Rymarowicz Justyna, Pędziwiatr Michał, Major Piotr, Donohue Bryan, Ciszek Karol, Nowakowski Michał
2nd Department of General Surgery, Jagiellonian University Medical College, 30-688 Krakow, Poland.
Department of Anaesthesia, Peterborough City Hospital, Peterborough PE3 9GZ, UK.
J Clin Med. 2021 Jan 21;10(3):395. doi: 10.3390/jcm10030395.
The Coronavirus Disease 2019 (COVID-19) pandemic has made changes to the traditional way of performing surgical consultations. The aim of the present study was to assess the need for surgical care performed by various surgical specialties among patients infected with COVID-19 hospitalized in a COVID-19 dedicated hospital. All surgical consultations performed for patients infected with COVID-19 in a COVID dedicated hospital in a seven month period were evaluated. Data on demographics, surgical specialty, consult reason, procedure performed, and whether it was a standard face to face or teleconsultation were gathered. Out of 2359 COVID-19 patients admitted to the hospital in the seven month period, 229 (9.7%) required surgical care. Out of those 108 consultations that did not lead to surgery, 71% were managed by telemedicine. A total of 36 patients were operated on while suffering from COVID-19. Out of them, only three patients admitted primarily for COVID-19 pneumonia underwent emergency surgery. The overall mortality among those operated on was 16.7%. Conclusions: Patients hospitalised with COVID-19 may require surgical care from various surgical specialties, especially during peaks of the pandemic. However, they rarely require a surgical procedure and only occasionally require major surgery. A significant portion of potentially surgical problems could be managed by teleconsultations.
2019年冠状病毒病（COVID-19）大流行改变了传统的外科会诊方式。本研究的目的是评估在一家专门收治COVID-19患者的医院中，感染COVID-19的患者对各外科专科手术治疗的需求。对一家专门收治COVID-19患者的医院在七个月期间为感染COVID-19的患者进行的所有外科会诊进行了评估。收集了有关人口统计学、外科专科、会诊原因、所实施的手术以及会诊是标准的面对面会诊还是远程会诊的数据。在七个月期间入院的2359例COVID-19患者中，229例（9.7%）需要手术治疗。在那些未导致手术的108例会诊中，71%通过远程医疗处理。共有36例患者在感染COVID-19期间接受了手术。其中，只有3例主要因COVID-19肺炎入院的患者接受了急诊手术。接受手术患者的总体死亡率为16.7%。结论：感染COVID-19住院的患者可能需要各外科专科的手术治疗，尤其是在疫情高峰期。然而，他们很少需要手术操作，仅偶尔需要大手术。相当一部分潜在的外科问题可以通过远程会诊处理。
