1. Impact of COVID-19 pandemic on surgical volume and outcomes in a terciary care center in Brazil
- Author
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PAULO LISBOA BITTENCOURT, GABRIEL VIANNA PEREIRA ARAGÃO, MURILO TAVARES VALVERDE FILHO, GUILHERME ALMEIDA FARIAS AMORIM, IGOR LIMA VIEIRA DE CASTRO, JADE DE OLIVEIRA SANTANA, LAIANE CAITANO COSTA, BEATRIZ SOARES MARQUES MUNIZ, VIVIAN ROBERTA SOARES SILVA, LIANA CODES, CLAUDIO CELESTINO ZOLLINGER, and WELLINGTON ANDRAUS
- Subjects
Surgery ,COVID-19 ,Mortality ,Critical Care ,RD1-811 - Abstract
ABSTRACT Backgrounds: COVID-19 pandemic led to a sharp decline in surgical volume worldwide due to the postponement of elective procedures. This study evaluated the impact of COVID-19 pandemic in surgical volumes and outcomes of abdominal surgery in high-risk patients requiring intensive care unit admission. Methods: patients admitted for postoperative care were retrospectively evaluated. Data concerning perioperative variables and outcomes were compared in two different periods: January 2017-December 2019 and January 2020-December 2022, respectively, before (period I) and after (period II) the onset of COVID-19 pandemic. Results: 1.402 patients (897 women, mean age 62+17 years) were investigated. Most of the patients underwent colorectal (n=393) and pancreato-biliary (n=240) surgery, 52% of elective procedures. Surgical volume was significantly lower in period II (n=514) when compared to period I (n= 888). No recovery was observed in the number of surgical procedures in 2022 (n=135) when compared to 2021(n=211) and 2020 (n=168). Subjects who underwent abdominal surgery in period II had higher Charlson comorbidity index (4,85+3,0 vs. 4,35+2,8, p=0,002), more emergent/urgent procedures (51% vs. 45%, p=0,03) and more clean-contaminated wounds (73,5% vs. 66,8%, p=0,02). A significant decrease in the volume of colorectal surgery was also observed (24% vs, 31%, p
- Published
- 2024
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