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首页> 外文期刊>Journal of surgery and medicine. >The effect of covid-19 pandemic on emergency general surgery cases: A single-center observational study
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The effect of covid-19 pandemic on emergency general surgery cases: A single-center observational study

机译：Covid-19大流行对应急普通外科病例的影响：单中心观测研究

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Background/Aim: Many people around the world have been affected by the COVID-19 pandemic. Some of them were directly affected as patients. However, even if some did not suffer from the disease, they may have been indirectly affected. The aim of this study was to investigate whether the COVID-19 pandemic has an impact on emergency general surgery admission volume and operations. Methods: In this retrospective case-control study, all patients referred from the emergency department to our emergency general surgery unit between April 1 - May 31,2020 were evaluated. Patients over 18 years of age, who were hospitalized for longer than 24 hours and required evaluation and treatment by a general surgeon were included in the study. Patients with similar characteristics that were treated in our clinic in the same periods in 2018 and 2019 were evaluated as the control group. Results: During the pandemic, a total of 208 patients were hospitalized in the emergency general surgery service. The number of admissions to the emergency general surgery service in 2020 was 25.9% less than that in 2018 and 30.8% less than that in 2019. During the pandemic, while there was a decrease in cases of non-specific abdominal pain and trauma (P=0.003, P=0.015, respectively), there was a significant increase in cases of gastrointestinal obstruction and perforation (P=0.001, P0.001, respectively). The rate of surgery during the pandemic was 65.9%, which was significantly higher than the previous years (P0.001). The rate of laparoscopic procedures decreased significantly during this period (P0.001). The complication and mortality rates were significantly higher (P=0.004, P=0.025, respectively). Conclusion: We observed that while emergency general surgery case applications, surgery rates, and hospital stay decreased during the COVID-19 pandemic, there was an increase in the rate of more serious diagnoses, complications, and mortality.
机译：背景/目标：世界各地的许多人受到了Covid-19大流行的影响。其中一些人直接受到患者的影响。然而，即使有些人没有患有这种疾病，它们也可能间接受间接影响。本研究的目的是调查Covid-19大流行是否对应急普通外科入院和运营产生影响。方法：在这项回顾性案例对照研究中，评估了急诊部门从急诊部门提到的所有患者到4月1日至5月1日至5月1日至5月1日至5月3日之间的患者。研究中，18岁以上的患者超过24小时，一般外科医生所需的评估和治疗被纳入研究。在2018年和2019年在2018年和2019年的同期在我们的临床中进行了类似特征的患者被评估为对照组。结果：在大流行期间，共有208名患者在应急普通外科服务中住院。 2020年应急普通外科服务的入学人数比2018年的45.9％，而不是2019年的30.8％。在大流行期间，在非特异性腹痛和创伤病例中有降低（P分别= 0.003，P = 0.015），胃肠梗阻和穿孔病例有显着增加（P = 0.001，P <0.001）。大流行期间的手术率为65.9％，明显高于前几年（P <0.001）。在此期间，腹腔镜手术的速率显着下降（P <0.001）。并发症和死亡率分别显着更高（P = 0.004，P = 0.025）。结论：我们观察到，虽然在Covid-19大流行期间，虽然紧急情况外科案例应用，手术率和住院时间减少，但更严重的诊断，并发症和死亡率的增加。

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