Subject(s)
COVID-19/prevention & control , Infection Control/methods , Patient Safety , Perioperative Care/methods , Surgical Procedures, Operative/methods , Adult , Aged , COVID-19/diagnosis , COVID-19/epidemiology , COVID-19/transmission , Clinical Protocols , Emergencies , Female , Health Services Accessibility , Humans , Infection Control/standards , Infectious Disease Transmission, Patient-to-Professional/prevention & control , Male , Middle Aged , Occupational Diseases/diagnosis , Occupational Diseases/epidemiology , Occupational Diseases/prevention & control , Pandemics , Patient Safety/standards , Perioperative Care/standards , Quality Assurance, Health Care , Spain/epidemiology , Surgical Procedures, Operative/standardsABSTRACT
New coronavirus SARS-CoV-2 infection (coronavirus disease 2019 [COVID-19]) has determined the necessity of reorganization in many centers all over the world. Spain, as an epicenter of the disease, has been forced to assume health policy changes in all the territory. However, and from the beginning of the pandemic, every center attending surgical urgencies had to guarantee the continuous coverage adopting correct measures to maintain the excellence of quality of care. This document resumes general guidelines for emergency surgery and trauma care, obtained from the available bibliography and evaluated by a subgroup of professionals designated from the general group of investigators Cirugía-AEC-COVID-19 from the Spanish Association of Surgeons, directed to minimize professional exposure, to contemplate pandemic implications over different urgent perioperative scenarios and to adjust decision making to the occupational pressure caused by COVID-19 patients.
Subject(s)
Betacoronavirus , Coronavirus Infections/prevention & control , Emergency Medical Services/organization & administration , Infection Control/organization & administration , Pandemics/prevention & control , Pneumonia, Viral/prevention & control , Traumatology/organization & administration , COVID-19 , Coronavirus Infections/epidemiology , Coronavirus Infections/transmission , Humans , Pneumonia, Viral/epidemiology , Pneumonia, Viral/transmission , SARS-CoV-2 , SpainSubject(s)
COVID-19 , Emergency Service, Hospital/trends , Facilities and Services Utilization/trends , Health Services Accessibility/statistics & numerical data , Pathology, Surgical/trends , Patient Acceptance of Health Care , Surgical Procedures, Operative/trends , COVID-19/epidemiology , COVID-19/prevention & control , Databases, Factual , Emergencies , Humans , Outcome Assessment, Health Care , Pandemics , Postoperative Complications/epidemiology , Prospective Studies , Spain/epidemiologyABSTRACT
Quick implementation of specific protocols and protective measures in a tertiary hospital in Spain allowed for the early diagnosis and optimal management of patients with SARS-CoV-2 infection and proper protection of staff and inpatients. From the COVID-19 outbreak in this country until the time of writing, 14 patients in our hospital underwent surgery with COVID-19, or COVID-19 developed postoperatively. Their postoperative outcomes did not differ from those in our routine clinical practice, with a 0% respiratory failure rate and a 7.14% mortality rate, in contrast with other published series. COVID-19 did not develop in any of the healthcare workers present in the operating room during these procedures or in those who cared for these patients on the ward.