Impact of lockdown on emergency general surgery during first 2020 COVID-19 outbreak

Kurihara, Hayato; Marrano, Enrico; Ceolin, Martina; Chiara, Osvaldo; Faccincani, Roberto; Bisagni, Pietro; Fattori, Luca; Zago, Mauro; Spota, Andrea; Carlucci, Michele; Pascucci, Federica; Armao, Francesca Teodora; Longhi, Marco; Masutti, Maria; Gibelli, Marco Mariani e Ludovica; Mariani, Diego; Castoldi, Laura; Guerci, Claudio; Maffioli, Anna; Ardito, Antonella; Iacob, Giulio; Marconi, Matteo; Sarro, Giuliano; Casamassima, Andrea; S, Chiaravalle; Mariani, Nicolò Maria

doi:10.1007/s00068-021-01691-3

Cited by 16 publications

(19 citation statements)

References 10 publications

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“…There was a 46% decrease in acute appendicitis admissions. 86 Acute appendicitis and cholecystectomy decreased by 32% and 30%, 87 while bariatric surgeries and hiatal hernia repairs dropped by 98% and 96%, respectively. 88 In another survey among breast cancer patients awaiting surgery, more than half of them claimed that COVID-19 pandemics increased their existing oncologic fears.…”

Section: Covid-19 and Dermatologymentioning

confidence: 99%

The overall impact of COVID‐19 on healthcare during the pandemic: A multidisciplinary point of view

Sabetkish

Rahmani

2021

Health Science Reports

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Background and Aims The Coronavirus disease 2019 (COVID‐19) pandemic globally changed the priorities of medical and surgical procedures. It has caused many healthcare systems to stop performing their routine screenings. Altering medical clinics to COVID‐19 referral centers, lockdowns, and the public fear to refer to medical centers caused a significant reduction in the referral rate; especially in the elderly. This short review article highlights the transform in clinical practice during the post‐COVID era and the need for future medical revolutions. Methods A comprehensive literature search was separately performed by both authors. The articles published between 2019 and August 2021 were included in this study and selected according to a quality appraisal method. Results We have summarized the possible corresponding changes in the diagnosis and treatment of all fields of medical care including internal medicine, surgical, and minor subcategories after the COVID‐19 pandemic. We have also discussed the potential impacts of the pandemic on all these different categories and subcategories of medicine, including the outpatient setting and clinical work. We do believe that the lack of routine check‐ups has led to an increase in the stage of disease in patients with a previously diagnosed problem. On the other hand, the dramatic change in the lifestyle of the population including restricted mobility and increased consumption of unhealthy food has caused metabolic syndrome and other new diseases that have not been diagnosed and properly managed. Conclusion Our findings revealed the urgent need for public health awareness. It indicated the need to carry out both psychological and screening approaches in the post‐COVID era to not miss patients with a chronic disease and new cases who were undiagnosed during the COVID pandemic.

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Section: Covid-19 and Dermatologymentioning

confidence: 99%

The overall impact of COVID‐19 on healthcare during the pandemic: A multidisciplinary point of view

Sabetkish

Rahmani

2021

Health Science Reports

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“…The COVID-19 pandemic has had a marked impact on societies around the world. Patients did not arrive at hospitals or call ambulance services even for cardiological or surgical reasons [8,9]. That situation affects both adults and children [8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

“…Patients did not arrive at hospitals or call ambulance services even for cardiological or surgical reasons [8,9]. That situation affects both adults and children [8][9][10][11]. These circumstances refer also to patients after a fall from a standing position [10].…”

Section: Introductionmentioning

confidence: 99%

One year of the COVID-19 pandemic in Poland–the incidence of osteoporotic forearm, arm, and hip fractures

