The Impact of the COVID-19 Pandemic on General Surgery Acute Admissions and Urgent Operations: A Comparative Prospective Study
As part of the effort to control the coronavirus disease-19 (COVID-19) outbreak, strict emergency measures, including prolonged national curfews, have been imposed. Even in countries where healthcare systems still functioned, patients avoided visiting emergency departments (EDs) because of fears of...
Gespeichert in:
| Veröffentlicht in: | The Israel Medical Association journal 2020-11, Vol.11 (22), p.673-679 |
|---|---|
| Hauptverfasser: | , , , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 679 |
|---|---|
| container_issue | 22 |
| container_start_page | 673 |
| container_title | The Israel Medical Association journal |
| container_volume | 11 |
| creator | Aviran, Eyal Laks, Shachar Benvenisti, Haggai Khalilieh, Saed Assaf, Dan Aviran, Nimrod Hazzan, David Klein, Yoram Cohen, Amir Gutman, Mordechai Nissan, Aviram Segev, Lior |
| description | As part of the effort to control the coronavirus disease-19 (COVID-19) outbreak, strict emergency measures, including prolonged national curfews, have been imposed. Even in countries where healthcare systems still functioned, patients avoided visiting emergency departments (EDs) because of fears of exposure to COVID-19.
To describe the effects of the COVID-19 outbreak on admissions of surgical patients from the ED and characteristics of urgent operations performed.
A prospective registry study comparing all patients admitted for acute surgical and trauma care between 15 March and 14 April 2020 (COVID-19) with patients admitted in the parallel time a year previously (control) was conducted.
The combined cohort included 606 patients. There were 25% fewer admissions during the COVID-19 period (P < 0.0001). The COVID-19 cohort had a longer time interval from onset of symptoms (P < 0.001) and presented in a worse clinical condition as expressed by accelerated heart rate (P = 0.023), leukocyte count disturbances (P = 0.005), higher creatinine, and CRP levels (P < 0.001) compared with the control cohort. More COVID-19 patients required urgent surgery (P = 0.03) and length of ED stay was longer (P = 0.003).
During the COVID-19 epidemic, fewer patients presented to the ED requiring acute surgical care. Those who did, often did so in a delayed fashion and in worse clinical condition. More patients required urgent surgical interventions compared to the control period. Governments and healthcare systems should emphasize to the public not to delay seeking medical attention, even in times of crises. |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_2465754879</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2465754879</sourcerecordid><originalsourceid>FETCH-LOGICAL-p565-834f8a4a91060e2f3d058cc5d731c2e444ec63ff80ab55fddb1c003149c35ec23</originalsourceid><addsrcrecordid>eNo1kE9PwzAMxXsAsTH4CshHLpWSJmlTblWBMQlpkza4VlniQFH_kaRIu_DZ6WCc7Gf_9PTss2hORSpiSqScRZfefxCSCEHyi2jGWMLzTIp59L17R1i1g9IBegthUuX6dXUf0xw2qjPY1hr6DpbYoVMNbEf3hu4AhR4DQmHa2vu67zxMLLxMuy7AepjQcJzeQQFlP7kf9RfCxvV-QP3bb8NoDlfRuVWNx-tTXUS7x4dd-RQ_r5ersniOh-MJknErFVc5JSnBxDJDhNRamIxRnSDnHHXKrJVE7YWwxuypJoRRnmsmUCdsEd3-2Q6u_xzRh2rKrbFpVIf96KuEpyITXGb5hN6c0HHfoqkGV7fKHar_l7EfDs1m2Q</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2465754879</pqid></control><display><type>article</type><title>The Impact of the COVID-19 Pandemic on General Surgery Acute Admissions and Urgent Operations: A Comparative Prospective Study</title><source>MEDLINE</source><source>EZB-FREE-00999 freely available EZB journals</source><source>Alma/SFX Local Collection</source><creator>Aviran, Eyal ; Laks, Shachar ; Benvenisti, Haggai ; Khalilieh, Saed ; Assaf, Dan ; Aviran, Nimrod ; Hazzan, David ; Klein, Yoram ; Cohen, Amir ; Gutman, Mordechai ; Nissan, Aviram ; Segev, Lior</creator><creatorcontrib>Aviran, Eyal ; Laks, Shachar ; Benvenisti, Haggai ; Khalilieh, Saed ; Assaf, Dan ; Aviran, Nimrod ; Hazzan, David ; Klein, Yoram ; Cohen, Amir ; Gutman, Mordechai ; Nissan, Aviram ; Segev, Lior</creatorcontrib><description>As part of the effort to control the coronavirus disease-19 (COVID-19) outbreak, strict emergency measures, including prolonged national curfews, have been imposed. Even in countries where healthcare systems still functioned, patients avoided visiting emergency departments (EDs) because of fears of exposure to COVID-19.
