Evaluation of patients undergoing emergency surgery in a COVID-19 pandemic hospital: a cross-sectional study
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | São Paulo medical journal (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802020000400305 |
Resumo: | ABSTRACT BACKGROUND: The COVID-19 pandemic is threatening healthcare systems and hospital operations on a global scale. Treatment algorithms have changed in general surgery clinics, as in other medical disciplines providing emergency services, with greater changes seen especially in pandemic hospitals. OBJECTIVES: To evaluate the follow-up of patients undergoing emergency surgery in our hospital during the COVID-19 pandemic. DESIGN AND SETTING: Cross-sectional study conducted in a tertiary-level public hospital. METHODS: The emergency surgeries carried out between March 11 and April 2, 2020, in the general surgery clinic of a tertiary-care hospital that has also taken on the functions of a pandemic hospital, were retrospectively examined. RESULTS: A total of 25 patients were included, among whom 20 were discharged without event, one remained in the surgical intensive care unit, two are under follow-up by the surgery service and two died. Upon developing postoperative fever and shortness of breath, two patients underwent thoracic computed tomography (CT), although no characteristics indicating COVID-19 were found. The discharged patients had no COVID-19 positivity at follow-up. CONCLUSION: The data that we obtained were not surgical results from patients with COVID-19 infection. They were the results from emergency surgeries on patients who were not infected with COVID-19 but were in a hospital largely dealing with the pandemic. Analysis on the cases in this study showed that both the patients with emergency surgery and the patients with COVİD infection were successfully treated, without influencing each other, through appropriate isolation measures, although managed in the same hospital. In addition, these successful results were supported by 14-day follow-up after discharge. |
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Evaluation of patients undergoing emergency surgery in a COVID-19 pandemic hospital: a cross-sectional studyCOVID-19 [supplementary concept]Coronavirus infectionsGeneral surgeryEmergency surgeryPandemic hospitalCOVID-19 pandemicCOVID-19 virus diseaseABSTRACT BACKGROUND: The COVID-19 pandemic is threatening healthcare systems and hospital operations on a global scale. Treatment algorithms have changed in general surgery clinics, as in other medical disciplines providing emergency services, with greater changes seen especially in pandemic hospitals. OBJECTIVES: To evaluate the follow-up of patients undergoing emergency surgery in our hospital during the COVID-19 pandemic. DESIGN AND SETTING: Cross-sectional study conducted in a tertiary-level public hospital. METHODS: The emergency surgeries carried out between March 11 and April 2, 2020, in the general surgery clinic of a tertiary-care hospital that has also taken on the functions of a pandemic hospital, were retrospectively examined. RESULTS: A total of 25 patients were included, among whom 20 were discharged without event, one remained in the surgical intensive care unit, two are under follow-up by the surgery service and two died. Upon developing postoperative fever and shortness of breath, two patients underwent thoracic computed tomography (CT), although no characteristics indicating COVID-19 were found. The discharged patients had no COVID-19 positivity at follow-up. CONCLUSION: The data that we obtained were not surgical results from patients with COVID-19 infection. They were the results from emergency surgeries on patients who were not infected with COVID-19 but were in a hospital largely dealing with the pandemic. Analysis on the cases in this study showed that both the patients with emergency surgery and the patients with COVİD infection were successfully treated, without influencing each other, through appropriate isolation measures, although managed in the same hospital. In addition, these successful results were supported by 14-day follow-up after discharge.Associação Paulista de Medicina - APM2020-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802020000400305Sao Paulo Medical Journal v.138 n.4 2020reponame:São Paulo medical journal (Online)instname:Associação Paulista de Medicinainstacron:APM10.1590/1516-3180.2020.0181.r1.13052020info:eu-repo/semantics/openAccessBozkurt,HilmiGür,Hüda ÜmitAkıncı,MuzafferAslan,HogirKarakullukçu,ÇiğdemYıldırım,Doğaneng2020-10-21T00:00:00Zoai:scielo:S1516-31802020000400305Revistahttp://www.scielo.br/spmjhttps://old.scielo.br/oai/scielo-oai.phprevistas@apm.org.br1806-94601516-3180opendoar:2020-10-21T00:00São Paulo medical journal (Online) - Associação Paulista de Medicinafalse |
