1 General Surgery Clinic, Pius Brinzeu Clinical Emergency Hospital, Timisoara, Romania.
First Discipline of Surgery, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania.
J Med Life. 2022 Mar;15(3):415-419. doi: 10.25122/jml-2022-0087.
The Covid-19 pandemic has had a massive impact on global health, social and economic well-being worldwide. In addition to the direct effects of the disease on patients infected with the virus, this pandemic has severely affected the activity of surgical clinics around the world. One of the significant issues was an important decrease in the number of surgeries performed even in countries with highly performant medical systems. This study aimed to analyze the effects of the pandemic on the 1 General Surgery Clinic in Timisoara County Hospital, compared to 2018-2019. In order to conduct this study, data regarding the activity of the clinic in the pandemic period and 2018-2019 was collected and analyzed from a statistical point of view, considering a p<0.05 as statistically significant. There were significant differences between the 2 periods regarding the number of hospitalized patients, the number of patients undergoing elective or emergency surgery, and the total number of surgeries performed. Due to the restrictions imposed, there was an increase in the average monthly mortality rate and a decrease in the average length of hospital stay. Covid-19 pandemic led to a severe activity restriction of the surgery clinics due to the restrictions imposed by the authorities and the reorganization of the clinics to comply with the epidemiological requirements. Also, the limitation of patients' access to surgical treatment and their fear of coming in contact with the hospital environment led to their presentation in more advanced stages of the disease, with more severe symptoms and a higher mortality rate during the pandemic.
Covid-19 大流行对全球健康、社会和经济福祉造成了巨大影响。除了该病毒对感染患者的直接影响外，这场大流行还严重影响了全球外科诊所的活动。其中一个重要问题是，即使在医疗体系高度发达的国家，手术量也大幅减少。本研究旨在分析大流行对蒂米什瓦拉县医院普通外科诊所的影响，并将其与 2018-2019 年进行比较。为了进行这项研究，从统计学角度收集并分析了大流行期间和 2018-2019 年诊所活动的数据，认为 p<0.05 为具有统计学意义。两个时期在住院患者人数、接受择期或急诊手术的患者人数以及手术总数方面存在显著差异。由于实施了限制措施，平均每月死亡率增加，平均住院时间缩短。由于当局实施的限制和诊所为遵守流行病学要求而进行的重组，Covid-19 大流行导致外科诊所的活动受到严重限制。此外，限制了患者接受外科治疗的机会，以及他们对接触医院环境的恐惧，导致他们在疾病的更晚期出现，症状更严重，死亡率更高。
