COVID-19大流行对英国某地区综合医院急性普通外科住院的影响:一项回顾性队列研究

Surgery Research and Practice Pub Date : 2020-08-12 eCollection Date: 2020-01-01 DOI:10.1155/2020/2975089
Rory Callan, Nazrin Assaf, Katharine Bevan
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引用次数: 20

摘要

2020年的COVID-19大流行对世界各地的医疗保健系统和社会产生了更广泛的影响。对感染SARS-CoV-2的患者的管理主要影响了急诊科、医疗队和重症监护病房。然而,对包括外科专科在内的整个卫生系统的影响是广泛的。我们的目的是确定COVID-19大流行和相关封锁对地区综合医院外科团队审查和/或收治的普通外科患者的数量和特征的影响。我们对封锁开始后两周(2020年3月23日星期一至2020年4月5日)和一年前同期(2019年3月25日星期一至2019年4月7日)入院的患者进行了回顾性队列分析。在两个队列中比较审查和入院的患者数量。分析了包括诊断、手术/程序干预和住院时间在内的数据。在封锁期间,外科小组审查和收治的患者总数大大减少(61人对126人)。在封锁期间看到的患者中,初步手术复查后入院的比例较小(59%对77%,p < 0.05)。在两个队列中,接受介入/手术治疗的患者比例相似(31%)。我们的数据显示,在2019冠状病毒病大流行期间,我们中心普通外科团队转诊和收治的患者数量大幅减少。造成这种情况的原因包括,由于对患者的风险认知,封锁信息和自我隔离建议的影响,以及COVID-19大流行期间患者入院门槛的提高,导致出勤率下降。关键的学习要点包括减少非紧急情况患者入院的可能好处。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Impact of the COVID-19 Pandemic on Acute General Surgical Admissions in a District General Hospital in the United Kingdom: A Retrospective Cohort Study.

Impact of the COVID-19 Pandemic on Acute General Surgical Admissions in a District General Hospital in the United Kingdom: A Retrospective Cohort Study.

Impact of the COVID-19 Pandemic on Acute General Surgical Admissions in a District General Hospital in the United Kingdom: A Retrospective Cohort Study.

Impact of the COVID-19 Pandemic on Acute General Surgical Admissions in a District General Hospital in the United Kingdom: A Retrospective Cohort Study.

The COVID-19 pandemic of 2020 has greatly impacted healthcare systems and society more generally around the world. The management of patients infected with SARS-CoV-2 has primarily impacted emergency departments, medical teams, and intensive care units. However, the impact on health systems as a whole, including surgical specialties, has been wide ranging. We aimed to establish the impact of the COVID-19 pandemic and associated lockdown on the number and characteristics of general surgical patients reviewed and/or admitted by the surgical team within a district general hospital. We performed a retrospective cohort analysis of patients admitted in the 2-week period from start of the lockdown (Monday 23rd March 2020 to 5th April 2020), and the same period 1 year earlier (Monday 25th March 2019 to 7th April 2019). Number of patients reviewed and admitted were compared between the two cohorts. Data including diagnosis, operation/procedural interventions, and length of stay were analysed. The overall number of patients reviewed and admitted by the surgical team was substantially lower during the period of lockdown (61 vs 126). Of the patients seen during lockdown, a smaller proportion were admitted to hospital after initial surgical review (59% vs 77%, p < 0.05). Interventional/operative procedures were performed in a similar proportion of patients in both cohorts (31%). Our data show that there has been a substantial reduction in the number of patients being referred to and admitted by the general surgical team at our centre during the COVID-19 pandemic. Explanations for this include reduced attendance due to risk perception of the patients, the impact of lockdown messages and advice regarding self-isolation, as well as an increased threshold for patient admission during the COVID-19 pandemic. Key learning points include the possible benefits of a reduction in admission to hospital of patients with nonurgent conditions.

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来源期刊
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发文量
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期刊介绍: Surgery Research and Practice is a peer-reviewed, Open Access journal that provides a forum for surgeons and the surgical research community. The journal publishes original research articles, review articles, and clinical studies focusing on clinical and laboratory research relevant to surgical practice and teaching, with an emphasis on findings directly affecting surgical management.
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