Impact of the COVID-19 pandemic on a visceral surgical department in western Austria.

IF 0.6 4区医学 Q4 SURGERY

European Surgery-Acta Chirurgica Austriaca Pub Date : 2021-01-01 Epub Date: 2020-12-11 DOI:10.1007/s10353-020-00683-8

Daniel Lechner, Peter Tschann, Paolo C N Girotti, Ingmar Königsrainer

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引用次数: 8

Abstract

Background: The COVID-19 pandemic caused by the SARS-CoV‑2 virus has strongly affected the visceral and thoracic surgery department in southern Vorarlberg in Austria, which comprises two locations: the focus hospital in Feldkirch and the regional hospital in Bludenz.

Methods: The complete lockdown lasted 6 weeks (from March 16 to April 26, 2020), after which the hospital in Bludenz started day surgery again and in Feldkirch the capacity was slowly increased. We compared how oncological and acute operations differed during those 6 weeks to the 6 weeks before lockdown.

Results: Our findings show a clear increase in emergency operations for acute cholecystitis (+133%) and acute appendicitis (+157%). While the acute operations increased, some oncological operations decreased, which was especially apparent for oncological colorectal resections (-66%) and oncological lung resections (-43%).

Conclusion: This survey shows that due to the increased catchment area, more acute operations were performed and also demonstrated that we were confronted with more advanced stages of those diseases. Furthermore, cancer operations which rely on short-term peripheral diagnostics decreased considerably.

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新冠肺炎疫情对奥地利西部内脏外科的影响

背景:由SARS-CoV - 2病毒引起的COVID-19大流行严重影响了奥地利福拉尔贝格州南部的内脏和胸外科，该部门包括两个地点:Feldkirch的重点医院和Bludenz的地区医院。方法:全面封锁持续6周(2020年3月16日至4月26日)，之后布鲁登茨医院重新开始日间手术，费尔德基希医院的容量慢慢增加。我们比较了这6周与封锁前6周的肿瘤手术和急性手术的差异。结果:我们的研究结果显示急诊手术治疗急性胆囊炎(+133%)和急性阑尾炎(+157%)明显增加。急性手术量增加的同时，部分肿瘤手术量减少，尤其是结直肠肿瘤切除(-66%)和肺肿瘤切除(-43%)。结论:本调查显示，由于集水区面积的增加，进行了更多的急性手术，也表明我们面临着更多的晚期疾病。此外，依赖短期外围诊断的癌症手术也大幅减少。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Surgery-Acta Chirurgica Austriaca 医学-外科

CiteScore

1.10

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： The journal European Surgery – Acta Chirurgica Austriaca focuses on general surgery, endocrine surgery, thoracic surgery, heart and vascular surgery. Special features include new surgical and endoscopic techniques such as minimally invasive surgery, robot surgery, and advances in surgery-related biotechnology and surgical oncology. The journal especially addresses benign and malignant esophageal diseases, i.e. achalasia, gastroesophageal reflux disease, Barrett’s esophagus, and esophageal adenocarcinoma. In keeping with modern healthcare requirements, the journal’s scope includes inter- and multidisciplinary disease management (diagnosis, therapy and surveillance).