COVID-19 and surgical life: cross-sectional survey

Bellini, Maria Irene; Lewis, C; Welch, Nicole L.; Anderson, Irene; Papalois, Vassilios

doi:10.1093/bjs/znab034

Cited by 2 publications

(3 citation statements)

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“…The suspension of the surgical activity, the burden of the infection in immunosuppressed patients, and the comorbidities underlying end-stage organ disease have impacted significantly the run of transplant programs. Uncertainty regarding SARS-CoV-2 transmission from the donor to the recipient and the risk of developing COVID-19 posttransplant from sources not related to the donor, as well as facility, logistical, and organizational issues, along with the implications of social distancing for the follow-up, represented the main issues to safely maintain an efficient transplant program [ 43 ]. Furthermore, the peak of COVID-19 hospitalization and admissions to intensive care units (ICUs) not only impacted the possibility to treat with dedicated pathways (buildings and staff) non-COVID-19 patients, such as transplant patients, but also importantly affected the overall number of deceased donors in ICU to be considered for the start of the whole transplantation process.…”

Section: Liver Transplantation In Covid-19: What the Pandemic Implied For Transplant Programsmentioning

confidence: 99%

Liver Transplant Imaging prior to and during the COVID-19 Pandemic

Bellini

Fresilli

Lauro

et al. 2022

BioMed Research International

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Background. The suspension of the surgical activity, the burden of the infection in immunosuppressed patients, and the comorbidities underlying end-stage organ disease have impacted transplant programs significantly, even life-saving procedures, such as liver transplantation. Methods. A review of the literature was conducted to explore the challenges faced by transplant programs and the adopted strategies to overcome them, with a focus on indications for imaging in liver transplant candidates. Results. Liver transplantation relies on an appropriate imaging method for its success. During the Coronavirus Disease 2019 (COVID-19) pandemic, chest CT showed an additional value to detect early signs of SARS-CoV-2 infection and other screening modalities are less accurate than radiology. Conclusion. There is an emerging recognition of the chest CT value to recommend its use and help COVID-19 detection in patients. This examination appears highly sensitive for liver transplant candidates and recipients, who otherwise would have not undergone it, particularly when asymptomatic.

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Section: Liver Transplantation In Covid-19: What the Pandemic Implied For Transplant Programsmentioning

confidence: 99%

Liver Transplant Imaging prior to and during the COVID-19 Pandemic

Bellini

Fresilli

Lauro

et al. 2022

BioMed Research International

Self Cite

View full text Add to dashboard Cite

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“…been noted; 9 however, there is a paucity of the literature on the impact of the COVID-19 pandemic on surgical team members' overall welfare, especially with regard to domains other than mental health, such as physical, financial and family well-being. Some previous studies on this topic have been limited to a single institution, 9 a single country [10][11][12] or a single surgical specialty with a sole focus on surgeons' mental health. 12 13 At present, the largest international study on the impact of workplace factors on the mental health of healthcare workers during the COVID-19 pandemic consists of 54.1% and 34.6% of responses from nurses and doctors, respectively, without a subgroup analysis of surgeons or surgical team members.…”

Section: Open Accessmentioning

confidence: 99%

“…Some previous studies on this topic have been limited to a single institution,9 a single country10–12 or a single surgical specialty with a sole focus on surgeons’ mental health 12 13. At present, the largest international study on the impact of workplace factors on the mental health of healthcare workers during the COVID-19 pandemic consists of 54.1% and 34.6% of responses from nurses and doctors, respectively, without a subgroup analysis of surgeons or surgical team members 14.…”

Section: Introductionmentioning

confidence: 99%

Global impact of COVID-19 on surgeons and team members (GlobalCOST): a cross-sectional study

et al. 2022

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ObjectivesTo investigate the impact of COVID-19 on the well-being of surgeons and allied health professionals as well as the support provided by their institutions.DesignThis cross-sectional study involved distributing an online survey through medical organisations, social media platforms and collaborators.SettingIt included all staff based in an operating theatre environment around the world.Participants1590 complete responses were received from 54 countries between 15 July and 15 December 2020. The average age of participants was 30–40 years old, 64.9% were men and 32.5% of a white ethnic background. 79.5% were surgeons with the remainder being nurses, assistants, anaesthetists, operating department practitioners or classified other.Main outcome measuresParticipants that had experienced any physical illness, changes in mental health, salary or time with family since the start of the pandemic as well as support available based on published recommendations.Results32.0% reported becoming physically ill. This was more likely in those with reduced access to personal protective equipment (OR 4.62; CI 2.82 to 7.56; p<0.001) and regular breaks (OR 1.56; CI 1.18 to 2.06; p=0.002). Those with a decrease in salary (29.0%) were more likely to have an increase in anxiety (OR 1.50; CI 1.19 to 1.89; p=0.001) and depression (OR 1.84; CI 1.40 to 2.43; p<0.001) and those who spent less time with family (35.2%) were more likely to have an increase in depression (OR 1.74; CI 1.34 to 2.26; p<0.001). Only 36.0% had easy access to occupational health, 44.0% to mental health services, 16.5% to 24/7 rest facilities and 14.2% to 24/7 food and drink facilities. Fewer measures were available in countries with a low Human Development Index.ConclusionsThis work has highlighted a need and strategies to improve conditions for the healthcare workforce, ultimately benefiting patient care.

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COVID-19 and surgical life: cross-sectional survey

Cited by 2 publications

References 5 publications

Liver Transplant Imaging prior to and during the COVID-19 Pandemic

Liver Transplant Imaging prior to and during the COVID-19 Pandemic

Global impact of COVID-19 on surgeons and team members (GlobalCOST): a cross-sectional study

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