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一家大流行医院新冠肺炎疫情前后泌尿外科诊疗情况的比较

Comparison of before and after COVID-19 urology practices of a pandemic hospital.

作者信息

Soytaş Mustafa, Boz Mustafa Yücel, Güzelburç Vahit, Çalık Gökhan, Horuz Rahim, Akbulut Ziya, Albayrak Selami

机构信息

Department of Urology, İstanbul Medipol University Faculty of Medicine, İstanbul, Turkey.

出版信息

Turk J Urol. 2020 Nov;46(6):474-480. doi: 10.5152/tud.2020.20230. Epub 2020 Oct 1.

Abstract

OBJECTIVE

The aim of this study is to compare the effects of COVID-19 on urology practice using pre- and post-pandemic data of a pandemic hospital.

MATERIAL AND METHODS

March 11 is considered as the beginning of COVID-19 and, changes in the number of the outpatient clinic examinations, non-surgical procedures, and surgery in the 8-week period before and during the pandemic were evaluated by weeks. Age, gender, and comorbid diseases of the operated patients were compared statistically. The symptoms, complaints, mortality, and morbidity conditions of the patients were recorded by contacting them. Descriptive data and chi-square test were used.

RESULTS

The number of COVID-19 cases has been reported as 8,916 for the hospital, 88,412 for the city and 150,593 for the country. The mean age of the operated patients before and after 11 March was 51 and 47, and comorbidities were 79 and 40, respectively, and there was no statistically significant difference(p<0.05). The number of patients examined was 2,309 and 868, the number of operated patients 173 and 94, the number of patients undergoing non-surgical procedures were 371 and 174, respectively. The names and numbers of surgical and non-surgical procedures are listed according to European Association of Urology (EAU) priority classification. In follow-up, no complication because of COVID-19 was observed in any patient.

CONCLUSION

Our study showed that, although the numbers have decreased, similar operations can be performed in daily urology practice without any contamination and mortality during the pandemic compared to the prepandemic period, by taking precautions and following the algorithms.

摘要

目的

本研究旨在利用一家疫情医院疫情前后的数据,比较2019冠状病毒病(COVID-19)对泌尿外科诊疗的影响。

材料与方法

将3月11日视为COVID-19开始的时间,按周评估疫情前和疫情期间8周内门诊检查、非手术治疗和手术数量的变化。对手术患者的年龄、性别和合并症进行统计学比较。通过与患者联系记录其症状、主诉、死亡率和发病率情况。采用描述性数据和卡方检验。

结果

该医院报告的COVID-19病例数为8916例,该市为88412例,全国为150593例。3月11日前后手术患者的平均年龄分别为51岁和47岁,合并症分别为79例和40例,差异无统计学意义(p<0.05)。检查患者数量分别为2309例和868例,手术患者数量分别为173例和94例,接受非手术治疗的患者数量分别为371例和174例。手术和非手术治疗的名称及数量根据欧洲泌尿外科学会(EAU)优先分类列出。随访中,未观察到任何患者因COVID-19出现并发症。

结论

我们的研究表明,尽管数量有所下降,但在疫情期间,通过采取预防措施并遵循相关流程,泌尿外科日常诊疗中仍可进行类似手术,且不会出现任何感染和死亡情况,与疫情前时期相比无差异。

相似文献

本文引用的文献

1
Epidemiology of COVID-19.新型冠状病毒肺炎流行病学。
Turk J Med Sci. 2020 Apr 21;50(SI-1):563-570. doi: 10.3906/sag-2004-172.
3
7
Urology practice during the COVID-19 pandemic.2019冠状病毒病大流行期间的泌尿外科实践。
Minerva Urol Nefrol. 2020 Jun;72(3):369-375. doi: 10.23736/S0393-2249.20.03846-1. Epub 2020 Mar 23.
8
Comorbidities and multi-organ injuries in the treatment of COVID-19.新型冠状病毒肺炎治疗中的合并症与多器官损伤
Lancet. 2020 Mar 21;395(10228):e52. doi: 10.1016/S0140-6736(20)30558-4. Epub 2020 Mar 11.

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