Cozza Valerio, Fransvea Pietro, La Greca Antonio, De Paolis Paolo, Marini Pierluigi, Zago Mauro, Sganga Gabriele
Emergency Surgery and Trauma-Fondazione Policlinico Universitario "A. Gemelli" IRCCS, Università Cattolica del Sacro Cuore, Largo A. Gemelli 8, 00168, Rome, Italy.
President of Società Italiana Di Chirurgia (SIC), Italian Society of Surgery, Rome, Italy.
Updates Surg. 2020 Jun;72(2):297-304. doi: 10.1007/s13304-020-00832-4. Epub 2020 Jun 24.
The sudden COVID-19 outbreak in Italy has challenged our health systems and doctors faced the challenge of treating a large number of critically ill patients in a short time interval. Acute care surgeons, although not directly involved in treating COVID-19 + patients, have often modified their daily activity to help in this crisis. We have designed the first Italian survey on the effect of COVID-19 outbreak on Acute Care Surgery activity and submitted it to emergency surgeons in all the country to evaluate the experiences, trends, attitudes and possible educational outcomes that this emergency brought to light. A total of 532 valid surveys were collected during the study period. Lombardy and Lazio had the major answer rate. 96% of responders noticed a decrease in surgical emergencies. The outbreak affected regions and hospitals in different ways depending on the local incidence of infection. Half of responders modified their approach to intra-abdominal infections towards a more conservative treatment. 43% of responders, mainly in the North, were shifted to assist non-surgical patients. There has been a direct but non-homogeneous involvement of emergency surgeons. Almost all hospitals have responded with specific pathways and training. Both emergency surgery and trauma activity have changed and generally decreased but the majority of surgeons have operated on suspected COVID-19 patients.
意大利突发的新冠疫情给我们的医疗系统带来了挑战，医生们面临着在短时间内治疗大量重症患者的挑战。急性护理外科医生虽然没有直接参与治疗新冠病毒阳性患者，但他们经常调整日常工作，以帮助应对这场危机。我们设计了第一项关于新冠疫情对急性护理外科活动影响的意大利调查，并将其提交给全国的急诊外科医生，以评估这一紧急情况所揭示的经验、趋势、态度以及可能的教育成果。在研究期间共收集到532份有效调查问卷。伦巴第大区和拉齐奥大区的回复率最高。96%的受访者注意到外科急诊数量减少。疫情根据当地感染发生率以不同方式影响着各个地区和医院。一半的受访者对腹腔内感染的治疗方法转向了更为保守的治疗方式。43%的受访者，主要是北方地区的，转而协助治疗非手术患者。急诊外科医生受到了直接但不均衡的影响。几乎所有医院都采取了特定的途径和培训措施。急诊手术和创伤救治活动都发生了变化，总体上有所减少，但大多数外科医生都为疑似新冠患者进行了手术。
