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Incidence of surgical abdominal emergencies during SARS-CoV-2 pandemic. / Incidencia de la patología abdominal quirúrgica urgente durante la pandemia por SARS-CoV-2.
Pérez-Rubio, Álvaro; Sebastián Tomás, Juan Carlos; Navarro-Martínez, Sergio; Gonzálvez Guardiola, Paula; Torrecillas Meroño, Daniel Guillermo; Domingo Del Pozo, Carlos.
  • Pérez-Rubio Á; Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Doctor Peset, Valencia, España. Electronic address: alvaroprubio@gmail.com.
  • Sebastián Tomás JC; Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Doctor Peset, Valencia, España.
  • Navarro-Martínez S; Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Doctor Peset, Valencia, España.
  • Gonzálvez Guardiola P; Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Doctor Peset, Valencia, España.
  • Torrecillas Meroño DG; Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Doctor Peset, Valencia, España.
  • Domingo Del Pozo C; Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Doctor Peset, Valencia, España.
Cir Esp (Engl Ed) ; 98(10): 618-624, 2020 Dec.
Article in English, Spanish | MEDLINE | ID: covidwho-715275
ABSTRACT

INTRODUCTION:

Since the appearance of SARS-CoV-2 in December 2019 in the Chinese city of Wuhan, we have experienced a reduction in admissions in our Service and a decrease in urgent surgical activity. Therefore, this study aimed to assess the incidence of potentially surgical abdominal emergency in our center during the epidemic of COVID-19.

METHODS:

A retrospective study was designed. It included all patients admitted for urgent abdominal pathology with potential surgical treatment in our General and Digestive Surgery Department from February 24, 2020 to April 19, 2020.

RESULTS:

Eighty-nine patients with a mean age of 58.85±22.2 were included. The median time from symptom onset to the Emergency Department (ED) visit was 48 (P25-P75 = 24-96) hours. On arrival at the ED, 18 (20%) patients presented with systemic inflammatory response syndrome criteria. Fifty-one (57%) surgical procedures were performed. The rate of post-surgical complications at 30 days was 31% and the mortality rate was 2%. Concerning the same period from 2017 to 2019, the mean number of admissions from the ED to our Department decreased by 14% during the epidemic period.

CONCLUSION:

There has been a decrease in the number of patients admitted for urgent, potentially surgical, abdominal pathology during the period of the COVID-19 epidemic in our center.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Digestive System Diseases / Emergency Service, Hospital / Abdomen / COVID-19 Type of study: Observational study Limits: Female / Humans / Male / Middle aged Country/Region as subject: Europa Language: English / Spanish Journal: Cir Esp (Engl Ed) Year: 2020 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Digestive System Diseases / Emergency Service, Hospital / Abdomen / COVID-19 Type of study: Observational study Limits: Female / Humans / Male / Middle aged Country/Region as subject: Europa Language: English / Spanish Journal: Cir Esp (Engl Ed) Year: 2020 Document Type: Article