In pursuit of COVID-19 surgical risk stratification to manage a limited workforce and supplies in minimally invasive surgery.

Mitura, Kryspin; Myśliwiec, Piotr; Rogula, W; Solecki, Michał; Furtak, J.; Kazanowski, M.; Kłęk, Stanisław; Nowakowski, Michał; Pędziwiatr, Michał; Zawadzki, Marek; Wallner, Grzegorz; Sobocki, Jacek

doi:10.5114/wiitm.2020.95073

Cited by 8 publications

(4 citation statements)

References 25 publications

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“…Currently, multiple guidelines, reviews and directives are being published to improve the quality of care during the pandemic [16][17][18][19][20]. Cohen et al propose, that among COVID-19 positive patients we should postpone elective surgery until the patient has recovered [21].…”

Section: Discussionmentioning

confidence: 99%

Surgical Care in Poland after COVID19 Outbreak: A National Survey.

Stefura

Rymarowicz

Wysocki

et al. 2020

Preprint

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Background: During COVID-19 pandemic, it is necessary to collect and analyze data concerning management of hospitals and wards to work out solutions for potential future crisis. The objective of the study was to investigate how surgical wards in Poland are managing during rapid development of the COVID-19 pandemicMethods: An anonymous, online survey was designed and distributed to surgeons and surgery residents working in surgical departments during pandemic. Responders were divided into two groups: Group 1 (responders working in a “COVID-19-dedicated” hospital) and Group 2 (responders working in other hospitals). Results: Overall, 323 responders were included in the study group, 30.03% of which were female. Medical staff deficits were reported by 21.15% responders from Group 1 and 29.52% responders from Group 2 (p=0.003). The mean number of elective surgeries performed weekly prior to the pandemic in Group 1 was 40.37±46.31 and during the pandemic was 13.98±37.49 (p<0.001). In Group 2, the mean number of elective surgeries performed weekly before the start of the pandemic was 26.85±23.52 and after the start of the pandemic, it was 7.65±13.49 (p<0.001). There were significantly higher reported levels of preparedness in Group 1 in terms of: theoretical training of the staff, equipping the staff and adapting the operating theater to safely perform procedures on patients with COVID-19. Overall, 62.23% of responders presume being infected with SARS-CoV-2.Conclusions: SARS-CoV-2 pandemic had a significantly negative impact on surgical wards. Despite the preparations, the number of responders who presume being infected with SARS-CoV-2 during present crisis is high.Trial registration: The study was registered in https://www.clinicaltrials.gov/ registry (NCT04368026).

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Section: Discussionmentioning

confidence: 99%

Surgical Care in Poland after COVID19 Outbreak: A National Survey.

Stefura

Rymarowicz

Wysocki

et al. 2020

Preprint

Self Cite

View full text Add to dashboard Cite

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“…The COVID-19 pandemic is spreading rapidly, causing healthcare systems worldwide to work feverishly to respond to the demands of this new disease [5]. Several countries around the world have transformed general hospitals into hospitals exclusively for treating COVID-19 patients as a safety measure to limit the spread of the disease [6,7]. Although the COVID-19 pandemic is not a purely surgical situation, many patients suffering from coronavirus require surgical treatment due to additional infections, conditions, or complications.…”

Section: Introductionmentioning

confidence: 99%

Investigation of Stress Levels and Lifestyle of A Sample of Greek General Surgeons in Reference and Non-Covid-19 Hospitals

2023

J Surg

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Background: During the COVID-19 pandemic, Greek general surgeons faced a heavy workload and difficult decisions as they were redirected from surgical to COVID-related care. Similar to other pandemics in the past, Greek general surgeons reported experiencing low mood, increased stress, and anxiety, leading to psychological distress.Aim: This observational cross-sectional study aimed to investigate the stress levels and lifestyle of a sample of Greek general surgeons in relation to their contact with COVID-19.Methods: All general surgeons were invited to participate in a one-time self-administered online questionnaire, consisting of a 156-item self-reporting questionnaire. The data collected were about socio-demographic information, medical history, place of work, and years of work/experience. Six tools were used, and descriptive analysis was conducted for categorical and numerical variables.Results: Out of the 179 general surgeons who responded, 87.2% were male and 12.8% were female. The mean age for men was 51.47, and for women, it was 45.70. Men were more likely to be married with children compared to women.

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“…Due to the presence of the virus in body fluids and its spread via droplets, the personnel present in the operating room was advised to use barrier gowns, FFP3 masks and visors -in accordance with sanitary and epidemiological hospital standards. It was also recommended to change the operating technique to minimize aerosol spreading [7][8][9].…”

Section: Introductionmentioning

confidence: 99%