Emil-Marian Arbănași, Reka Kaller, Vasile Adrian Mureșan, Septimiu Voidăzan, Eliza-Mihaela Arbănași, Eliza Russu
Clinic of Vascular Surgery, Mureș County Emergency Hospital, Târgu-Mureș, Romania.
Department of Surgery, University of Medicine, Pharmacy, Science and Technology "George Emil Palade" of Târgu-Mureș, Târgu-Mureș, Romania.
Front Surg. 2022 Aug 23;9:883935. doi: 10.3389/fsurg.2022.883935. eCollection 2022.
The COVID-19 outbreak has placed substantial pressure on the medical systems worldwide. This study aimed to investigate the influence of the prepandemic vs. pandemic period on the activity of the Vascular Surgery Unit of a large emergency hospital in Eastern Europe. We performed a retrospective review of the vascular surgery cases admitted, comparing the statistics from the two time periods. We examined data of a total of 1,693 patients over the two periods. We report a 34.51% decrease in the surgical procedures performed during the pandemic period, with a disproportionate 80.6% decrease in the number of cases admitted with a diagnosis of venous insufficiency diagnosis and an increase of 67.21% in the number of patients admitted with acute arterial ischemia. Furthermore, individuals not classed as emergencies were delayed or denied surgical care. The number of nonurgent procedures conducted by our Vascular Surgery Unit decreased significantly, whereas the number of emergency surgeries increased. COVID-19's effect is projected to have a long-term impact on how surgical treatments are provided in Romania.
新冠疫情的爆发给全球医疗系统带来了巨大压力。本研究旨在调查疫情前与疫情期间对东欧一家大型急诊医院血管外科手术活动的影响。我们对收治的血管外科病例进行了回顾性分析，比较了两个时间段的统计数据。我们检查了这两个时期总共1693名患者的数据。我们报告称，疫情期间进行的外科手术减少了34.51%，其中诊断为静脉功能不全的入院病例数减少了80.6%，不成比例，而急性动脉缺血入院患者数增加了67.21%。此外，未被归类为紧急情况的患者手术治疗被推迟或拒绝。我们血管外科进行的非紧急手术数量显著减少，而急诊手术数量增加。预计新冠疫情的影响将对罗马尼亚外科治疗的提供方式产生长期影响。
