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Emergency General Surgery and COVID-19 Pandemic: Are There Any Changes? A Scoping Review

Background and Objectives: The pandemic of SARS-CoV-19 has affected the overall spectrum of General Surgery, either in the case management part, or in the type of cases. The purpose of this review is to gather all the parameters affected and to compare these changes between the pandemic period and t...

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Autores principales: Karlafti, Eleni, Kotzakioulafi, Evangelia, Peroglou, Dimitrios-Christos, Gklaveri, Styliani, Malliou, Petra, Ioannidis, Aristeidis, Panidis, Stavros, Netta, Smaro, Savopoulos, Christos, Michalopoulos, Antonios, Paramythiotis, Daniel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9505372/
https://www.ncbi.nlm.nih.gov/pubmed/36143880
http://dx.doi.org/10.3390/medicina58091197
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author Karlafti, Eleni
Kotzakioulafi, Evangelia
Peroglou, Dimitrios-Christos
Gklaveri, Styliani
Malliou, Petra
Ioannidis, Aristeidis
Panidis, Stavros
Netta, Smaro
Savopoulos, Christos
Michalopoulos, Antonios
Paramythiotis, Daniel
author_facet Karlafti, Eleni
Kotzakioulafi, Evangelia
Peroglou, Dimitrios-Christos
Gklaveri, Styliani
Malliou, Petra
Ioannidis, Aristeidis
Panidis, Stavros
Netta, Smaro
Savopoulos, Christos
Michalopoulos, Antonios
Paramythiotis, Daniel
author_sort Karlafti, Eleni
collection PubMed
description Background and Objectives: The pandemic of SARS-CoV-19 has affected the overall spectrum of General Surgery, either in the case management part, or in the type of cases. The purpose of this review is to gather all the parameters affected and to compare these changes between the pandemic period and the corresponding time frame of the previous year. Materials and Methods: A review of literature in two electronic databases (PubMed and Scopus) was performed examining studies during the pre-pandemic (March to May 2019) and pandemic (March to May 2020) period about emergency surgeries. The differences in case presentation in emergency rooms, patient characteristics, length of hospitalization, type of surgery, complications and mortality rate were compared. Results: The comparison of the studies revealed significant results highlighting the differences between the two time periods for each parameter. There has been observed an overall decrease in the number of cases presented for emergency and urgent surgery. In terms of age, sex, and BMI, there were no significant variations amongst the patients. About the length of hospitalization, the patients hospitalized longer during the pandemic period. In terms of pathologies, the most common types of surgery were appendectomy, gastrointestinal, and colorectal resection. Mortality did not differ between the two study periods. Conclusions: COVID-19 affected a large part of Emergency General Surgery mainly concerns the type of operations performed. The hospitalization of patients, the complications that may have arisen and the recognition of emergencies were the most important issues faced by health care officials in hospitals during the period of COVID-19; however, there were parameters like mortality and patients’ characteristics that did not appear to differ with pre-pandemic era.
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spelling pubmed-95053722022-09-24 Emergency General Surgery and COVID-19 Pandemic: Are There Any Changes? A Scoping Review Karlafti, Eleni Kotzakioulafi, Evangelia Peroglou, Dimitrios-Christos Gklaveri, Styliani Malliou, Petra Ioannidis, Aristeidis Panidis, Stavros Netta, Smaro Savopoulos, Christos Michalopoulos, Antonios Paramythiotis, Daniel Medicina (Kaunas) Review Background and Objectives: The pandemic of SARS-CoV-19 has affected the overall spectrum of General Surgery, either in the case management part, or in the type of cases. The purpose of this review is to gather all the parameters affected and to compare these changes between the pandemic period and the corresponding time frame of the previous year. Materials and Methods: A review of literature in two electronic databases (PubMed and Scopus) was performed examining studies during the pre-pandemic (March to May 2019) and pandemic (March to May 2020) period about emergency surgeries. The differences in case presentation in emergency rooms, patient characteristics, length of hospitalization, type of surgery, complications and mortality rate were compared. Results: The comparison of the studies revealed significant results highlighting the differences between the two time periods for each parameter. There has been observed an overall decrease in the number of cases presented for emergency and urgent surgery. In terms of age, sex, and BMI, there were no significant variations amongst the patients. About the length of hospitalization, the patients hospitalized longer during the pandemic period. In terms of pathologies, the most common types of surgery were appendectomy, gastrointestinal, and colorectal resection. Mortality did not differ between the two study periods. Conclusions: COVID-19 affected a large part of Emergency General Surgery mainly concerns the type of operations performed. The hospitalization of patients, the complications that may have arisen and the recognition of emergencies were the most important issues faced by health care officials in hospitals during the period of COVID-19; however, there were parameters like mortality and patients’ characteristics that did not appear to differ with pre-pandemic era. MDPI 2022-09-01 /pmc/articles/PMC9505372/ /pubmed/36143880 http://dx.doi.org/10.3390/medicina58091197 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Karlafti, Eleni
Kotzakioulafi, Evangelia
Peroglou, Dimitrios-Christos
Gklaveri, Styliani
Malliou, Petra
Ioannidis, Aristeidis
Panidis, Stavros
Netta, Smaro
Savopoulos, Christos
Michalopoulos, Antonios
Paramythiotis, Daniel
Emergency General Surgery and COVID-19 Pandemic: Are There Any Changes? A Scoping Review
title Emergency General Surgery and COVID-19 Pandemic: Are There Any Changes? A Scoping Review
title_full Emergency General Surgery and COVID-19 Pandemic: Are There Any Changes? A Scoping Review
title_fullStr Emergency General Surgery and COVID-19 Pandemic: Are There Any Changes? A Scoping Review
title_full_unstemmed Emergency General Surgery and COVID-19 Pandemic: Are There Any Changes? A Scoping Review
title_short Emergency General Surgery and COVID-19 Pandemic: Are There Any Changes? A Scoping Review
title_sort emergency general surgery and covid-19 pandemic: are there any changes? a scoping review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9505372/
https://www.ncbi.nlm.nih.gov/pubmed/36143880
http://dx.doi.org/10.3390/medicina58091197
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