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[安全手术与新型冠状病毒肺炎:一篇叙述性综述]

[Safe surgery and COVID-19: A narrative review].

作者信息

Guilabert Giménez A, Guilabert Mora M

机构信息

Hospital Virgen del Castillo, Yecla, Murcia, España.

Departamento de Psicología de la Salud, Universidad Miguel Hernández, Elche, Alicante, España.

出版信息

J Healthc Qual Res. 2021 May-Jun;36(3):160-167. doi: 10.1016/j.jhqr.2020.11.005. Epub 2021 Jan 21.

DOI:10.1016/j.jhqr.2020.11.005
PMID:33589399
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7826109/
Abstract

BACKGROUND

The interruption of surgical care in Spain caused by the pandemic must end. Recovery from this activity must be carried out on an elective basis and in conjunction with possible cases of COVID-19. The objective of this review was to incorporate good practice criteria related to COVID-19 into the context of safe surgery, which would make it possible to develop a proposed surgical safety checklist adapted to patients with this disease.

METHODS

Narrative literature review, following the PRISMA protocol, in the Medline and Cochrane directories, using the MeSH terms (coronavirus, infections, safety, surgical procedures, operative, checklist) and the Boolean operator AND. In addition, recommendations from scientific bodies and societies were reviewed (grey literature).

RESULTS

Thirty-three final studies were included with recommendations for safe surgery and surgical safety checklist adapted for COVID-19, the most frequent being aspects related to treatment (41.3%) and prevention and control measures (27.6%).

CONCLUSIONS

The existence of a broad consensus on good practices recommended for COVID surgical patients makes it possible to make a proposal for surgical safety checklist to these patients.

摘要

背景

西班牙因疫情导致的外科手术中断必须结束。此项活动的恢复必须在择期基础上进行,并结合可能的新冠病毒感染病例。本综述的目的是将与新冠病毒相关的良好实践标准纳入安全手术的范畴,从而制定一份适用于此类疾病患者的手术安全检查表。

方法

按照PRISMA协议,在Medline和Cochrane数据库中进行叙述性文献综述,使用医学主题词(冠状病毒、感染、安全、外科手术、手术操作、检查表)及布尔运算符“与”。此外,还查阅了科学机构和学会的建议(灰色文献)。

结果

纳入了33项最终研究,这些研究针对新冠病毒感染患者提出了安全手术及手术安全检查表的建议,其中最常见的是与治疗相关的方面(41.3%)以及预防和控制措施(27.6%)。

结论

对于新冠病毒感染手术患者推荐的良好实践存在广泛共识,这使得能够为这些患者制定手术安全检查表的建议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ce6/7826109/9f91d63c8f99/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ce6/7826109/9f91d63c8f99/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ce6/7826109/9f91d63c8f99/gr1.jpg

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本文引用的文献

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[Elective surgery during the SARS-CoV-2 pandemic (COVID-19): a morbimortality analysis and recommendations on patient prioritisation and security measures].[新型冠状病毒肺炎疫情期间的择期手术(COVID-19):病死率分析及患者优先排序和安全措施建议]
Cir Esp (Engl Ed). 2020 Nov;98(9):525-532. doi: 10.1016/j.ciresp.2020.04.029. Epub 2020 Apr 29.
2
Surgery during the COVID-19 pandemic: A comprehensive overview and perioperative care.2019冠状病毒病大流行期间的手术:全面概述与围手术期护理
Am J Surg. 2020 Jun;219(6):903-906. doi: 10.1016/j.amjsurg.2020.04.018. Epub 2020 Apr 18.
3
Barriers and facilitators to healthcare workers' adherence with infection prevention and control (IPC) guidelines for respiratory infectious diseases: a rapid qualitative evidence synthesis.
医护人员遵守呼吸道传染病感染预防与控制(IPC)指南的障碍与促进因素:一项快速定性证据综合分析
Cochrane Database Syst Rev. 2020 Apr 21;4(4):CD013582. doi: 10.1002/14651858.CD013582.
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Clinical characteristics and outcomes of patients undergoing surgeries during the incubation period of COVID-19 infection.新型冠状病毒肺炎感染潜伏期接受手术患者的临床特征及预后
EClinicalMedicine. 2020 Apr 5;21:100331. doi: 10.1016/j.eclinm.2020.100331. eCollection 2020 Apr.
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Surgical Management of Patients With COVID-19 Infection. Recommendations of the Spanish Association of Surgeons.新型冠状病毒肺炎感染患者的外科治疗。西班牙外科医生协会的建议。
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