[The COVID-19 pandemic had significant impact on duration of surgery and hospitalization time for patients after cholecystectomy]. / Die Auswirkungen der COVID-19 Pandemie führten zu signifikanten Veränderungen der Operations- und Liegezeiten bei Patienten nach Cholezystektomie.
Chirurgie (Heidelb)
; 94(1): 61-66, 2023 Jan.
Artículo
en Alemán
| MEDLINE | ID: covidwho-2158011
ABSTRACT
BACKGROUND:
The COVID-19 pandemic made substantial changes in medical care necessary. The aims of this study were to find out what influence the pandemic had on the perioperative course in patients with cholecystectomy (CHE) and to highlight possible residual consequences.METHOD:
From 1 July 2018 to 31 December 2021 a total of 735 patients with CHE were analyzed. Up to 21 March 2020 patients were assigned to the regular patient group (Reg, nâ¯= 430), patients after this date (first lockdown 22 March 2020) to the Cov19 patient group (Cov19, nâ¯= 305) and the 2 groups were compared.RESULTS:
The average age of all patients was 59 years and 63% were women. The average length of hospitalization (KrVD, time period between surgery and discharge) was 4.4 days. The patient groups Reg and Cov19 did not differ with respect to age, gender or KrVD. The total number of CHEs carried out was reduced by 21.4% in the Cov19 group. This affected elective and emergency CHE to the same extent. The length of surgery significantly increased in the Cov19 group from 64â¯min (SD 34â¯min) to 71â¯min (SD 38â¯min). The number of short and long hospital stays (KrVD 2 or >4 days) significantly increased in the Cov19 group from 4â¯% to 20â¯% (short stay, pâ¯<â¯0.01) and from 23â¯% to 27â¯% (long stay, pâ¯<â¯0.01). This was particularly observed for patients >70 years old with an increase in long stays from 43â¯% to 56â¯% in the Cov19 group.CONCLUSION:
The COVID-19 pandemic led to a clear reduction in CHE both for elective and emergency interventions. Furthermore, a significant lengthening of the surgery and hospitalization times could be observed for older patients. The residual consequences of the pandemic could be shortened hospitalization times after uncomplicated CHE and more interventional treatment procedures in complex cases.Palabras clave
Texto completo:
Disponible
Colección:
Bases de datos internacionales
Base de datos:
MEDLINE
Asunto principal:
Colecistectomía
/
COVID-19
Tipo de estudio:
Estudio experimental
/
Estudio observacional
/
Estudio pronóstico
/
Ensayo controlado aleatorizado
Límite:
Anciano
/
Femenino
/
Humanos
/
Masculino
/
Middle aged
Idioma:
Alemán
Revista:
Chirurgie (Heidelb)
Año:
2023
Tipo del documento:
Artículo
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