Nozawa Hiroaki, Kawasaki Akiko, Hayashi Chieko, Kawai Kazushige, Sasaki Kazuhito, Murono Koji, Emoto Shigenobu, Ishihara Soichiro
Department of Surgical Oncology, The University of Tokyo Hospital, Tokyo, Japan.
Nursing Department, The University of Tokyo Hospital, Tokyo, Japan.
Int J Clin Pract. 2022 Aug 4;2022:4789775. doi: 10.1155/2022/4789775. eCollection 2022.
The impact of the COVID-19 pandemic on medical practice has been frequently reported from Western countries, but there have been few studies in other areas, especially regarding stoma surgery and stoma care.
We investigated the numbers of all operations and stoma-related surgeries at our hospital in 2019 and 2020. The cumulative numbers of consultations at our ostomy clinic and patient population stratified by the period of having a stoma were compared between these calendar years. The frequency of ostomy clinic visit by individual patients within the first year after stoma creation and stoma-related complications per consultation were also analyzed.
The number of elective surgeries decreased by approximately 10% from 2019 to 2020, but the numbers of stoma creation and closure procedures did not differ. The total numbers of consultations at our ostomy clinic were also similar between these years. However, the percentage of patients with a stoma for less than a year who visited our ostomy clinic increased from 49.7% in 2019 to 53.5% in 2020, whereas the visitation rate for other patients decreased. Moreover, patients with a stoma for less than a year visited the ostomy clinic more frequently in 2020 (0.42/month) than in 2019 (0.30/month, =0.032). There were fewer grade 2 or more severe peristomal complications in 2020 (11% vs 17% in 2019, < 0.001) at our ostomy clinic.
The COVID-19 outbreak led to a shift in the patient population at ostomy clinics of new stoma patients, which may have resulted in fewer peristomal complications.
西方国家经常报道新冠疫情对医疗实践的影响，但其他地区的相关研究较少，尤其是关于造口手术和造口护理方面。
我们调查了我院2019年和2020年所有手术及与造口相关手术的数量。比较了这两个日历年我院造口门诊的累计咨询次数以及按造口时间分层的患者群体。还分析了造口术后第一年个体患者的造口门诊就诊频率以及每次咨询的造口相关并发症情况。
从2019年到2020年，择期手术数量减少了约10%，但造口创建和关闭手术的数量没有差异。这两年我院造口门诊的咨询总数也相似。然而，造口时间少于一年的患者到我院造口门诊就诊的比例从2019年的49.7%增加到2020年的53.5%，而其他患者的就诊率下降。此外，造口时间少于一年的患者在2020年（0.42次/月）比2019年（0.30次/月，=0.032）更频繁地到造口门诊就诊。2020年我院造口门诊二级或更严重的造口周围并发症较少（2020年为11%，2019年为17%，<0.001）。
新冠疫情爆发导致造口门诊新造口患者群体发生变化，这可能导致造口周围并发症减少。
