Disciplina de Urologia, Faculdade de Medicina do ABC - FMABC, Santo André, SP, Brasil.
Departamento de Nefrologia, Universidade Federal de São Paulo - UNIFESP, São Paulo, SP, Brasil.
Int Braz J Urol. 2022 Jan-Feb;48(1):101-109. doi: 10.1590/S1677-5538.IBJU.2021.0405.
It has been more than a year since the first case of Covid-19 was diagnosed in Brazil, and its most problematic feature is the oversaturation of the healthcare system capacity. Urolithiasis is a disease that requires timely and appropriate management. The present study aimed to evaluate the impact of the pandemic in hospital admissions for urolithiasis in the Brazilian public healthcare system.
In this cross-sectional study, hospital admissions were obtained from the Brazilian Public Health Information system. All hospital admissions associated with urolithiasis diagnosis (ICD-10 N20) between March 2017 and February 2021 were analyzed.
During the COVID-19 outbreak, there was a significant decrease in hospital admissions (p<0.0001). More than 20.000 patients probably did not have the opportunity to undergo their surgeries. The impact of the COVID-19 outbreak on women's admissions was significantly more intense than for men, reducing from 48.91% to 48.36% of the total (p=0.0281). The extremes of age seemed to be more affected, with patients younger than 20 years and older than 60 years having a significant reduction in access to hospital services (p=0.033).
In conclusion, we have noticed a considerable reduction in overall admissions for the treatment of urolithiasis in the Brazilian public healthcare system during the first year of the Covid-19 pandemic. Women and individuals older than 60 years were especially affected. In contrast, we noted a rise in urgent procedures, comparing with the average of the corresponding period of the three previous years. Recovery plans will be needed while returning to activities to handle the impounded surgical volume.
自巴西首例新冠肺炎确诊病例以来，已经过去了一年多，其最具问题的特征是医疗系统容量过度饱和。尿石症是一种需要及时和适当管理的疾病。本研究旨在评估该疾病在巴西公共医疗系统中的影响。
在这项横断面研究中，从巴西公共卫生信息系统中获取了住院数据。分析了 2017 年 3 月至 2021 年 2 月期间与尿石症诊断（ICD-10 N20）相关的所有住院数据。
在 COVID-19 爆发期间，住院人数显著减少（p<0.0001）。超过 20000 名患者可能没有机会接受手术。COVID-19 爆发对女性住院的影响明显比男性更严重，女性住院人数从总人数的 48.91%降至 48.36%（p=0.0281）。年龄极端的人群似乎受到的影响更大，20 岁以下和 60 岁以上的患者获得医院服务的机会明显减少（p=0.033）。
总之，我们注意到在 COVID-19 大流行的第一年，巴西公共医疗系统中治疗尿石症的总住院人数显著减少。女性和 60 岁以上的人群受到的影响尤其严重。相比之下，我们注意到紧急手术数量有所增加，与前三年同期的平均值相比有所上升。在恢复处理积压的手术量的活动时，需要制定恢复计划。
