Two years later: Is the SARS-CoV-2 pandemic still having an impact on emergency surgery? An international cross-sectional survey among WSES members
Pandemic
Emergency Surgery
Triage
Cross-sectional study
DOI:
10.1186/s13017-022-00424-0
Publication Date:
2022-06-16T19:35:53Z
AUTHORS (368)
ABSTRACT
The SARS-CoV-2 pandemic is still ongoing and a major challenge for health care services worldwide. In the first WSES COVID-19 emergency surgery survey, strong negative impact on (ES) had been described already early in situation. However, knowledge limited about current effects of patient flow through rooms, daily routine decision making ES as well their changes over time during last two years. This second survey investigates course pandemic.A web distributed to medical specialists four-week period from January 2022, investigating patients septic diseases both requiring ES, structural problems due time-to-intervention routine.367 collaborators 59 countries responded survey. majority indicated that significantly impacts treatment outcome surgical (83.1% 78.5%, respectively). As reasons, reported decreased case load (44.7%), but presenting with more prolonged severe diseases, especially concerning perforated appendicitis (62.1%) diverticulitis (57.5%). Otherwise, approximately 50% participants observe delay compared situation before pandemic. Relevant causes leading enlarged are persistent in-hospital logistics, lacks staff operating room intensive capacities leads not only need triage or transferring other hospitals, by 64.0% 48.8% collaborators, respectively, also paradigm shifts modalities non-operative approaches 67.3% participants, uncomplicated appendicitis, cholecystitis multiple-recurrent diverticulitis.The ES. Well-known logistics sufficiently resolved now; however, shortages reduced have dramatically aggravated
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