Elective surgery in times of COVID-19: A two-centre analysis of postponed operations and disease-related morbidity and mortality.

Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen
Isabella B Metelmann, Alexandra Busemann

Abstract

COVID-19 had an impact on the whole range of worldwide medical services. Due to the high risk of in-hospital transmission and disproportionate perioperative rates of morbidity and mortality in occult COVID-19 patients surgeons were faced with the challenging triage of surgeries into emergency, urgent and elective. The present study investigates postponed elective surgery and its impact on the medical condition of patients in two high-volume departments of general, visceral, thoracic, transplant and vascular surgery. Operations that have been postponed due to COVID-19 were recorded in the Departments of General-, Visceral-, Thoracic- and Vascular Surgery at the University Hospitals of Leipzig and Greifs-wald. Data was analysed descriptively concerning patient outcomes as well as emergency admissions and surgeries. In the Leipzig and Greifswald University Hospitals 89 and 92 elective surgeries were postponed, respectively. No patient needed an extension of surgical procedure when eventually operated. One patient with extensive obesity died early during the suspension period due to cardiac complications. Four patients needed emergency admission to hospital one of whom required urgent surgery. In neither of the two surgical departm...Continue Reading

References

Oct 22, 2010·Health Policy and Planning·Catherine Lo Yuk-ping, Nicholas Thomas
Jan 21, 2016·Journal of the Royal Army Medical Corps·Ibrahim BunduL M Hunt
Nov 11, 2018·BMC Health Services Research·Håkon A BolkanJohan von Schreeb
Mar 30, 2020·Annals of Surgery·Ali AminianConor P Delaney
May 2, 2020·Annals of Surgery·Sue J FuRahim Nazerali
Jul 18, 2020·Annals of Surgery·Sue J FuRahim Nazerali
Jul 18, 2020·Annals of Surgery·Naomi M SellJohn T Mullen
Aug 25, 2020·Zeitschrift für Gesundheitswissenschaften = Journal of public health·Isabella B MetelmannAlexandra Busemann

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Citations

Jun 20, 2021·Seminars in Vascular Surgery·Laura M DrudiSherene Shalhub

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Methods Mentioned

BETA
amputation

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