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Thoracic surgery and COVID-19: changes and managements during the pandemic

BACKGROUND: Several articles have been published about the reorganization of surgical activity during the coronavirus disease 2019 (COVID-19) pandemic but little is known about the operative volume, distribution of cases, or capacity of The Department of Thoracic Surgery to deliver surgical services...

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Detalles Bibliográficos
Autores principales: Wang, Runchen, Zhong, Ran, Liang, Hengrui, Zhang, Tianci, Zhou, Xinkai, Huo, Zhenyu, Feng, Yi, Wang, Qixia, Li, Jianfu, Xiong, Shan, Li, Feng, Liang, Wenhua, He, Jianxing
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AME Publishing Company 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8024807/
https://www.ncbi.nlm.nih.gov/pubmed/33841943
http://dx.doi.org/10.21037/jtd-20-2883
Descripción
Sumario:BACKGROUND: Several articles have been published about the reorganization of surgical activity during the coronavirus disease 2019 (COVID-19) pandemic but little is known about the operative volume, distribution of cases, or capacity of The Department of Thoracic Surgery to deliver surgical services in the time of COVID-19. METHODS: A retrospective operative logbook review was completed in department of thoracic in a designated COVID-19 hospital. We reviewed and analyzed the operative logbook and discussed our countermeasures during the outbreak. A prediction model was established to discuss the time consuming about delayed surgeries during the pandemic. RESULTS: One thousand two hundred and seventy-five operation records were collected. The thoracic surgeries of this year has decreased (43.4%) during the Wuhan lockdown. From Jan 23(rd) to Apr 8(th) in 2020, there were 461 surgeries performed in The Department of Thoracic in our hospital with 0 cases of nosocomial COVID-19 infection. Prediction model showed that it will take 6 weeks to solve the backlog if department can reach the 85% of maximum of operations per week. CONCLUSIONS: An understanding of operative case volume and distribution is essential in facilitating targeted interventions to strengthen surgical capacity in the time of COVID-19. A proper guideline is imperative to ensure access to safe, timely surgical care. By developing a scientific and effective management of hospital, it is possible to ensure optimal surgical safety during this crisis. Regular updates and a further study include multicenter is required. CLINICAL TRIAL REGISTRY NUMBER: ChiCTR2000034346.