TY - JOUR
A1 - Abdorrahim-Kashi, Esmail
A1 - Azadchehr, Mohammad
A1 - Aminipour, Mohammadreza
A1 - Talari, Hamidreza
A1 - Ghafoor, Leila
A1 - Abedzadeh-Kalahroudi, Masoumeh
A1 - Moussavi, Nushin
T1 - General surgery admissions, operations, and patient outcomes during the COVID-19 pandemic
Y1 - 2022/7/1
JF - Archives of Trauma Research
JO - Arch Trauma Res
SP - 118
EP - 122
VL - 11
IS - 3
UR - https://www.archtrauma.com/article.asp?issn=2251-953X;year=2022;volume=11;issue=3;spage=118;epage=122;aulast=Abdorrahim-Kashi
DO - 10.4103/atr.atr_42_22
N2 -
Background and Objectives: During the COVID-19 pandemic, hospitals were overwhelmed and non-COVID admissions were restricted due to national guidelines and decreased references. The aim of this study was to evaluate the collateral effect of the pandemic on general surgery admissions, operations, and patient outcomes. Patients and Methods: After the ethics committee approval for this retrospective descriptive study, all general surgery patients from February 23 to May 21, 2020, were compared with a similar timeframe in 2019. Time from symptom onset to admission, final diagnosis, and type of surgery was documented. Morbidity and mortality rate, intensive care unit (ICU) admission time, and total admission time were compared. Results: During the first COVID-19 surge, a 64% decrease in admissions was observed. The mean time from symptom onset to admission showed a significant delay of 1.2 days. Fewer patients were admitted to the ICU, but ICU admission time was longer. Total admission time and postoperative surgical and nonsurgical complications showed no significant difference. The rate of complicated appendicitis increased from 2.8% to 12.3% of total surgeries. A decrease in total trauma admissions was observed, but trauma operations remained unchanged, and penetrating trauma admissions had doubled. Conclusion: Although morbidity and mortality were not increased during the pandemic, increased time to admission, under triage of trauma patients, shortage of ICU beds, and a higher rate of complicated appendicitis portray the collateral effects of the pandemic on general surgery patient care. The increased number of penetrating injuries demands psychological support during home confinement. Efforts should be made to maintain maximal surgical care during pandemics.
ER -