The impact of the COVID-19 pandemic on the decrease in the use of intensive care units in the postoperative period of anatomic lung resections. A retrospective analysis
Revista do Colegio Brasileiro de Cirurgioes
; 49, 2022.
Article
in English
| EMBASE | ID: covidwho-2032681
ABSTRACT
Objective:
COVID-19 pandemic required optimization of hospital institutional flow, especially regarding the use of intensive care unit (ICU) beds. The aim of this study was to assess whether the individualization of the indication for postoperative recovery from pulmonary surgery in ICU beds was associated with more perioperative complications.Method:
retrospective analysis of medical records of patients undergoing anatomic lung resections for cancer in a tertiary hospital. The sample was divided into Group-I, composed of surgeries performed between March/2019 and February/2020, pre-pandemic, and Group-II, composed of surgeries performed between March/2020 and February/2021, pandemic period in Brazil. We analyzed demographic data, surgical risks, surgeries performed, postoperative complications, length of stay in the ICU and hospital stay. Preventive measures of COVID-19 were adopted in group-II.Results:
43 patients were included, 20 in group-I and 23 in group-II. The groups did not show statistical differences regarding baseline demographic variables. In group-I, 80% of the patients underwent a postoperative period in the ICU, compared to 21% in group-II. There was a significant difference when comparing the average length of stay in an ICU bed (46 hours in group-I versus 14 hours in group-II-p<0.001). There was no statistical difference regarding postoperative complications (p=0.44).Conclusions:
the individualization of the need for ICU use in the immediate postoperative period resulted in an improvement in the institutional care flow during the COVID-19 pandemic, in a safe way, without an increase in surgical morbidity and mortality, favoring the maintenance of essential cancer treatment.
adult; article; atrial fibrillation; coronavirus disease 2019; demographics; female; hospitalization; human; hypertension; individualization; institutional care; intensive care; intensive care unit; length of stay; lobectomy; lung surgery; male; medical record; morbidity; mortality; pandemic; peroperative complication; pleura empyema; pneumonectomy; postoperative care; postoperative complication; postoperative period; retrospective study; risk assessment; surgical infection; surgical risk; thorax surgery
Full text:
Available
Collection:
Databases of international organizations
Database:
EMBASE
Type of study:
Experimental Studies
/
Observational study
Language:
English
Journal:
Revista do Colegio Brasileiro de Cirurgioes
Year:
2022
Document Type:
Article
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