To describe the effects of the COVID-19 outbreak on admissions of surgical patients from the ED and characteristics of urgent operations performed.
A prospective registry study comparing all patients admitted for acute surgical and trauma care between 15 March and 14 April 2020 (COVID-19) with patients admitted in the parallel time a year previously (control) was conducted.
The combined cohort included 606 patients. There were 25% fewer admissions during the COVID-19 period (P < 0.0001). The COVID-19 cohort had a longer time interval from onset of symptoms (P < 0.001) and presented in a worse clinical condition as expressed by accelerated heart rate (P = 0.023), leukocyte count disturbances (P = 0.005), higher creatinine, and CRP levels (P < 0.001) compared with the control cohort. More COVID-19 patients required urgent surgery (P = 0.03) and length of ED stay was longer (P = 0.003).
During the COVID-19 epidemic, fewer patients presented to the ED requiring acute surgical care. Those who did, often did so in a delayed fashion and in worse clinical condition. More patients required urgent surgical interventions compared to the control period. Governments and healthcare systems should emphasize to the public not to delay seeking medical attention, even in times of crises.</description><identifier>ISSN: 1565-1088</identifier><identifier>PMID: 33249785</identifier><language>eng</language><publisher>Israel</publisher><subject><![CDATA[Acute Disease - epidemiology ; Acute Disease - therapy ; COVID-19 - epidemiology ; COVID-19 - prevention & control ; Emergency Service, Hospital - organization & administration ; Emergency Service, Hospital - trends ; Emergency Treatment - methods ; Emergency Treatment - statistics & numerical data ; Female ; Humans ; Infection Control - methods ; Infection Control - organization & administration ; Israel - epidemiology ; Male ; Middle Aged ; Organizational Innovation ; Registries - statistics & numerical data ; SARS-CoV-2 ; Severity of Illness Index ; Surgical Procedures, Operative - methods ; Surgical Procedures, Operative - statistics & numerical data ; Time-to-Treatment - trends ; Wounds and Injuries - epidemiology ; Wounds and Injuries - surgery]]></subject><ispartof>The Israel Medical Association journal, 2020-11, Vol.11 (22), p.673-679</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33249785$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Aviran, Eyal</creatorcontrib><creatorcontrib>Laks, Shachar</creatorcontrib><creatorcontrib>Benvenisti, Haggai</creatorcontrib><creatorcontrib>Khalilieh, Saed</creatorcontrib><creatorcontrib>Assaf, Dan</creatorcontrib><creatorcontrib>Aviran, Nimrod</creatorcontrib><creatorcontrib>Hazzan, David</creatorcontrib><creatorcontrib>Klein, Yoram</creatorcontrib><creatorcontrib>Cohen, Amir</creatorcontrib><creatorcontrib>Gutman, Mordechai</creatorcontrib><creatorcontrib>Nissan, Aviram</creatorcontrib><creatorcontrib>Segev, Lior</creatorcontrib><title>The Impact of the COVID-19 Pandemic on General Surgery Acute Admissions and Urgent Operations: A Comparative Prospective Study</title><title>The Israel Medical Association journal</title><addtitle>Isr Med Assoc J</addtitle><description>As part of the effort to control the coronavirus disease-19 (COVID-19) outbreak, strict emergency measures, including prolonged national curfews, have been imposed. Even in countries where healthcare systems still functioned, patients avoided visiting emergency departments (EDs) because of fears of exposure to COVID-19.
To describe the effects of the COVID-19 outbreak on admissions of surgical patients from the ED and characteristics of urgent operations performed.
A prospective registry study comparing all patients admitted for acute surgical and trauma care between 15 March and 14 April 2020 (COVID-19) with patients admitted in the parallel time a year previously (control) was conducted.
The combined cohort included 606 patients. There were 25% fewer admissions during the COVID-19 period (P < 0.0001). The COVID-19 cohort had a longer time interval from onset of symptoms (P < 0.001) and presented in a worse clinical condition as expressed by accelerated heart rate (P = 0.023), leukocyte count disturbances (P = 0.005), higher creatinine, and CRP levels (P < 0.001) compared with the control cohort. More COVID-19 patients required urgent surgery (P = 0.03) and length of ED stay was longer (P = 0.003).
