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

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 sur...

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Autores principales: Presl, Jaroslav, Varga, Martin, Mittermair, Christof, Mitterwallner, Stefan, Weitzendorfer, Michael, Gabersek, Ana, Borhanian, Kurosch, Heuberger, Andreas, Weiss, Helmut, Emmanuel, Klaus, von Rahden, Burkhard, Koch, Oliver Owen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Vienna 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7930888/
https://www.ncbi.nlm.nih.gov/pubmed/33686347
http://dx.doi.org/10.1007/s10353-021-00692-1
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author Presl, Jaroslav
Varga, Martin
Mittermair, Christof
Mitterwallner, Stefan
Weitzendorfer, Michael
Gabersek, Ana
Borhanian, Kurosch
Heuberger, Andreas
Weiss, Helmut
Emmanuel, Klaus
von Rahden, Burkhard
Koch, Oliver Owen
author_facet Presl, Jaroslav
Varga, Martin
Mittermair, Christof
Mitterwallner, Stefan
Weitzendorfer, Michael
Gabersek, Ana
Borhanian, Kurosch
Heuberger, Andreas
Weiss, Helmut
Emmanuel, Klaus
von Rahden, Burkhard
Koch, Oliver Owen
author_sort Presl, Jaroslav
collection PubMed
description 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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spelling pubmed-79308882021-03-04 Impact of the COVID-19 pandemic lockdown on the utilization of acute surgical care in the State of Salzburg, Austria: retrospective, multicenter analysis Presl, Jaroslav Varga, Martin Mittermair, Christof Mitterwallner, Stefan Weitzendorfer, Michael Gabersek, Ana Borhanian, Kurosch Heuberger, Andreas Weiss, Helmut Emmanuel, Klaus von Rahden, Burkhard Koch, Oliver Owen Eur Surg Original Article 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. Springer Vienna 2021-03-04 2021 /pmc/articles/PMC7930888/ /pubmed/33686347 http://dx.doi.org/10.1007/s10353-021-00692-1 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open Access This 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/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Article
Presl, Jaroslav
Varga, Martin
Mittermair, Christof
Mitterwallner, Stefan
Weitzendorfer, Michael
Gabersek, Ana
Borhanian, Kurosch
Heuberger, Andreas
Weiss, Helmut
Emmanuel, Klaus
von Rahden, Burkhard
Koch, Oliver Owen
Impact of the COVID-19 pandemic lockdown on the utilization of acute surgical care in the State of Salzburg, Austria: retrospective, multicenter analysis
title Impact of the COVID-19 pandemic lockdown on the utilization of acute surgical care in the State of Salzburg, Austria: retrospective, multicenter analysis
title_full Impact of the COVID-19 pandemic lockdown on the utilization of acute surgical care in the State of Salzburg, Austria: retrospective, multicenter analysis
title_fullStr Impact of the COVID-19 pandemic lockdown on the utilization of acute surgical care in the State of Salzburg, Austria: retrospective, multicenter analysis
title_full_unstemmed Impact of the COVID-19 pandemic lockdown on the utilization of acute surgical care in the State of Salzburg, Austria: retrospective, multicenter analysis
title_short Impact of the COVID-19 pandemic lockdown on the utilization of acute surgical care in the State of Salzburg, Austria: retrospective, multicenter analysis
title_sort impact of the covid-19 pandemic lockdown on the utilization of acute surgical care in the state of salzburg, austria: retrospective, multicenter analysis
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7930888/
https://www.ncbi.nlm.nih.gov/pubmed/33686347
http://dx.doi.org/10.1007/s10353-021-00692-1
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