Impact of COVID-19 on surgical emergency presentations in a tertiary hospital in the developing world

Q4 Medicine

Rwanda Medical Journal Pub Date : 2022-09-30 DOI:10.4314/rmj.v79i3.4

U. U. Nnadozi, C. J. Okeke, C. Maduba, I. Ajayi, O. Amu, A. Ogbuanya, I. C. Madu, U. Unigwe

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引用次数: 0

Abstract

BACKGROUND: The COVID-19 pandemic and the institution of measures to contain the spread of the virus have disrupted patients' elective and emergency care, with scarce resources being channeled towards care of emergency presentations and containing the virus. The study aimed to assess the impact of COVID-19 on surgical accidents and emergency presentations in a major teaching hospital. METHOD: This was a comparative retrospective study. All presentations between February to July 2019 (non-COVID-19 period) were compared with the same period in 2020 (COVID-19 period). Patients' biodata, including surgical specialty that managed the patient, diagnosis, and treatment offered, were collated and analyzed with IBM SPSS Statistics for Windows, Version 25.0. Armonk, NY: I.B.M. Corp. RESULTS: We included 3463 patients in the study; 2419 (69.9%) were males, while 1044(30.1%) were females. The mean age of the patients in 2019 was 31.83 ±19.31 years, and that of 2020 was 34.93±19.99 years (P=0.001). During the lockdown period, emergency surgical presentations declined significantly by 17% (1894 versus 1569: P=0.001). There was a general decline in surgical emergency presentations across surgical specialties, with orthopedic and otorhinolaryngology (E.N.T.) having the greatest impact (313 versus 202 P=0.044). Presentation for trauma decreased by 18% (1394 versus 1144 P=0.711). Operative interventions declined by 47% (292 versus 155 P=0.001). There was a decline of 31% in the number of admissions for in-patient care (420 versus 290 P=0.019). CONCLUSION: The COVID-19 lockdown in Nigeria was associated with a reduction in the number of surgical emergency presentations and surgical interventions.

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COVID-19对发展中国家三级医院外科急诊的影响

背景：新冠肺炎大流行和遏制病毒传播的措施的制定扰乱了患者的选择性和紧急护理，稀缺的资源被用于紧急情况下的护理和遏制病毒。该研究旨在评估新冠肺炎对一家主要教学医院的手术事故和急诊表现的影响。方法：这是一项比较回顾性研究。将2019年2月至7月（非新冠肺炎期间）的所有演示与2020年同期（新冠肺炎期间）进行比较。患者的生物数据，包括管理患者的外科专业、诊断和提供的治疗，用IBM SPSS Statistics for Windows 25.0版进行整理和分析。纽约州Armonk：I.B.M.公司结果：我们将3463名患者纳入研究；2419人（69.9%）为男性，1044人（30.1%）为女性。2019年患者的平均年龄为31.83±19.31岁，2020年为34.93±19.99岁（P=0.001）。在封锁期间，急诊手术表现显著下降了17%（1894例对1569例：P=0.001），其中整形外科和耳鼻喉科（E.N.T.）的影响最大（313对202，P=0.044）。创伤表现下降了18%（1394对1144，P=0.011）。手术干预下降了47%（292对155，P=0.001）。住院人数下降了31%（420对290，P=0.019）。结论：尼日利亚新冠肺炎封锁与外科紧急情况介绍和外科干预的数量减少。

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

Rwanda Medical Journal Medicine-Medicine (all)

CiteScore

0.20

自引率

0.00%

发文量

审稿时长

7 weeks

期刊介绍： The Rwanda Medical Journal (RMJ), is a Not-For-Profit scientific, medical, journal that is published entirely online in open-access electronic format. The RMJ is an interdisciplinary research journal for publication of original work in all the major health disciplines. Through a rigorous process of evaluation and peer review, The RMJ strives to publish original works of high quality for a diverse audience of healthcare professionals. The Journal seeks to deepen knowledge and advance scientific discovery to improve the quality of care of patients in Rwanda and internationally.