Pediatric Surgery Unit. La Paz Pediatric Hospital, Madrid (Spain).
Pediatric Emergency Department. La Paz Pediatric Hospital, Madrid (Spain).
Cir Pediatr. 2021 Apr 1;34(2):85-89.
As a result of the emergence of the SARS-CoV-2 respiratory virus in Wuhan in December 2019, the Spanish Government declared the state of emergency with restrictions such as stay-at-home lockdown. The objective of this study was to analyze emergency activity at a referral pediatric surgery unit in its territory and determine whether surgical pathologies had decreased or not.
A retrospective study of pediatric patients presenting at the emergency department and referred to the pediatric surgery unit from March 14, 2020 to April 20, 2020 was carried out. The results were compared with those from the same dates of the previous year. Demographic variables, pathologies, and management strategies were studied for each case. The number of patients with abdominal pain requiring surgical assessment was also analyzed.
161 patients were included - 91 from 2019 and 70 from 2020. Of the 2020 patients, 62 (88.6%) underwent surgery and 8 (11.4%) were admitted, whereas in 2019, patient distribution was 67 (73.6%) and 24 (26.4%), which means there were fewer admissions in 2020 (p= 0.018). There were no differences in terms of hours to emergency department consultation - just an increase in the case of appendicular pathologies in the 2020 period, with 24 [23-48] hours vs. 24 [12-30] hours (p = 0.045).
The current pandemic has not caused emergency surgeries to decrease. It has only increased time to consultation in patients with appendicular pathologies.
由于 2019 年 12 月在中国武汉出现 SARS-CoV-2 呼吸道病毒，西班牙政府宣布进入紧急状态，并实施了居家隔离等限制措施。本研究的目的是分析其领土内转诊小儿外科病房的急诊活动，并确定手术病理是否减少。
对 2020 年 3 月 14 日至 4 月 20 日期间因出现于急诊并转诊至小儿外科病房的小儿患者进行回顾性研究。将结果与前一年同期进行比较。对每个病例的人口统计学变量、病理和管理策略进行研究。还分析了需要手术评估的腹痛患者数量。
共纳入 161 例患者-2019 年 91 例，2020 年 70 例。2020 年患者中 62 例（88.6%）接受了手术，8 例（11.4%）住院，而 2019 年患者分布为 67 例（73.6%）和 24 例（26.4%），这意味着 2020 年住院人数减少（p=0.018）。急诊咨询时间没有差异-仅在 2020 年阑尾疾病的情况下增加，为 24[23-48]小时比 24[12-30]小时（p=0.045）。
目前的大流行并未导致急诊手术减少。它只是增加了阑尾疾病患者的咨询时间。