Wilk¹,

Adamczyk

Pluskiewicz

et al. 2022

Arch Osteoporos

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The study attempts to analyse whether the COVID-19 pandemic affected the incidence of forearm, arm, and hip fractures during a 1-year observation period. Additionally, changes in the overall treatment costs of those fractures were estimated. During the COVID-19 pandemic, the incidence of forearm, arm, and hip fractures remained statistically unchanged, neither were any significant changes observed in the expenditure, incurred for the treatment of the fracture cases. Purpose The purpose of the study was to find out and evaluate if the consequences of COVID-19 pandemic (including lockdown and the fear of infection) influenced the incidence of osteoporotic forearm, arm, and hip fractures and to estimate the changes in the costs of their management during one-year observation period. Methods The incidence of forearm, arm, and hip fractures was collected for the population, aged ≥ 50, residing at the district of Tarnowskie Góry and the Town of Piekary Śląskie, Poland, during 1 year of COVID-19 pandemic (from March 16th 2020 to March 15th 2021). The obtained results were compared with the number of corresponding limb fractures, recorded before the pandemic during five consecutive yearly periods, each starting from 16th March and ending on the 15th March of a subsequent year, the entire period covering the years 2015-2020. The rates of the analysed fractures were calculated per 100,000 inhabitants together with their economic impact. ResultsThe mean numbers and the incidence rates of upper extremity fractures were slightly lower during the COVID-19 pandemic than in the previous 5 years, whereas hip fracture figures remained almost stable. The observed changes were not statistically significant. That annual observation revealed a slight decrease in expenditure volumes, when compared to the analysed period before the pandemic (−0.33%). ConclusionThe decreased incidence rate of forearm, arm, and hip fractures, observed during the first months of the COVID-19 pandemic, was not statistically significant in the 1-year observation. After several weeks/months under the shock, caused by government limitations and the fear of infection, the number of patients remained unchanged during the one-year observation.

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“…This reorganization also reshaped emergency care, as well as patients' behaviors and attitudes towards healthcare services. During the first weeks of the COVID-19 pandemic, a strong reduction in emergency department (ED) visits was reported in many countries [3][4][5][6][7][8][9][10][11][12][13][14][15] due to patients' fear of becoming infected. This delay in seeking medical attention could have negatively affected patients' management and outcomes, especially when dealing with life-threating or oncological conditions [16][17][18][19], but also with other time-dependent medical emergencies/urgencies [20].…”

Section: Introductionmentioning

confidence: 99%

The Adverse Impact of the COVID-19 Pandemic on Abdominal Emergencies: A Retrospective Clinico-Pathological Analysis

Vissio

Falco

Scozzari

et al. 2021

JCM

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The COVID-19 pandemic has caused a worldwide significant drop of admissions to the emergency department (ED). The aim of the study was to retrospectively investigate the pandemic impact on ED admissions, management, and severity of three abdominal emergencies (appendicitis, diverticulitis, and cholecystitis) during the COVID-19 pandemic using 2017–2019 data as a control. The difference in clinical and pathological disease severity was the primary outcome measure while differences in (i) ED admissions, (ii) triage urgency codes, and (iii) surgical rates were the second ones. Overall, ED admissions for the selected conditions decreased by 34.9% during the pandemic (control: 996, 2020: 648) and lower triage urgency codes were assigned for cholecystitis (control: 170/556, 2020: 66/356, p < 0.001) and appendicitis (control: 40/178, 2020: 21/157, p = 0.031). Less surgical procedures were performed in 2020 (control: 447, 2020: 309), but the surgical rate was stable (47.7% in 2020 vs. 44.8% in 2017–2019). Considering the clinical and pathological assessments, a higher percentage of severe cases was observed in the four pandemic peak months of 2020 (control: 98/192, 2020: 87/109; p < 0.001 and control: 105/192, 2020: 87/109; p < 0.001). For the first time in this study, pathological findings objectively demonstrated an increased disease severity of the analyzed conditions during the early COVID-19 pandemic.

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Impact of lockdown on emergency general surgery during first 2020 COVID-19 outbreak

Cited by 16 publications

References 10 publications

The overall impact of COVID‐19 on healthcare during the pandemic: A multidisciplinary point of view

The overall impact of COVID‐19 on healthcare during the pandemic: A multidisciplinary point of view

One year of the COVID-19 pandemic in Poland–the incidence of osteoporotic forearm, arm, and hip fractures

The Adverse Impact of the COVID-19 Pandemic on Abdominal Emergencies: A Retrospective Clinico-Pathological Analysis

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