Baoas Sharon Desales, Rucinski James, Zenilman Michael
Department of Surgery, New York Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY, USA.
J Community Hosp Intern Med Perspect. 2021 Jun 21;11(4):450-456. doi: 10.1080/20009666.2021.1926613.
: The COVID-19 is an emerging infectious disease that impacted HealthCare System worldwide and patients undergoing elective surgical procedures is associated with a high mortality rate and a complicated perioperative course. : A retrospective observational study, the research design was conducted utilizing the RedCap ACS COVID-19 Registry and Cerner EMR. The intent of this design is to create statistical information about confirmed COVID-19 cases admitted in an academic institution in Brooklyn, New York from March to May 2020. : A total of 1413 patients were included in the final analysis. Of the 1413 patients, 520 Expired, 40.5% were males, and 33% were females, p = 0.004. Male patients had high mortality at a rate that is statistically significant. For race of those 'Expired', 38.3% white, 34.2% Black, 28.2% Asian, and Unknown 43.6%, showing statistical significance at p = 0.050. The most common co-morbidities for those not-Expired versus Expired: DM, 44.6% expired versus 55.6% not-expired, HTN, 77.1% versus 22.9%, and CAD, 47.9% versus 52.1%. Comparing the data of COVID-19 patients without surgery and with those who had surgery, it was observed that 53% of those who did not have surgery went 'Home' versus 38.6%, of those with surgery who could not. Further examining those without surgery versus those with surgery: 3.4% versus 13.3% discharge to 'Rehab', for 'Other discharge' destinations 5.9% versus 14.5%, and for 'Expired' 37.1% versus 31.3%. Overall, the presence of surgery had a significant impact on COVID-19 patients discharge destinations at p = < 0.001. : The implications of change in the setting of our current clinical practice therefore require forbearance, training, preparedness, and education to efficiently maintain our essential surgical services.
新型冠状病毒肺炎（COVID-19）是一种新出现的传染病，它对全球医疗系统造成了影响，接受择期手术的患者死亡率高，围手术期过程复杂。
这是一项回顾性观察研究，研究设计利用了RedCap ACS COVID-19注册系统和Cerner电子病历系统。该设计的目的是创建有关2020年3月至5月在纽约布鲁克林一家学术机构收治的确诊COVID-19病例的统计信息。
共有1413名患者纳入最终分析。在这1413名患者中，520人死亡，男性占40.5%，女性占33%，p = 0.004。男性患者死亡率高，具有统计学意义。在“死亡”患者的种族方面，白人占38.3%，黑人占34.2%，亚洲人占28.2%，未知种族占43.6%，p = 0.050时具有统计学意义。未死亡患者与死亡患者最常见的合并症：糖尿病，死亡患者中占44.6%，未死亡患者中占55.6%；高血压，分别为77.1%和22.9%；冠心病，分别为47.9%和52.1%。比较未进行手术的COVID-19患者与进行手术的患者的数据，发现未进行手术的患者中有53%“回家”，而进行手术的患者中这一比例为38.6%。进一步比较未进行手术的患者与进行手术的患者：转至“康复机构”的比例分别为3.4%和13.3%，“其他出院”目的地的比例分别为5.9%和14.5%，“死亡”的比例分别为37.1%和31.3%。总体而言，手术对COVID-19患者的出院目的地有显著影响，p = < 0.001。
因此，在我们当前的临床实践环境中，这种变化的影响需要宽容、培训、准备和教育，以有效地维持我们的基本外科服务。
