Surgical Outcomes During the First Year of the COVID-19 Pandemic

Romero-Vélez, Gustavo; Pereira, Xavier; Ramos-Santillan, Vicente; Camacho, Diego

doi:10.1097/sle.0000000000001078

Cited by 3 publications

(2 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Despite the successful containment efforts, the healthcare landscape in Taiwan, as in other regions, faced significant disruptions due to the COVID-19 pandemic. The reallocation of hospital resources and the adjustment of protocols were essential to maintain patient and healthcare worker safety during this period ( 10 ). Pediatric surgical practice, in particular, presented unique challenges due to the specialized care required for this vulnerable population, ranging from congenital anomalies to urgent surgical emergencies ( 11 , 12 ).…”

Section: Introductionmentioning

confidence: 99%

Impact of COVID-19 on pediatric surgical practice in Taiwan: a comprehensive analysis

Huang,

Chou,

Chen

2024

Front. Pediatr.

View full text Add to dashboard Cite

BackgroundThe COVID-19 pandemic has profoundly impacted global healthcare systems, causing significant disruptions in various medical practices. This study focuses on the specific effects of the pandemic on pediatric surgical practice in Taiwan, a region known for its effective public health measures and proximity to the initial outbreak.MethodsThe study analyzes data from January 2020 to August 2022, comparing it with historical records from January 2017 to August 2019. It examines changes in surgical case volumes, patient demographics, surgical indications, and trends in preoperative evaluations, surgical procedures, and postoperative care.ResultsThe study reveals a decrease in total surgical cases from 2,255 to 1,931 during the pandemic. Notable findings include a slight increase in the average age of patients (4.81 to 5.10 years, p = 0.064), a significant shift in gender distribution towards male patients (68.9% to 73.5%, p = 0.0009), and changes in the types of surgical procedures performed, with head and neck and gastrointestinal surgeries seeing an increase. The average hospital stay lengthened, and certain specific surgical diseases, like hypospadias and liver tumors, showed an increase. However, the age distribution of pediatric surgical patients remained stable, and emergency surgical care was resiliently maintained.DiscussionThe findings demonstrate the adaptability of Taiwan's healthcare system in maintaining pediatric surgical care during the pandemic. The study highlights a significant gender disparity in surgical interventions and a shift towards more urgent and emergent care, reflecting the reorganization of healthcare services during this period. The study's limitations include its retrospective nature and focus on a single institution.ConclusionThis research contributes valuable insights into the impact of the COVID-19 pandemic on pediatric surgical practice in Taiwan. It underscores the importance of adaptable healthcare strategies in ensuring continuity and quality of care during public health emergencies. Future research should focus on multi-institutional data and prospective studies to further understand these dynamics.

show abstract

Section: Introductionmentioning

confidence: 99%

Impact of COVID-19 on pediatric surgical practice in Taiwan: a comprehensive analysis

Huang,

Chou,

Chen

2024

Front. Pediatr.

View full text Add to dashboard Cite

show abstract

“…More importantly, some data suggest that the operative outcomes were compromised when having thyroid surgery during the pandemic but these findings have not been consistently demonstrated [ 2 , 8 , 9 ]. In addition, recent data analysis of the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) has suggested overall worse surgical outcomes during 2020 [ 10 ]. Thus, we sought to study the impact of the COVID-19 pandemic specifically on the outcomes after thyroidectomy.…”

Section: Introductionmentioning

confidence: 99%

Outcomes of Thyroidectomy During the COVID‐19 Pandemic: A NSQIP Analysis

et al. 2023

Self Cite

View full text Add to dashboard Cite

Background The coronavirus disease 19 (COVID-19) has had a profound impact on our healthcare system. Surgery in particular faced significant challenges related to allocation of resources and equitable patient selection, resulting in a delay in non-emergent procedures. We sought to study the impact of the COVID-19 pandemic on patient outcomes after thyroidectomy. Methods This was a cross-sectional study using the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database that included all thyroidectomies from 2018 to 2020. The primary outcome evaluated was surgical outcomes during 2020, the first year of the pandemic, compared to years preceding the pandemic. Factors associated with adverse postoperative outcomes during the study period were included in a multivariate analysis. Results The volume of thyroidectomy procedures in 2020 decreased 16.4% when compared to the preceding years. During 2020, there was a significant increase in mortality (0.14% vs. 0.07%, p = 0.03), unplanned intubation (0.45% vs. 0.27%, p < 0.01) and cardiac arrest (0.11% vs. 0.03%, p < 0.01), while other complications remained stable. Undergoing surgery in 2020 remained as a risk factor for mortality in a multivariate analysis (OR 2.4 95% CI 1.3–4.4). Conclusion The first year of the COVID-19 pandemic had a significant impact on outcomes after thyroidectomy resulting in increased mortality. As the world recovers, there will likely be an increase number of patients seeking care who were unable to obtain it during the pandemic. Close attention should be placed on the outcomes which were altered during the pandemic.

show abstract

Machine learning prediction of major adverse cardiac events after elective bariatric surgery

Romero-Velez,

Dang,

Barajas-Gamboa

et al. 2023

Surg Endosc

View full text Add to dashboard Cite

Surgical Outcomes During the First Year of the COVID-19 Pandemic

Abstract: FIGURE 1. Comparison of postoperative pneumonia between years by quarters and COVID-19 positivity rate for 2020.

Cited by 3 publications

References 13 publications

Impact of COVID-19 on pediatric surgical practice in Taiwan: a comprehensive analysis

Impact of COVID-19 on pediatric surgical practice in Taiwan: a comprehensive analysis

Outcomes of Thyroidectomy During the COVID‐19 Pandemic: A NSQIP Analysis

Machine learning prediction of major adverse cardiac events after elective bariatric surgery

Contact Info

Product

Resources

About