During the COVID-19 epidemic, fewer patients presented to the ED requiring acute surgical care. Those who did, often did so in a delayed fashion and in worse clinical condition. More patients required urgent surgical interventions compared to the control period. Governments and healthcare systems should emphasize to the public not to delay seeking medical attention, even in times of crises.</description><subject>Acute Disease - epidemiology</subject><subject>Acute Disease - therapy</subject><subject>COVID-19 - epidemiology</subject><subject>COVID-19 - prevention & control</subject><subject>Emergency Service, Hospital - organization & administration</subject><subject>Emergency Service, Hospital - trends</subject><subject>Emergency Treatment - methods</subject><subject>Emergency Treatment - statistics & numerical data</subject><subject>Female</subject><subject>Humans</subject><subject>Infection Control - methods</subject><subject>Infection Control - organization & administration</subject><subject>Israel - epidemiology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Organizational Innovation</subject><subject>Registries - statistics & numerical data</subject><subject>SARS-CoV-2</subject><subject>Severity of Illness Index</subject><subject>Surgical Procedures, Operative - methods</subject><subject>Surgical Procedures, Operative - statistics & numerical data</subject><subject>Time-to-Treatment - trends</subject><subject>Wounds and Injuries - epidemiology</subject><subject>Wounds and Injuries - surgery</subject><issn>1565-1088</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1kE9PwzAMxXsAsTH4CshHLpWSJmlTblWBMQlpkza4VlniQFH_kaRIu_DZ6WCc7Gf_9PTss2hORSpiSqScRZfefxCSCEHyi2jGWMLzTIp59L17R1i1g9IBegthUuX6dXUf0xw2qjPY1hr6DpbYoVMNbEf3hu4AhR4DQmHa2vu67zxMLLxMuy7AepjQcJzeQQFlP7kf9RfCxvV-QP3bb8NoDlfRuVWNx-tTXUS7x4dd-RQ_r5ersniOh-MJknErFVc5JSnBxDJDhNRamIxRnSDnHHXKrJVE7YWwxuypJoRRnmsmUCdsEd3-2Q6u_xzRh2rKrbFpVIf96KuEpyITXGb5hN6c0HHfoqkGV7fKHar_l7EfDs1m2Q</recordid><startdate>202011</startdate><enddate>202011</enddate><creator>Aviran, Eyal</creator><creator>Laks, Shachar</creator><creator>Benvenisti, Haggai</creator><creator>Khalilieh, Saed</creator><creator>Assaf, Dan</creator><creator>Aviran, Nimrod</creator><creator>Hazzan, David</creator><creator>Klein, Yoram</creator><creator>Cohen, Amir</creator><creator>Gutman, Mordechai</creator><creator>Nissan, Aviram</creator><creator>Segev, Lior</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>202011</creationdate><title>The Impact of the COVID-19 Pandemic on General Surgery Acute Admissions and Urgent Operations: A Comparative Prospective Study</title><author>Aviran, Eyal ; Laks, Shachar ; Benvenisti, Haggai ; Khalilieh, Saed ; Assaf, Dan ; Aviran, Nimrod ; Hazzan, David ; Klein, Yoram ; Cohen, Amir ; Gutman, Mordechai ; Nissan, Aviram ; Segev, Lior</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p565-834f8a4a91060e2f3d058cc5d731c2e444ec63ff80ab55fddb1c003149c35ec23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Acute Disease - epidemiology</topic><topic>Acute Disease - therapy</topic><topic>COVID-19 - epidemiology</topic><topic>COVID-19 - prevention & control</topic><topic>Emergency Service, Hospital - organization & administration</topic><topic>Emergency Service, Hospital - trends</topic><topic>Emergency Treatment - methods</topic><topic>Emergency Treatment - statistics & numerical data</topic><topic>Female</topic><topic>Humans</topic><topic>Infection Control - methods</topic><topic>Infection Control - organization & administration</topic><topic>Israel - epidemiology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Organizational Innovation</topic><topic>Registries - statistics & numerical data</topic><topic>SARS-CoV-2</topic><topic>Severity of Illness Index</topic><topic>Surgical Procedures, Operative - methods</topic><topic>Surgical Procedures, Operative - statistics & numerical data</topic><topic>Time-to-Treatment - trends</topic><topic>Wounds and Injuries - epidemiology</topic><topic>Wounds and Injuries - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Aviran, Eyal</creatorcontrib><creatorcontrib>Laks, Shachar</creatorcontrib><creatorcontrib>Benvenisti, Haggai</creatorcontrib><creatorcontrib>Khalilieh, Saed</creatorcontrib><creatorcontrib>Assaf, Dan</creatorcontrib><creatorcontrib>Aviran, Nimrod</creatorcontrib><creatorcontrib>Hazzan, David</creatorcontrib><creatorcontrib>Klein, Yoram</creatorcontrib><creatorcontrib>Cohen, Amir</creatorcontrib><creatorcontrib>Gutman, Mordechai</creatorcontrib><creatorcontrib>Nissan, Aviram</creatorcontrib><creatorcontrib>Segev, Lior</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>The