The SARS-CoV-2 first wave impact in the acute inflammatory surgical pathologies

Abstract Anecdotal evidence suggests that community infection control measures during the COVID-19 outbreak have modified the number and natural history of acute surgical inflammatory processes (ASIP—appendicitis, cholecystitis, diverticulitis and perianal abscesses) admissions. This study aims to e...

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Autores principales:	H. Guadalajara, J. L. Muñoz de Nova, M. Yiasemidou, M. Recarte Rico, L. D. Juez, J. García Septiem, P. Galindo Jara, M. García Virosta, E. Lobo Martínez, E. Martín-Pérez, S. Fernandez Gonzalez, O. Lopez-Fernandez, D. García-Olmo, PIACO Collaboration Group
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/2d7e36ab7e294d74a8f63bb837397e85
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spelling	oai:doaj.org-article:2d7e36ab7e294d74a8f63bb837397e852021-12-02T18:37:09ZThe SARS-CoV-2 first wave impact in the acute inflammatory surgical pathologies10.1038/s41598-021-98878-w2045-2322https://doaj.org/article/2d7e36ab7e294d74a8f63bb837397e852021-10-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-98878-whttps://doaj.org/toc/2045-2322Abstract Anecdotal evidence suggests that community infection control measures during the COVID-19 outbreak have modified the number and natural history of acute surgical inflammatory processes (ASIP—appendicitis, cholecystitis, diverticulitis and perianal abscesses) admissions. This study aims to evaluate the impact of the COVID-19 pandemic on the presentation and treatment ASIP and quantify the effect of COVID-19 infection on the outcomes of ASIP patients. This was a multicentre, comparative study, whereby ASIP cases from 2019, 2020 and 2021 (March 14th to May 2nd) were analyzed. Data regarding patient and disease characteristics as well as outcomes, were collected from sixteen centres in Madrid, and one in Seville (Spain). The number of patients treated for ASIP in 2019 was 822 compared to 521 in 2020 and 835 in 2021. This 1/3rd reduction occurs mainly in patients with mild cases, while the number of severe cases was similar. Surgical standards suffered a step back during the first wave: Lower laparoscopic approach and longer length of stay. We also found a more conservative approach to the patients this year, non-justified by clinical circumstances. Luckily these standards improved again in 2021. The positive COVID-19 status itself did not have a direct impact on mortality. Strikingly, none of the 33 surgically treated COVID positive patients during both years died postoperatively. This is an interesting finding which, if confirmed through future research with a larger sample size of COVID-19 positive patients, can expedite the recovery phase of acute surgical services.H. GuadalajaraJ. L. Muñoz de NovaM. YiasemidouM. Recarte RicoL. D. JuezJ. García SeptiemP. Galindo JaraM. García VirostaE. Lobo MartínezE. Martín-PérezS. Fernandez GonzalezO. Lopez-FernandezD. García-OlmoPIACO Collaboration GroupNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-10 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q H. Guadalajara J. L. Muñoz de Nova M. Yiasemidou M. Recarte Rico L. D. Juez J. García Septiem P. Galindo Jara M. García Virosta E. Lobo Martínez E. Martín-Pérez S. Fernandez Gonzalez O. Lopez-Fernandez D. García-Olmo PIACO Collaboration Group The SARS-CoV-2 first wave impact in the acute inflammatory surgical pathologies
description	Abstract Anecdotal evidence suggests that community infection control measures during the COVID-19 outbreak have modified the number and natural history of acute surgical inflammatory processes (ASIP—appendicitis, cholecystitis, diverticulitis and perianal abscesses) admissions. This study aims to evaluate the impact of the COVID-19 pandemic on the presentation and treatment ASIP and quantify the effect of COVID-19 infection on the outcomes of ASIP patients. This was a multicentre, comparative study, whereby ASIP cases from 2019, 2020 and 2021 (March 14th to May 2nd) were analyzed. Data regarding patient and disease characteristics as well as outcomes, were collected from sixteen centres in Madrid, and one in Seville (Spain). The number of patients treated for ASIP in 2019 was 822 compared to 521 in 2020 and 835 in 2021. This 1/3rd reduction occurs mainly in patients with mild cases, while the number of severe cases was similar. Surgical standards suffered a step back during the first wave: Lower laparoscopic approach and longer length of stay. We also found a more conservative approach to the patients this year, non-justified by clinical circumstances. Luckily these standards improved again in 2021. The positive COVID-19 status itself did not have a direct impact on mortality. Strikingly, none of the 33 surgically treated COVID positive patients during both years died postoperatively. This is an interesting finding which, if confirmed through future research with a larger sample size of COVID-19 positive patients, can expedite the recovery phase of acute surgical services.
format	article
author	H. Guadalajara J. L. Muñoz de Nova M. Yiasemidou M. Recarte Rico L. D. Juez J. García Septiem P. Galindo Jara M. García Virosta E. Lobo Martínez E. Martín-Pérez S. Fernandez Gonzalez O. Lopez-Fernandez D. García-Olmo PIACO Collaboration Group
author_facet	H. Guadalajara J. L. Muñoz de Nova M. Yiasemidou M. Recarte Rico L. D. Juez J. García Septiem P. Galindo Jara M. García Virosta E. Lobo Martínez E. Martín-Pérez S. Fernandez Gonzalez O. Lopez-Fernandez D. García-Olmo PIACO Collaboration Group
author_sort	H. Guadalajara
title	The SARS-CoV-2 first wave impact in the acute inflammatory surgical pathologies
title_short	The SARS-CoV-2 first wave impact in the acute inflammatory surgical pathologies
title_full	The SARS-CoV-2 first wave impact in the acute inflammatory surgical pathologies
title_fullStr	The SARS-CoV-2 first wave impact in the acute inflammatory surgical pathologies
title_full_unstemmed	The SARS-CoV-2 first wave impact in the acute inflammatory surgical pathologies
title_sort	sars-cov-2 first wave impact in the acute inflammatory surgical pathologies
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/2d7e36ab7e294d74a8f63bb837397e85
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The SARS-CoV-2 first wave impact in the acute inflammatory surgical pathologies

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