Presl Jaroslav, Varga Martin, Mittermair Christof, Mitterwallner Stefan, Weitzendorfer Michael, Gabersek Ana, Borhanian Kurosch, Heuberger Andreas, Weiss Helmut, Emmanuel Klaus, von Rahden Burkhard, Koch Oliver Owen
Department of Surgery, Paracelsus Medical Private University (PMU) Salzburg, University Hospital Salzburg (SALK), Müllner Hauptstr. 48, 5020 Salzburg, Austria.
Department of Surgery, Saint John of God Hospital, Teaching Hospital of the Paracelsus Medical Private University (PMU) Salzburg, Kajetanerpl. 1, 5010 Salzburg, Austria.
Eur Surg. 2021;53(2):48-54. doi: 10.1007/s10353-021-00692-1. Epub 2021 Mar 4.
Some medical disciplines have reported a strong decrease of emergencies during the coronavirus disease 2019 (COVID-19) pandemic; however, the effect of the lockdown on general surgery emergencies remains unclear.
This study is a retrospective, multicenter analysis of general surgery emergency operations performed during the period from 1 March to 15th 2020 lockdown and in the same time period of 2019 in three medical centers providing emergency surgical care to the area Salzburg-North, Austria.
In total 165 emergency surgeries were performed in the study period of 2020 compared to 287 in 2019. This is a significant decrease of 122 (42.5%) emergency surgeries during the COVID-19 lockdown ( = 0.005). The length of hospital stay was reduced to 3 days in 2020 compared to 4 in 2019. Appendectomy remained the most performed emergency surgery for both periods; however the number of surgeries was reduced to less than a half, with 72 cases in 2019 and 33 cases in 2020 ( = 0.118). Emergency colon surgery observed the strongest decrease of 75% from 17 cases in 2019 to 4 in 2020. In addition, the emergency abdominal wall hernia, cholecystectomies for acute cholecystitis, small surgeries and proctological emergencies recorded drops of 70%, 39%, 33% and 47% respectively. The strongest reduction in frequencies of emergency surgeries was reported from the designated COVID center in the examined region.
Emergency general surgery is an essential service that continues to run under all circumstances. Our data show that COVID-19-related restrictions have resulted in a significant decrease in the utilization of acute surgical care.
一些医学学科报告称，在2019冠状病毒病（COVID-19）大流行期间急诊数量大幅下降；然而，封锁对普通外科急诊的影响仍不清楚。
本研究是一项回顾性、多中心分析，分析了2020年3月1日至15日封锁期间以及2019年同期在奥地利萨尔茨堡北部地区提供急诊手术护理的三个医疗中心进行的普通外科急诊手术。
2020年研究期间共进行了165例急诊手术，而2019年为287例。这表明在COVID-19封锁期间急诊手术显著减少了122例（42.5%）（P = 0.005）。2020年住院时间缩短至3天，而2019年为4天。两个时期阑尾切除术都是最常进行的急诊手术；然而，手术数量减少到不到一半，2019年为72例，2020年为33例（P = 0.118）。急诊结肠手术下降最为明显，从2019年的17例降至2020年的4例，降幅达75%。此外，急诊腹壁疝、急性胆囊炎胆囊切除术、小型手术和直肠急症手术分别下降了70%、39%、33%和47%。在所检查地区的指定COVID中心，急诊手术频率下降最为明显。
普通外科急诊是一项在任何情况下都持续开展的基本服务。我们的数据表明，与COVID-19相关的限制导致急性手术护理的利用率显著下降。
