Gasteiger Lukas, Putzer Gabriel, Hoerner Elisabeth, Joannidis Michael, Mayerhöfer Timo, Hell Tobias, Stundner Ottokar, Martini Judith
Department of Anesthesiology and Intensive Care Medicine, Medical University of Innsbruck, Innsbruck, Austria.
Division of Intensive Care and Emergency Medicine, Department of Internal Medicine, Medical University of Innsbruck, Innsbruck, Austria.
Ann Surg Oncol. 2023 Nov;30(12):7291-7298. doi: 10.1245/s10434-023-14164-1. Epub 2023 Aug 19.
Many articles described a massive decline in surgical procedures during the COVID-19 pandemic waves. Especially the reduction in oncologic and emergency procedures led to the concern that delays and cancelling surgical activity might lead to a substantial increase in preventable deaths.
Overall numbers and types of surgery were analysed in a tertiary hospital in Austria during the winter period (October-April) from 2015/16 to 2021/22. The half-years 2019/20, 2020/21 and 2021/22 were defined as pandemic half-years and were compared with the mean results of the previous, four, pre-pandemic half-years.
A reduction was found for overall numbers and elective surgeries during 2019/20 (4.62%; p < 0.0001 and 12.14; p < 0.0001 respectively) and 2021/22 (14.94%; p < 0.0001 and 34.27; p < 0.0001 respectively). Oncologic surgery increased during 2021/22 (- 12.59%; p < 0.0001) and remained unchanged during the other periods. Emergency surgeries increased during 2019/20 (- 6.97%; p < 0.0001) and during 2021/22 (- 9.44%; p < 0.0001) and remained unchanged during 2020/21.
The concern that the pandemic led to a decrease in oncologic and emergency surgeries cannot be supported with the data from our hospital. A flexible, day-by-day, resource allocation programme with central coordination adhering to hospital resilience recommendations may have helped to adapt to the impact of the COVID-19 pandemic during the first three pandemic half-years.
许多文章描述了在新冠疫情期间外科手术量大幅下降。尤其是肿瘤手术和急诊手术的减少引发了人们的担忧，即手术活动的延迟和取消可能会导致可预防死亡人数大幅增加。
对奥地利一家三级医院在2015/16年至2021/22年冬季期间（10月至4月）的手术总数和类型进行了分析。将2019/20年、2020/21年和2021/22年这三个半年定义为疫情半年，并与之前四个疫情前半年的平均结果进行比较。
在2019/20年（分别下降4.62%；p<0.0001和12.14；p<0.0001）和2021/22年（分别下降14.94%；p<0.0001和34.27；p<0.0001），手术总数和择期手术量均有所减少。2021/22年肿瘤手术量增加（-12.59%；p<0.0001），在其他时期保持不变。急诊手术量在2019/20年（-6.97%；p<0.0001）和2021/22年（-9.44%；p<0.0001）增加，在2020/21年保持不变。
我们医院的数据无法支持疫情导致肿瘤手术和急诊手术减少这一担忧。在疫情的前三个半年期间，一个灵活的、每日的、由中央协调并遵循医院恢复力建议的资源分配计划可能有助于适应新冠疫情的影响。