dc.title.none.fl_str_mv |
Evaluation of patients undergoing emergency surgery in a COVID-19 pandemic hospital: a cross-sectional study |
title |
Evaluation of patients undergoing emergency surgery in a COVID-19 pandemic hospital: a cross-sectional study |
spellingShingle |
Evaluation of patients undergoing emergency surgery in a COVID-19 pandemic hospital: a cross-sectional study Bozkurt,Hilmi COVID-19 [supplementary concept] Coronavirus infections General surgery Emergency surgery Pandemic hospital COVID-19 pandemic COVID-19 virus disease |
title_short |
Evaluation of patients undergoing emergency surgery in a COVID-19 pandemic hospital: a cross-sectional study |
title_full |
Evaluation of patients undergoing emergency surgery in a COVID-19 pandemic hospital: a cross-sectional study |
title_fullStr |
Evaluation of patients undergoing emergency surgery in a COVID-19 pandemic hospital: a cross-sectional study |
title_full_unstemmed |
Evaluation of patients undergoing emergency surgery in a COVID-19 pandemic hospital: a cross-sectional study |
title_sort |
Evaluation of patients undergoing emergency surgery in a COVID-19 pandemic hospital: a cross-sectional study |
author |
Bozkurt,Hilmi |
author_facet |
Bozkurt,Hilmi Gür,Hüda Ümit Akıncı,Muzaffer Aslan,Hogir Karakullukçu,Çiğdem Yıldırım,Doğan |
author_role |
author |
author2 |
Gür,Hüda Ümit Akıncı,Muzaffer Aslan,Hogir Karakullukçu,Çiğdem Yıldırım,Doğan |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Bozkurt,Hilmi Gür,Hüda Ümit Akıncı,Muzaffer Aslan,Hogir Karakullukçu,Çiğdem Yıldırım,Doğan |
dc.subject.por.fl_str_mv |
COVID-19 [supplementary concept] Coronavirus infections General surgery Emergency surgery Pandemic hospital COVID-19 pandemic COVID-19 virus disease |
topic |
COVID-19 [supplementary concept] Coronavirus infections General surgery Emergency surgery Pandemic hospital COVID-19 pandemic COVID-19 virus disease |
description |
ABSTRACT BACKGROUND: The COVID-19 pandemic is threatening healthcare systems and hospital operations on a global scale. Treatment algorithms have changed in general surgery clinics, as in other medical disciplines providing emergency services, with greater changes seen especially in pandemic hospitals. OBJECTIVES: To evaluate the follow-up of patients undergoing emergency surgery in our hospital during the COVID-19 pandemic. DESIGN AND SETTING: Cross-sectional study conducted in a tertiary-level public hospital. METHODS: The emergency surgeries carried out between March 11 and April 2, 2020, in the general surgery clinic of a tertiary-care hospital that has also taken on the functions of a pandemic hospital, were retrospectively examined. RESULTS: A total of 25 patients were included, among whom 20 were discharged without event, one remained in the surgical intensive care unit, two are under follow-up by the surgery service and two died. Upon developing postoperative fever and shortness of breath, two patients underwent thoracic computed tomography (CT), although no characteristics indicating COVID-19 were found. The discharged patients had no COVID-19 positivity at follow-up. CONCLUSION: The data that we obtained were not surgical results from patients with COVID-19 infection. They were the results from emergency surgeries on patients who were not infected with COVID-19 but were in a hospital largely dealing with the pandemic. Analysis on the cases in this study showed that both the patients with emergency surgery and the patients with COVİD infection were successfully treated, without influencing each other, through appropriate isolation measures, although managed in the same hospital. In addition, these successful results were supported by 14-day follow-up after discharge. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-08-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802020000400305 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802020000400305 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1516-3180.2020.0181.r1.13052020 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Associação Paulista de Medicina - APM |
publisher.none.fl_str_mv |
Associação Paulista de Medicina - APM |
dc.source.none.fl_str_mv |
Sao Paulo Medical Journal v.138 n.4 2020 reponame:São Paulo medical journal (Online) instname:Associação Paulista de Medicina instacron:APM |
instname_str |
Associação Paulista de Medicina |
instacron_str |
APM |
institution |
APM |
reponame_str |
São Paulo medical journal (Online) |
collection |
São Paulo medical journal (Online) |
repository.name.fl_str_mv |
São Paulo medical journal (Online) - Associação Paulista de Medicina |
repository.mail.fl_str_mv |
revistas@apm.org.br |
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1754209267222577152 |