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Impact of the SARS-CoV-2 pandemic on emergency surgery services—a multi-national survey among WSES members
BACKGROUND: The SARS-CoV-2 pandemic is a major challenge for health care services worldwide. It’s impact on oncologic therapies and elective surgery has been described recently, and the literature provides guidelines regarding appropriate elective patient treatment during the pandemic. However, the...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7724441/ https://www.ncbi.nlm.nih.gov/pubmed/33298131 http://dx.doi.org/10.1186/s13017-020-00341-0 |
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author | Reichert, Martin Sartelli, Massimo Weigand, Markus A. Doppstadt, Christoph Hecker, Matthias Reinisch-Liese, Alexander Bender, Fabienne Askevold, Ingolf Padberg, Winfried Coccolini, Federico Catena, Fausto Hecker, Andreas |
author_facet | Reichert, Martin Sartelli, Massimo Weigand, Markus A. Doppstadt, Christoph Hecker, Matthias Reinisch-Liese, Alexander Bender, Fabienne Askevold, Ingolf Padberg, Winfried Coccolini, Federico Catena, Fausto Hecker, Andreas |
author_sort | Reichert, Martin |
collection | PubMed |
description | BACKGROUND: The SARS-CoV-2 pandemic is a major challenge for health care services worldwide. It’s impact on oncologic therapies and elective surgery has been described recently, and the literature provides guidelines regarding appropriate elective patient treatment during the pandemic. However, the impact of SARS-CoV-2 pandemic on emergency surgery services has been poorly investigated up to now. METHODS: A 17-item web survey had been distributed to emergency surgeons in June 2020 around the world, investigating the impact of SARS-CoV-2 pandemic on patients and septic diseases both requiring emergency surgery and the time-to-intervention in emergency surgery routine, as well as experiences with surgery in COVID-19 patients. RESULTS: Ninety-eight collaborators from 31 countries responded to the survey. The majority (65.3%) estimated the impact of the SARS-CoV-2 pandemic on emergency surgical patient care as being strong or very strong. Due to the pandemic, 87.8% reported a decrease in the total number of patients undergoing emergency surgery and approximately 25% estimated a delay of more than 2 h in the time-to-diagnosis and another 2 h in the time-to-intervention. Fifty percent make structural problems with in-hospital logistics (e.g. transport of patients, closed normal wards etc.) mainly responsible for delayed emergency surgery and the frequent need (56.1%) for a triage of emergency surgical patients. 56.1% of the collaborators observed more severe septic abdominal diseases during the pandemic, especially for perforated appendicitis and severe septic cholecystitis (41.8% and 40.2%, respectively). 62.2% had experiences with surgery in COVID-19-infected patients. CONCLUSIONS: The results of The WSES COVID-19 emergency surgery survey are alarming. The combination of an estimated decrease in numbers of emergency surgical patients and an observed increase in more severe septic diseases may be a result of the fear of patients from infection with COVID-19 and a consecutive delayed hospital admission and diagnosis. A critical delay in time-to-diagnosis and time-to-intervention may be a result of changes in in-hospital logistics and operating room as well as intensive care capacities. Both reflect the potentially harmful impact of SARS-CoV-2 pandemic on emergency surgery services. |
format | Online Article Text |
id | pubmed-7724441 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-77244412020-12-09 Impact of the SARS-CoV-2 pandemic on emergency surgery services—a multi-national survey among WSES members Reichert, Martin Sartelli, Massimo Weigand, Markus A. Doppstadt, Christoph Hecker, Matthias Reinisch-Liese, Alexander Bender, Fabienne Askevold, Ingolf Padberg, Winfried Coccolini, Federico Catena, Fausto Hecker, Andreas World J Emerg Surg Research Article BACKGROUND: The SARS-CoV-2 pandemic is a major challenge for health care services worldwide. It’s impact on oncologic therapies and elective surgery has been described recently, and the literature provides guidelines regarding appropriate elective patient treatment during the pandemic. However, the impact of SARS-CoV-2 pandemic on emergency surgery services has been poorly investigated up to now. METHODS: A 17-item web survey had been distributed to emergency surgeons in June 2020 around the world, investigating the impact of SARS-CoV-2 pandemic on patients and septic diseases both requiring emergency surgery and the time-to-intervention in emergency surgery routine, as well as experiences with surgery in COVID-19 patients. RESULTS: Ninety-eight collaborators from 31 countries responded to the survey. The majority (65.3%) estimated the impact of the SARS-CoV-2 pandemic on emergency surgical patient care as being strong or very strong. Due to the pandemic, 87.8% reported a decrease in the total number of patients undergoing emergency surgery and approximately 25% estimated a delay of more than 2 h in the time-to-diagnosis and another 2 h in the time-to-intervention. Fifty percent make structural problems with in-hospital logistics (e.g. transport of patients, closed normal wards etc.) mainly responsible for delayed emergency surgery and the frequent need (56.1%) for a triage of emergency surgical patients. 56.1% of the collaborators observed more severe septic abdominal diseases during the pandemic, especially for perforated appendicitis and severe septic cholecystitis (41.8% and 40.2%, respectively). 62.2% had experiences with surgery in COVID-19-infected patients. CONCLUSIONS: The results of The WSES COVID-19 emergency surgery survey are alarming. The combination of an estimated decrease in numbers of emergency surgical patients and an observed increase in more severe septic diseases may be a result of the fear of patients from infection with COVID-19 and a consecutive delayed hospital admission and diagnosis. A critical delay in time-to-diagnosis and time-to-intervention may be a result of changes in in-hospital logistics and operating room as well as intensive care capacities. Both reflect the potentially harmful impact of SARS-CoV-2 pandemic on emergency surgery services. BioMed Central 2020-12-09 /pmc/articles/PMC7724441/ /pubmed/33298131 http://dx.doi.org/10.1186/s13017-020-00341-0 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Reichert, Martin Sartelli, Massimo Weigand, Markus A. Doppstadt, Christoph Hecker, Matthias Reinisch-Liese, Alexander Bender, Fabienne Askevold, Ingolf Padberg, Winfried Coccolini, Federico Catena, Fausto Hecker, Andreas Impact of the SARS-CoV-2 pandemic on emergency surgery services—a multi-national survey among WSES members |
title | Impact of the SARS-CoV-2 pandemic on emergency surgery services—a multi-national survey among WSES members |
title_full | Impact of the SARS-CoV-2 pandemic on emergency surgery services—a multi-national survey among WSES members |
title_fullStr | Impact of the SARS-CoV-2 pandemic on emergency surgery services—a multi-national survey among WSES members |
title_full_unstemmed | Impact of the SARS-CoV-2 pandemic on emergency surgery services—a multi-national survey among WSES members |
title_short | Impact of the SARS-CoV-2 pandemic on emergency surgery services—a multi-national survey among WSES members |
title_sort | impact of the sars-cov-2 pandemic on emergency surgery services—a multi-national survey among wses members |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7724441/ https://www.ncbi.nlm.nih.gov/pubmed/33298131 http://dx.doi.org/10.1186/s13017-020-00341-0 |
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