Acute Care Surgery during the COVID-19 pandemic in Spain: Changes in volume, causes and complications. A multicentre retrospective cohort study

International Journal of Surgery
Oscar Cano-ValderramaAntonio J Torres

Abstract

during the COVID-19 pandemic, the number of Acute Care Surgery procedures performed in Spanish hospitals decreased significantly. The aim of this study was to compare Acute Care Surgery activity during the COVID-19 pandemic and during a control period. a multicenter retrospective cohort study was performed including patients who underwent Acute Care Surgery in three tertiary care hospitals in Spain during a control (11th March 2019 to 21st April 2019) and a pandemic (16th March 2020 to 26th April 2020) period. Type of surgical procedures, patients' features and postoperative complications were compared. two hundred and eighty-five and 117 patients were included in each group. Mean number of patients who underwent Acute Care Surgery during the control and pandemic periods was 2.3 and 0.9 patients per day and hospital (p < 0.001), representing a 58.9% decrease in Acute Care Surgery activity. Time from symptoms onset to patient arrival at the Emergency Department was longer during the pandemic (44.6 vs. 71.0 h, p < 0.001). Surgeries due to acute cholecystitis and complications from previous elective procedures decreased (26.7% vs. 9.4%) during the pandemic, while bowel obstructions and abdominal wall hernia surgeries increased (12...Continue Reading

Citations

Nov 3, 2020·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Ahmet SurekMehmet Karabulut
Feb 8, 2021·Langenbeck's Archives of Surgery·Arnulf G WillmsUNKNOWN CAMIN Study Group
Feb 25, 2021·Updates in Surgery·Roberto RasslanSérgio Henrique Bastos Damous
Feb 25, 2021·Brazilian Journal of Anesthesiology·Andreia Filipa SáPaulo Lemos
Apr 4, 2021·The Journal of Surgical Research·Katherine F VallèsTejal S Brahmbhatt
Apr 10, 2021·The American Journal of Emergency Medicine·Xavier BoschAlfonso López-Soto
Apr 13, 2021·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Marco CeresoliUNKNOWN Appendicitis-COVID study group
Mar 24, 2021·European Journal of Public Health·Charlotte M RoyRachel T Moresky
May 1, 2021·Clinical Journal of Gastroenterology·Rahul GuptaHoussem Ammar
May 1, 2021·Medicina intensiva·J M GarridoR J Villanueva
May 7, 2021·Obstetrics and Gynecology·Helen V TomaMatthew K Hoffman
May 14, 2021·BMC Emergency Medicine·Jochem C G ScheijmansUNKNOWN SCOUT Collaboarative Study group
Feb 17, 2021·Minerva anestesiologica·Giorgia Montrucchio, Luca Brazzi
Apr 3, 2021·The Journal of Trauma and Acute Care Surgery·Francesco Ferrara, Stefano Rausei
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Aug 2, 2021·The Journal of Surgical Research·Paul H McClellandMichael E Zenilman
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