Impact of hospital lockdown secondary to COVID-19 and past pandemics on surgical practice: A living rapid systematic review

Lee, Yung; Kirubarajan, Abirami; Patro, Nivedh; Soon, Melissa Sam; Doumouras, Aristithes G.; Hong, Dennis

doi:10.1016/j.amjsurg.2020.11.019

Cited by 23 publications

(18 citation statements)

References 49 publications

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“…Current success with masking has shown the risk of transmission to be unlikely, 7 and more likely far outweighs the social and clinical costs of limiting visitation. In systematic review, the pooled percentage of healthcare workers infected during epidemics (including the COVID-19 pandemic) has been estimated at 6.2%, 8 similar to the national positivity rate. Exposure is largely within the community and not within hospital settings.…”

mentioning

confidence: 78%

Patient visitation – A call for standardization and liberalization

Shao

2022

The American Journal of Surgery

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mentioning

confidence: 78%

Patient visitation – A call for standardization and liberalization

Shao

2022

The American Journal of Surgery

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“…Although clinical volume was not specifically addressed in the Check-In Surveys, there are many reports that document a concern for decreased volumes across all surgical specialties. [16][17][18][19][20][21][22][23] Further, comments from the participants in the summer 2020 Check-In Survey reflect the disruption of surgical caseloads that carried over from the spring ("10 weeks without elective GYN Surgery"; "many are concerned about their ability to get all necessary OR cases"; "uncertainty and frustration with decreased surgical volume"). This is also supported by the findings of a survey of residents conducted in July 2020.…”

Section: J O U R N a L P R E -P R O O F Education Program Impactmentioning

confidence: 99%

Impact of the COVID-19 pandemic on surgical trainee education and well-being spring 2020-winter 2020: A path forward

Ellison

Nagler

Stain

et al. 2022

The American Journal of Surgery

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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“…Since the beginning of the outbreak, there was concern about the impact on healthcare systems. Due to the risk of nosocomial transmission, possible lack of personal protective equipment (PPE), overflow of healthcare facilities, and limited medical resources [5,6], there was a disruption in delivering surgical care to millions of patients [7-9].…”

Section: Introductionmentioning

confidence: 99%

Impact of the COVID-19 pandemic on surgical procedures in Brazil: a descriptive study

Luizeti

Perli

Costa

et al. 2021

Preprint

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BackgroundThe COVID-19 pandemic has deeply affected medical practice, and changes in healthcare activities were needed to minimize the overload and avoid healthcare systems collapse. The aim of this study was to evaluate the impact of the pandemic on surgical procedures in Brazil.Materials and MethodsWe conducted a descriptive study of the number of hospitalizations for surgical procedures in Brazil from 2016 to 2020. Data were collected from the Brazilian Department of Informatics of the Unified Health System (DATASUS). Analyzes were performed according to the type of procedure, geographical region, subgroups of surgical procedures, and the number of surgeries from 2020 were compared with the average from 2016 to 2019.ResultsThere were 4,009,116 hospitalizations for surgical procedures in the Brazilian Public Health System in 2020. When comparing it to the average of hospitalizations from 2016-2019, there was a decrease of 14.88% [95%IC (14.82-14.93)]. Decrease rates were 34.82% [95%IC (34.73-34.90)] for elective procedures and 1.11% [95%IC (1.07-1.13)] for urgent procedures. Decrease rates were similar in all the five regions of the country (average 14.17%). Surgical procedure subgroups with the highest decrease rates were endocrine gland surgery (48.03%), breast surgery (40.68%), oral and maxillofacial surgery (37.03%), surgery of the upper airways, face, head and neck (36.06%), and minor surgeries and surgeries of skin, subcutaneous tissue and mucosa (33.16%). Conclusion: The overload of healthcare facilities has demanded a reduction of non-urgent activities to prevent a collapse of healthcare systems, resulting in a decrease in elective surgeries. Recommendations about the performance of surgical procedures were made, and continuous refinements of these recommendations are encouraged.

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Impact of hospital lockdown secondary to COVID-19 and past pandemics on surgical practice: A living rapid systematic review

Cited by 23 publications

References 49 publications

Patient visitation – A call for standardization and liberalization

Patient visitation – A call for standardization and liberalization

Impact of the COVID-19 pandemic on surgical trainee education and well-being spring 2020-winter 2020: A path forward

Impact of the COVID-19 pandemic on surgical procedures in Brazil: a descriptive study

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