Raheem Ali Abdel, Banihani Omaya, Abasher Abdelazim, Alotay Abdulhakim, Alyami Fahad A, Alsaad Tamer A, Alqarni Naif, Alsowayan Ossamah, Jamalalali Yasser A, Alhuwaiti Mohammad, Al-Madi Maha, Rubeea Subbhy Abo, Aljallad Hossam, Elhelaly Ahmed, Alroumaih Abdullah, Almutairi Faisal, Alhams Abdulwahab E, Alayad Abdullrhman, Alshammari Ahmad
Department of Urology, King Saud Medical City, Riyadh, Saudi Arabia.
Department of Urology, Faculty of Medicine, Tanta University, Tanta, Egypt.
Urol Ann. 2021 Oct-Dec;13(4):397-404. doi: 10.4103/UA.UA_130_20. Epub 2021 Jun 23.
Our study aimed to evaluate the effect of COVID-19 on pediatric urology practice in the Kingdom of Saudi Arabia (KSA).
Data of 10 tertiary hospitals in KSA were retrospectively analyzed. Data of outpatient department (OPD) visits and pediatric urology surgical procedures from January 1, 2019, to April 30, 2019, and from January 1, 2020, to April 30, 2020, were extracted. The primary outcome was to compare OPD visits and pediatric urology workload in the first third of 2020 versus 2019, where there was no curfew. The secondary outcome was to compare the same variables during the full curfew time, i.e., April 2020 versus April 2019.
The number of OPD visits was lower in the first third of 2020 (7390 vs. 10,379 in 2019 < 0.001). OPD visits in April 2020 were 78.6% lower than in April 2019, and teleclinics represented 850 (94.3%). Elective procedures in the first third of 2020 were 688, with a reduction rate of 34.3% compared to the same period of 2019 ( < 0.001). In April 2020, there were 18 elective surgeries, with a 91.4% decrease than in April 2019. Ureteric reimplantation, hypospadias, cryptorchidism, and circumcision stopped, while pyeloplasty ( = 14) and urolithiasis ( = 4) procedures had declined by 50% and 76.5%, respectively. Most of the procedures (71.8%) were day surgery. Emergency procedures were similar in the first third of 2020 (65 vs. 64 in 2019, = 0.994) and declined in April 2020 by 6.7% versus April 2019. During the full curfew, the most common emergency intervention were cases with obstructive uropathy (42.8%), followed by torsion testis (28.6%), posterior urethral valve (14.3%), and urological trauma (14.3%).
In KSA, the number of elective pediatric surgical procedures were reduced by >90%, while the number of emergency pediatric surgical procdures were similar during COVID-19 pandemic compared with non-COVID-19 time. Ureteric reimplantation, hypospadias repair, cryptorchidism, and circumcision procedures were postponed. Pyeloplasty and urolithiasis-related procedures were performed to prevent irreversible disease progression or organ damage. There was an increase in rate of teleclinic and day surgery to reduce the risk of COVID-19 infection.
我们的研究旨在评估新型冠状病毒肺炎（COVID-19）对沙特阿拉伯王国（KSA）儿科泌尿外科业务的影响。
对沙特阿拉伯王国10家三级医院的数据进行回顾性分析。提取2019年1月1日至2019年4月30日以及2020年1月1日至2020年4月30日的门诊部（OPD）就诊数据和儿科泌尿外科手术数据。主要结果是比较2020年第一季度与2019年第一季度（当时没有宵禁）的OPD就诊情况和儿科泌尿外科工作量。次要结果是比较全面宵禁期间（即2020年4月与2019年4月）的相同变量。
2020年第一季度的OPD就诊次数较少（2020年为7390次，2019年为10379次，<0.001）。2020年4月的OPD就诊次数比2019年4月低78.6%，远程诊所就诊占850次（94.3%）。2020年第一季度的择期手术为688例，与2019年同期相比减少率为34.3%（<0.001）。2020年4月有18例择期手术，比2019年4月减少了91.4%。输尿管再植术、尿道下裂修复术、隐睾症手术和包皮环切术停止，而肾盂成形术（n = 14）和尿路结石手术（n = 4）分别下降了50%和76.5%。大多数手术（71.8%）为日间手术。2020年第一季度的急诊手术情况与2019年相似（2020年为65例，2019年为64例，P = 0.994），2020年4月与2019年4月相比下降了6.7%。在全面宵禁期间，最常见的急诊干预是梗阻性尿路病病例（42.8%），其次是睾丸扭转（28.6%）、后尿道瓣膜（14.3%）和泌尿外科创伤（14.3%）。
在沙特阿拉伯王国，与非COVID-19时期相比，COVID-19大流行期间儿科择期手术数量减少了>90%，而儿科急诊手术数量相似。输尿管再植术、尿道下裂修复术、隐睾症手术和包皮环切术被推迟。进行肾盂成形术和尿路结石相关手术以防止疾病不可逆转的进展或器官损伤。远程诊所和日间手术的比例增加以降低COVID-19感染风险。
