Raheem Ali Abdel, Ghazwani Yahya, Alowidah Ibrahim, Azhar Raed A, Alomar Mohammed, Alzahrani Ahmed, Alsowayan Ossamah, Kamal Wissam, Alalayet Abdulrahman, Bugis Ahmad, Althunayan Abdulaziz M, Alzahrani Tarek M, Fadaak Kamel, Al-Solumany Aiman, Hamri Saeed Bin
Urology Department, King Saud Medical City, Riyadh, Saudi Arabia.
Urology Department, Faculty of Medicine, Tanta University, Tanta, Egypt.
Asian J Urol. 2021 Oct;8(4):416-423. doi: 10.1016/j.ajur.2021.03.006. Epub 2021 Mar 26.
To identify the impact of COVID-19 on endourology surgical practice in Saudi Arabia.
A retrospective study of seven tertiary hospitals from January 2019 to April 2019, and from January 2020 to April 2020 was performed. Records of urology outpatient department (OPD) visits and endourology procedures in the first third of 2020 were analyzed and compared with those in the first third of 2019, as well as, during the full curfew time, April 2020 versus April 2019.
Number of OPD visits in the first third of 2020 and 2019 were 19 499 and 26 594, respectively (<0.001). Number of OPD visits in April 2020 was 1512, with a 78.6% decrease compared to that in April 2019, and among them 1373 (90.8%) were teleclinics. Number of elective procedures in the first third of 2020 has decreased by 34.3% (from 3025 to 1988) compared to that in the first third of 2019 (<0.001). There were 120 elective procedures in April 2020, 84.1% lower than that in April 2019. Percutaneous nephrolithotomy, shockwave lithotripsy, and transurethral resection of prostate procedures declined by 94.2%, 98.5%, and 93.8%, respectively. Most procedures were performed as day surgery (85.0%). Number of emergency procedures in 2020 have fallen by 9.3% compared to 2019 (=0.286). Urolithiasis was the commonest pathology (52.6%) presented to the emergency room (52.6%).
During COVID-19 pandemic, urology services slashed by >75%, including OPD visits and elective endourology procedures. Most hospitals have changed their strategic preventive measures by increasing the rate of teleclinics and day surgeries.
确定新型冠状病毒肺炎（COVID-19）对沙特阿拉伯腔内泌尿外科手术实践的影响。
对2019年1月至2019年4月以及2020年1月至2020年4月期间七家三级医院进行回顾性研究。分析并比较2020年第一季度泌尿外科门诊（OPD）就诊记录和腔内泌尿外科手术情况与2019年第一季度的情况，以及在全面宵禁期间，2020年4月与2019年4月的情况。
2020年第一季度和2019年第一季度的门诊就诊次数分别为19499次和26594次（<0.001）。2020年4月的门诊就诊次数为1512次，与2019年4月相比减少了78.6%，其中1373次（90.8%）为远程门诊。与2019年第一季度相比，2020年第一季度的择期手术数量减少了34.3%（从3025例降至1988例）（<0.001）。2020年4月有120例择期手术，比2019年4月低84.1%。经皮肾镜取石术、冲击波碎石术和经尿道前列腺切除术分别下降了94.2%、98.5%和93.8%。大多数手术作为日间手术进行（85.0%）。与2019年相比，2020年急诊手术数量下降了9.3%（=0.286）。尿路结石是急诊室最常见的病理情况（52.6%）。
在COVID-19大流行期间，泌尿外科服务减少了75%以上，包括门诊就诊和择期腔内泌尿外科手术。大多数医院通过提高远程门诊和日间手术的比例改变了其战略预防措施。