Israel Medical Association journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Aviran, Eyal</au><au>Laks, Shachar</au><au>Benvenisti, Haggai</au><au>Khalilieh, Saed</au><au>Assaf, Dan</au><au>Aviran, Nimrod</au><au>Hazzan, David</au><au>Klein, Yoram</au><au>Cohen, Amir</au><au>Gutman, Mordechai</au><au>Nissan, Aviram</au><au>Segev, Lior</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Impact of the COVID-19 Pandemic on General Surgery Acute Admissions and Urgent Operations: A Comparative Prospective Study</atitle><jtitle>The Israel Medical Association journal</jtitle><addtitle>Isr Med Assoc J</addtitle><date>2020-11</date><risdate>2020</risdate><volume>11</volume><issue>22</issue><spage>673</spage><epage>679</epage><pages>673-679</pages><issn>1565-1088</issn><abstract>As part of the effort to control the coronavirus disease-19 (COVID-19) outbreak, strict emergency measures, including prolonged national curfews, have been imposed. Even in countries where healthcare systems still functioned, patients avoided visiting emergency departments (EDs) because of fears of exposure to COVID-19.
To describe the effects of the COVID-19 outbreak on admissions of surgical patients from the ED and characteristics of urgent operations performed.
A prospective registry study comparing all patients admitted for acute surgical and trauma care between 15 March and 14 April 2020 (COVID-19) with patients admitted in the parallel time a year previously (control) was conducted.
The combined cohort included 606 patients. There were 25% fewer admissions during the COVID-19 period (P < 0.0001). The COVID-19 cohort had a longer time interval from onset of symptoms (P < 0.001) and presented in a worse clinical condition as expressed by accelerated heart rate (P = 0.023), leukocyte count disturbances (P = 0.005), higher creatinine, and CRP levels (P < 0.001) compared with the control cohort. More COVID-19 patients required urgent surgery (P = 0.03) and length of ED stay was longer (P = 0.003).
During the COVID-19 epidemic, fewer patients presented to the ED requiring acute surgical care. Those who did, often did so in a delayed fashion and in worse clinical condition. More patients required urgent surgical interventions compared to the control period. Governments and healthcare systems should emphasize to the public not to delay seeking medical attention, even in times of crises.</abstract><cop>Israel</cop><pmid>33249785</pmid><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1565-1088 |
| ispartof | The Israel Medical Association journal, 2020-11, Vol.11 (22), p.673-679 |
| issn | 1565-1088 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2465754879 |
| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Acute Disease - epidemiology Acute Disease - therapy COVID-19 - epidemiology COVID-19 - prevention & control Emergency Service, Hospital - organization & administration Emergency Service, Hospital - trends Emergency Treatment - methods Emergency Treatment - statistics & numerical data Female Humans Infection Control - methods Infection Control - organization & administration Israel - epidemiology Male Middle Aged Organizational Innovation Registries - statistics & numerical data SARS-CoV-2 Severity of Illness Index Surgical Procedures, Operative - methods Surgical Procedures, Operative - statistics & numerical data Time-to-Treatment - trends Wounds and Injuries - epidemiology Wounds and Injuries - surgery |
| title | The Impact of the COVID-19 Pandemic on General Surgery Acute Admissions and Urgent Operations: A Comparative Prospective Study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-08T23%3A53%3A57IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20Impact%20of%20the%20COVID-19%20Pandemic%20on%20General%20Surgery%20Acute%20Admissions%20and%20Urgent%20Operations:%20A%20Comparative%20Prospective%20Study&rft.jtitle=The%20Israel%20Medical%20Association%20journal&rft.au=Aviran,%20Eyal&rft.date=2020-11&rft.volume=11&rft.issue=22&rft.spage=673&rft.epage=679&rft.pages=673-679&rft.issn=1565-1088&rft_id=info:doi/&rft_dat=%3Cproquest_pubme%3E2465754879%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2465754879&rft_id=info:pmid/33249785&rfr_iscdi=true |