Servicio de Cirugía General y del Aparato Digestivo, Complejo Hospitalario Universitario de Vigo.
Instituto de Investigación Sanitaria Galicia Sur. Vigo, España.
Cir Cir. 2023;91(1):21-27. doi: 10.24875/CIRU.21000879.
Acute care surgery decreased during the first wave of the COVID-19 pandemic.
To study the evolution of acute care surgery and its relationship with the pandemic severity.
Retrospective cohort study which compared patients who underwent acute care surgery during the pandemic to a control group.
A total of 660 patients were included (253 in the control group, 67 in the first-wave, 193 in the valley, and 147 in the second wave). The median daily number of acute care surgery procedures was 2 during the control period. This activity decreased during the first wave (1/day), increased during the valley (2/day), and didn't change in the second wave (2/day). Serious complications were more common during the first wave (22.4%). A negative linear correlation was found between the daily number of acute care surgery procedures, number of patients being admitted to the hospital each day and daily number of patients dying because of COVID-19.
Acute care surgery was reduced during the first wave of the COVID-19 pandemic, increased during the valley, and returned to the pre-pandemic level during the second wave. Thus, acute care surgery was related to pandemic severity, with fewer surgeries being performed when the pandemic was more severe.
COVID-19 大流行期间，急性外科手术量减少。
研究急性外科手术的演变及其与大流行严重程度的关系。
回顾性队列研究，将大流行期间接受急性外科手术的患者与对照组进行比较。
共纳入 660 例患者（对照组 253 例，第一波 67 例，低谷期 193 例，第二波 147 例）。对照组的急性外科手术日平均例数为 2 例。该活动在第一波期间减少（1 例/天），在低谷期增加（2 例/天），在第二波期间没有变化（2 例/天）。第一波期间更常见严重并发症（22.4%）。急性外科手术日例数、每日住院人数和因 COVID-19 死亡人数与每日急性外科手术日例数呈负线性相关。
COVID-19 大流行第一波期间，急性外科手术减少，低谷期增加，第二波恢复到大流行前水平。因此，急性外科手术与大流行严重程度相关，大流行越严重，手术量越少。
