real risk of COVID-19 cross-infection and the benefits of elective procedures. Elsevier 2020-09-15 /pmc/articles/PMC7491416/ /pubmed/32953094 http://dx.doi.org/10.1016/j.amsu.2020.09.020 Text en © 2020 The Author http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Cross-sectional Study Gunadi, . Idham, Yofizal Paramita, Vincentia Meta Widya Fauzi, Aditya Rifqi Dwihantoro, Andi Makhmudi, Akhmad The Impact of COVID-19 pandemic on pediatric surgery practice: A cross-sectional study |
title | The Impact of COVID-19 pandemic on pediatric surgery practice: A cross-sectional study |
title_full | The Impact of COVID-19 pandemic on pediatric surgery practice: A cross-sectional study |
title_fullStr | The Impact of COVID-19 pandemic on pediatric surgery practice: A cross-sectional study |
title_full_unstemmed | The Impact of COVID-19 pandemic on pediatric surgery practice: A cross-sectional study |
title_short | The Impact of COVID-19 pandemic on pediatric surgery practice: A cross-sectional study |
title_sort | impact of covid-19 pandemic on pediatric surgery practice: a cross-sectional study |
topic | Cross-sectional Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7491416/ https://www.ncbi.nlm.nih.gov/pubmed/32953094 http://dx.doi.org/10.1016/j.amsu.2020.09.020 |
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