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The SARS-CoV-2 first wave impact in the acute inflammatory surgical pathologies.
Guadalajara, H; Muñoz de Nova, J L; Yiasemidou, M; Recarte Rico, M; Juez, L D; García Septiem, J; Galindo Jara, P; García Virosta, M; Lobo Martínez, E; Martín-Pérez, E; Fernandez Gonzalez, S; Lopez-Fernandez, O; García-Olmo, D.
  • Guadalajara H; Department of General and Digestive Surgery, Fundación Jiménez Díaz University Hospital, Avda. Reyes Católicos 2, 28040, Madrid, Spain. hector.guadalajara@uam.es.
  • Muñoz de Nova JL; Department of General and Digestive Surgery, La Princesa University Hospital, Instituto de Investigación Sanitaria Princesa (IIS-IP), Madrid, Spain.
  • Yiasemidou M; ST7 Colorectal Surgery, Bradford Teaching Hospitals, NIHR Academic Clinical Lecturer in General Surgery, University of Hull, Hull, UK.
  • Recarte Rico M; Department of General and Digestive Surgery, Tajo University Hospital, Madrid, Spain.
  • Juez LD; Department of General and Digestive Surgery, Ramon y Cajal University Hospital, Madrid, Spain.
  • García Septiem J; Department of General and Digestive Surgery, La Princesa University Hospital, Instituto de Investigación Sanitaria Princesa (IIS-IP), Madrid, Spain.
  • Galindo Jara P; Department of General and Digestive Surgery, Torrejon University Hospital, Madrid, Spain.
  • García Virosta M; Department of General and Digestive Surgery, Infanta Sofia University Hospital, Madrid, Spain.
  • Lobo Martínez E; Department of General and Digestive Surgery, Ramon y Cajal University Hospital, Madrid, Spain.
  • Martín-Pérez E; Department of General and Digestive Surgery, La Princesa University Hospital, Instituto de Investigación Sanitaria Princesa (IIS-IP), Madrid, Spain.
  • Fernandez Gonzalez S; Department of General and Digestive Surgery, Fundación Jiménez Díaz University Hospital, Avda. Reyes Católicos 2, 28040, Madrid, Spain.
  • Lopez-Fernandez O; Department of General and Digestive Surgery, Fundación Jiménez Díaz University Hospital, Avda. Reyes Católicos 2, 28040, Madrid, Spain.
  • García-Olmo D; Department of General and Digestive Surgery, Fundación Jiménez Díaz University Hospital, Avda. Reyes Católicos 2, 28040, Madrid, Spain.
Sci Rep ; 11(1): 19645, 2021 10 04.
Article in English | MEDLINE | ID: covidwho-1450289
ABSTRACT
Anecdotal evidence suggests that community infection control measures during the COVID-19 outbreak have modified the number and natural history of acute surgical inflammatory processes (ASIP-appendicitis, cholecystitis, diverticulitis and perianal abscesses) admissions. This study aims to evaluate the impact of the COVID-19 pandemic on the presentation and treatment ASIP and quantify the effect of COVID-19 infection on the outcomes of ASIP patients. This was a multicentre, comparative study, whereby ASIP cases from 2019, 2020 and 2021 (March 14th to May 2nd) were analyzed. Data regarding patient and disease characteristics as well as outcomes, were collected from sixteen centres in Madrid, and one in Seville (Spain). The number of patients treated for ASIP in 2019 was 822 compared to 521 in 2020 and 835 in 2021. This 1/3rd reduction occurs mainly in patients with mild cases, while the number of severe cases was similar. Surgical standards suffered a step back during the first wave Lower laparoscopic approach and longer length of stay. We also found a more conservative approach to the patients this year, non-justified by clinical circumstances. Luckily these standards improved again in 2021. The positive COVID-19 status itself did not have a direct impact on mortality. Strikingly, none of the 33 surgically treated COVID positive patients during both years died postoperatively. This is an interesting finding which, if confirmed through future research with a larger sample size of COVID-19 positive patients, can expedite the recovery phase of acute surgical services.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Appendicitis / Cholecystitis / Diverticulitis / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study Topics: Long Covid Limits: Adult / Aged / Female / Humans / Male / Middle aged Country/Region as subject: Europa Language: English Journal: Sci Rep Year: 2021 Document Type: Article Affiliation country: S41598-021-98878-w

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Appendicitis / Cholecystitis / Diverticulitis / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study Topics: Long Covid Limits: Adult / Aged / Female / Humans / Male / Middle aged Country/Region as subject: Europa Language: English Journal: Sci Rep Year: 2021 Document Type: Article Affiliation country: S41598-021-98878-w