新冠肺炎大流行期间意大利非转诊中心的手术管理方案。

IF 1.3 Q3 Medicine
A. Balla, A. De Carlo, D. Aguzzi, S. Petrocca, A. Guida, F. Saraceno, R. Scaramuzzo, G. Fanello, A. Borrello, F. Ferranti, P. Lepiane
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引用次数: 2

摘要

背景在外科手术中,严重急性呼吸综合征冠状病毒2(SARS-CoV-2)在全球范围内的扩散一方面要求至少在急诊或肿瘤手术的情况下,在患有或不患有2019年新冠病毒病(新冠肺炎)的患者中继续进行手术,另一方面,以避免疫情在患者和医疗护理团队之间传播。目的是报告我们在新冠肺炎大流行期间在意大利非转诊中心的手术管理方案。方法分析2020年3月8日至5月4日(研究期)新冠肺炎大流行爆发期间检索的数据,并将其与2019年同期(对照期)获得的数据进行比较。结果在研究期间,41例外科手术(24例选择性手术,17例紧急外科手术)接受了手术,而对照期为99例。择期手术和急诊手术中的分层程序,根据手术指征,在腹壁手术方面,择期手术中观察到唯一具有统计学意义的差异(0与13个程序,p=0.0339)。在结直肠和乳腺肿瘤手术方面没有观察到统计学意义的差异。所有会员都是免费的新冠肺炎。结论本方案被证明是安全和有用的,可以在患者和其他人手术前后预防严重急性呼吸系统综合征冠状病毒2型感染。疫情导致了手术次数的减少,无论如何,与2019年相比,肿瘤学手术的手术量没有出现统计学上显著的减少。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Surgical management protocol during the COVID-19 pandemic in an Italian non-referral center.
BACKGROUND In the surgical scenario, the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) diffusion worldwide entails on one end the need to continue to perform surgery at least in case of emergency or oncologic surgery, in patients with or without COrona Virus Disease 2019 (COVID-19), and on the other hand, to avoid the pandemic diffusion both between patients and medical and nursing team. Aim is to report our surgical management protocol during the COVID-19 pandemic in an Italian non-referral center. METHODS Data retrieved during the outbreak for the COVID-19 pandemic, from March 8 to May 4, 2020 (study period) were analyzed and compared to data obtained during the same period in 2019 (control period). RESULTS During the study period 41 surgical procedures (24 electives, 17 emergency surgical procedures) underwent surgery in comparison to 99 procedures in the control period. Stratified procedures in elective and emergency surgery, and based on the indication for surgery, the only statistically significant difference was observed in the elective surgery regarding the abdominal wall surgery (0 vs. 13 procedures, p=0.0339). Statistically significant differences were not observed regarding the colorectal and the breast oncologic surgery. All stuff members were COVID-19 free. CONCLUSIONS The present protocol proved to be safe and useful to prevent SARS-CoV-2 infection before and after surgery for both patients and stuff. The pandemic was responsible for the reduction in number of procedures performed, anyway for the oncologic surgery a statistically significant volume reduction in comparison to 2019 was not observed.
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来源期刊
Minerva chirurgica
Minerva chirurgica 医学-外科
CiteScore
1.40
自引率
0.00%
发文量
0
审稿时长
>12 weeks
期刊介绍: Minerva Chirurgica publishes scientific papers on surgery. Manuscripts may be submitted in the form of editorials, original articles, review articles, case reports, special articles, letters to the Editor and guidelines. The journal aims to provide its readers with papers of the highest quality and impact through a process of careful peer review and editorial work.
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