疫情对一家三级医疗机构外科手术的影响：一项回顾性研究。

Effect of the pandemic on surgical procedures in a tertiary care hospital: A retrospective review.

作者信息

Özkan Melekber Çavuş, Saçak Bülent, Kesimer Mehmet Deniz, Şahin Bahadır, Uğurlu Mustafa Ümit, Yamansavcı Sirzai Esra, Sakar Mustafa, Aykut Aslan, Çiçek İlker, Yumuşakhuylu Ali Cemal

机构信息

Department of Plastic Reconstructive and Aesthetic Surgery, Marmara University Faculty of Medicine, İstanbul, Türkiye.

Department of Orthopedics and Trauma Surgery, Marmara University Faculty of Medicine, İstanbul, Türkiye.

出版信息

Turk J Surg. 2022 Sep 19;38(3):243-249. doi: 10.47717/turkjsurg.2022.5256. eCollection 2022 Sep.

DOI:10.47717/turkjsurg.2022.5256

PMID:36846060

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9948666/

Abstract

OBJECTIVES

The aim of this study was to examine the impact of performing surgeries with necessary precautions and to evaluate demographic characteristics of operated patients during novel coronavirus-2019 (COVID-19) pandemic and the infection rates during hospitalization and within 14 days after surgery.

MATERIAL AND METHODS

Between March 15, 2020 and April 30, 2020, a total of 639 patients who had been operated on in our center were retrospectively analyzed. According to the triage system, the surgical procedures were classified as emergency, time-sensitive, and elective procedures. Data including age, sex, indication for surgery, the American Society of Anesthesiologists (ASA) class, pre- and postoperative symptoms, the presence and/ or absence of reverse transcriptase-polymerase chain reaction (RT-PCR) test result, type of surgery, surgical site, and documented COVID-19 infections during hospitalization and within 21 days after surgery were recorded.

RESULTS

Of the patients, 60.4% were males and 39.6% were females with a mean age of 43.08 ± 22.68 years. Malignancy was the most common indication for surgery (35.5%), followed by trauma (29.1%). The abdominal area and head and neck region were the most frequent surgical sites in 27.4% and 24.9% of the patients, respectively. Of all surgical procedures, 54.9% were emergency and 43.9% were time-sensitive procedures. Of the patients, 84.2% were in ASA Class I-II while 15.8% patients were in ASA Class III, IV and V. General anesthesia was the most common anesthesia type in 83.9% of the patients. The overall rate of COVID-19 infection was 0.63% in the preoperative period. The rate of COVID-19 infection during and after surgery was 0.31%.

CONCLUSION

With similar infection rates to the general population, surgeries of all types can be performed safely taking preventive measures in the preand postoperative period. It would be wise to perform surgical treatment without delay in patients with an increased risk for mortality and morbidity in accordance with strict infection control principles.

摘要

目的

本研究旨在探讨采取必要预防措施进行手术的影响，并评估2019年新型冠状病毒（COVID-19）大流行期间手术患者的人口统计学特征以及住院期间和术后14天内的感染率。

材料与方法

回顾性分析2020年3月15日至2020年4月30日期间在本中心接受手术的639例患者。根据分诊系统，将手术程序分为急诊、时间敏感和择期手术。记录的数据包括年龄、性别、手术指征、美国麻醉医师协会（ASA）分级、术前和术后症状、逆转录聚合酶链反应（RT-PCR）检测结果的有无、手术类型、手术部位以及住院期间和术后21天内记录的COVID-19感染情况。

结果

患者中，男性占60.4%，女性占39.6%，平均年龄为43.08±22.68岁。恶性肿瘤是最常见的手术指征（35.5%），其次是创伤（29.1%）。腹部区域和头颈部是最常见的手术部位，分别占患者的27.4%和24.9%。在所有手术程序中，54.9%为急诊手术，43.9%为时间敏感手术。患者中，84.2%为ASA I-II级，15.8%为ASA III、IV和V级。全身麻醉是83.9%患者最常用的麻醉类型。术前COVID-19感染的总体发生率为0.63%。手术期间和术后COVID-19感染率为0.31%。