Surgical impact of the severe acute respiratory syndrome coronavirus 2 pandemic in a third-level hospital in Mexico City

Objective: This article aims to identify the changes that occurred in surgical services due to the coronavirus disease (COVID)-19 pandemic. Methods: A comparative observational study of the surgical procedures performed in the first 5 months of 2019 compared to procedures performed in 2020. It addresses the approach, prioritization, and procedures in patients with suspected or confirmed infection with COVID-19. Results: A drastic decrease in the number of surgical procedures was observed between March, April, and May 2020 at 19%, 74%, and 85%, respectively. Laparoscopic surgical procedures had a 96% decline rate. The most frequent surgeries in patients with high suspicion or confirmation of severe acute respiratory syndrome coronavirus SARS COV-2 have been tracheostomy due to prolonged intubation, cesarean section, laparotomy, abdominoplasty, appendectomy, and among others. Discussion: The SARS COV-2 pandemic has led to a sudden shift in all surgical specialties worldwide. Planning for the return to surgical activities with the “new normal” scenario is of foremost importance, taking into account the protection of health personnel, patients, and families. Conclusions: We have a long way to go regarding the actions and reorganization of hospital services in relation to the evolution of the SARS COV-2 pandemic.

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Main Authors: González-Calatayud,Mariel, Zacarías-Ezzat,Jed R.
Format: Digital revista
Language:English
Published: Sociedad Médica del Hospital General de México A.C. 2020
Online Access:http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S2524-177X2020000400182
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spelling oai:scielo:S2524-177X20200004001822021-09-02Surgical impact of the severe acute respiratory syndrome coronavirus 2 pandemic in a third-level hospital in Mexico CityGonzález-Calatayud,MarielZacarías-Ezzat,Jed R. Pandemic Coronavirus Severe acute respiratory syndrome coronavirus-2 Surgical services Surgeries Procedures Objective: This article aims to identify the changes that occurred in surgical services due to the coronavirus disease (COVID)-19 pandemic. Methods: A comparative observational study of the surgical procedures performed in the first 5 months of 2019 compared to procedures performed in 2020. It addresses the approach, prioritization, and procedures in patients with suspected or confirmed infection with COVID-19. Results: A drastic decrease in the number of surgical procedures was observed between March, April, and May 2020 at 19%, 74%, and 85%, respectively. Laparoscopic surgical procedures had a 96% decline rate. The most frequent surgeries in patients with high suspicion or confirmation of severe acute respiratory syndrome coronavirus SARS COV-2 have been tracheostomy due to prolonged intubation, cesarean section, laparotomy, abdominoplasty, appendectomy, and among others. Discussion: The SARS COV-2 pandemic has led to a sudden shift in all surgical specialties worldwide. Planning for the return to surgical activities with the “new normal” scenario is of foremost importance, taking into account the protection of health personnel, patients, and families. Conclusions: We have a long way to go regarding the actions and reorganization of hospital services in relation to the evolution of the SARS COV-2 pandemic.info:eu-repo/semantics/openAccessSociedad Médica del Hospital General de México A.C.Revista médica del Hospital General de México v.83 n.4 20202020-12-01info:eu-repo/semantics/articletext/htmlhttp://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S2524-177X2020000400182en10.24875/hgmx.20000068
institution SCIELO
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country México
countrycode MX
component Revista
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databasecode rev-scielo-mx
tag revista
region America del Norte
libraryname SciELO
language English
format Digital
author González-Calatayud,Mariel
Zacarías-Ezzat,Jed R.
spellingShingle González-Calatayud,Mariel
Zacarías-Ezzat,Jed R.
Surgical impact of the severe acute respiratory syndrome coronavirus 2 pandemic in a third-level hospital in Mexico City
author_facet González-Calatayud,Mariel
Zacarías-Ezzat,Jed R.
author_sort González-Calatayud,Mariel
title Surgical impact of the severe acute respiratory syndrome coronavirus 2 pandemic in a third-level hospital in Mexico City
title_short Surgical impact of the severe acute respiratory syndrome coronavirus 2 pandemic in a third-level hospital in Mexico City
title_full Surgical impact of the severe acute respiratory syndrome coronavirus 2 pandemic in a third-level hospital in Mexico City
title_fullStr Surgical impact of the severe acute respiratory syndrome coronavirus 2 pandemic in a third-level hospital in Mexico City
title_full_unstemmed Surgical impact of the severe acute respiratory syndrome coronavirus 2 pandemic in a third-level hospital in Mexico City
title_sort surgical impact of the severe acute respiratory syndrome coronavirus 2 pandemic in a third-level hospital in mexico city
description Objective: This article aims to identify the changes that occurred in surgical services due to the coronavirus disease (COVID)-19 pandemic. Methods: A comparative observational study of the surgical procedures performed in the first 5 months of 2019 compared to procedures performed in 2020. It addresses the approach, prioritization, and procedures in patients with suspected or confirmed infection with COVID-19. Results: A drastic decrease in the number of surgical procedures was observed between March, April, and May 2020 at 19%, 74%, and 85%, respectively. Laparoscopic surgical procedures had a 96% decline rate. The most frequent surgeries in patients with high suspicion or confirmation of severe acute respiratory syndrome coronavirus SARS COV-2 have been tracheostomy due to prolonged intubation, cesarean section, laparotomy, abdominoplasty, appendectomy, and among others. Discussion: The SARS COV-2 pandemic has led to a sudden shift in all surgical specialties worldwide. Planning for the return to surgical activities with the “new normal” scenario is of foremost importance, taking into account the protection of health personnel, patients, and families. Conclusions: We have a long way to go regarding the actions and reorganization of hospital services in relation to the evolution of the SARS COV-2 pandemic.
publisher Sociedad Médica del Hospital General de México A.C.
publishDate 2020
url http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S2524-177X2020000400182
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