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Impact of the first COVID-19 shutdown on patient volumes and surgical procedures of a Level I trauma center
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| PURPOSE: In Dec 2019, COVID-19 was first recognized and led to a worldwide pandemic. The German government implemented a shutdown in Mar 2020, affecting outpatient and hospital care. The aim of the present article was to evaluate the impact of the COVID-19 shutdown on patient volumes and surgical procedures of a Level ... |
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Recommendations for head and neck surgical oncology practice in a setting of acute severe resource constraint during the COVID-19 pandemic: an international consensus
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| The speed and scale of the global COVID-19 pandemic has resulted in unprecedented pressures on health services worldwide, requiring new methods of service delivery during the health crisis. In the setting of severe resource constraint and high risk of infection to patients and clinicians, there is an urgent need to ide... |
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Performing gynecologic cancer surgery during the COVID-19 pandemic in Turkey: A multicenter retrospective observational study
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| OBJECTIVE: To report the perioperative outcomes of 200 patients with gynecologic cancer who underwent surgery during the Novel Coronavirus Disease (COVID-19) pandemic and the safety of surgical approach. METHODS: Data of patients operated between March 10 and May 20, 2020, were collected retrospectively. Data were stat... |
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Rationing Urology Care During a Pandemic: A Primer
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| In March 2020, edicts from many states required offices and hospitals to cancel all non-emergent surgeries and office visits to prevent hospitals from being overloaded, preserve personal protective equipment, and prevent the spread of COVID-19 with the goal to flatten the curve of novel corona virus infections on the c... |
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A Worldwide Survey On Proctological Practice During Covid-19 Lockdown (Proctolock 2020): A Cross-Sectional Analysis
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| BACKGROUND: Proctology is one of the surgical specialties that suffered the most during COVID-19 pandemic Using a cross-sectional non-incentivized worldwide web-survey we aimed to snapshot the current status of proctological practice in 6 world regions METHODS: Surgeons affiliated to renowned scientific societies with ... |
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New adaptation of neurosurgical practice and residency programs during the Covid-19 pandemic and their effects on neurosurgery resident satisfaction and welfare at the National General Hospital, Jakarta, Indonesia
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| INTRODUCTION: Many institutions in numerous countries have made changes in their health care services during the COVID-19 pandemic. One change has been to reduce elective neurosurgery cases, which has impacted neurosurgery education. Published literature is lacking about the healthcare services, education, and resident... |
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The First 60 Days: Physical Therapy in a Neurosurgical Center Converted Into a COVID-19 Center in Brazil
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| OBJECTIVE: The purpose of this case report was to describe the role of physical therapists in a neurosurgical center that was converted into a COVID-19 center for critically ill patients. METHODS (CASE DESCRIPTION): On March 16, 2020, the state government of Rio de Janeiro, Brazil, determined that a neurosurgical cente... |
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Effect of COVID-19 on Ulnar Collateral Ligament Reconstruction in Major League Baseball Pitchers
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| BACKGROUND: The coronavirus disease of 2019 (COVID-19) pandemic led to the suspension and shortening of the 2020 Major League Baseball (MLB) season from 162 to 60 regular season games. The effect of this disruption on injury rates, specifically injury to the ulnar collateral ligament (UCL), has not been quantified. PUR... |
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Investigating the real impact of covid-19 pandemic on the daily neurosurgical practice?
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| Objective: The objective of this study was to relate the neurosurgical activity during a time of sanitary crisis such as experienced during the SARS-Cov-2 pandemic. Methods: A monocentric retrospective analysis was made based on a prospectively gathered cohort of all patients requiring neurosurgical care between March ... |
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The impact of national lockdown due to COVID-19 pandemic on frequency of occurrence of secretory otitis media in children - our experience
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| Objective: To present the impact of national lockdown due to COVID-19 pandemic on the incidence of persistent secretory otitis media in children. Patients: Children aged from four to 13 years who were surgically treated from 1st January 2017 to 31th December 2020 at the University Department of Otolaryngology, Head and... |
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[Do COVID-19 restrictions lead to a decrease in severely injured patients at a level 1 trauma center in Germany?]
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| BACKGROUND: Intensive care and ventilator capacities are essential for treatment of COVID-19 patients Severely injured patients are often in continuous need of intensive care and ventilator treatment The question arises, whether restrictions related to COVID-19 have led to a decrease in severely injured patients and th... |
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Impact of COVID-19 on Timing of Hip-Fracture Surgeries: An Interrupted Time-Series Analysis of the Pre/Post-Quarantine Period in Northern Italy.
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| BACKGROUND To assess whether the imposition of the coronavirus disease 2019 (COVID-19) national quarantine (March 10, 2020) resulted in a shift in the proportion of patients operated for hip fracture on the day of admission, the following day and two days after admission in the region of Piedmont, northern Italy. METHO... |
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Impact of COVID19 pandemic on treatment outcome of locallyadvanced head and neck squamous cell carcinoma (LAHNSCC): IMPACCT study
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| Background: Treatment (ttm) of cancer patients (pts) was compromised during the first wave of COVID19 pandemic due to collapse of healthcare systems. Standard of care (SOC) for LA-HNSCC pts had to be adapted as operating rooms were temporarily unavailable, and to reduce risk of COVID19 exposure. The IMPACCT study evalu... |
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Drastic reduction of orthopaedic services at an urban tertiary hospital in South Africa during COVID-19: Lessons for the future response to the pandemic.
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| BACKGROUND The COVID-19 pandemic has impacted on the global surgery landscape. OBJECTIVES To analyse and describe the initial impact of the COVID-19 pandemic on orthopaedic surgery at Groote Schuur Hospital, a tertiary academic hospital in South Africa. METHODS The number of orthopaedic surgical cases, emergency theatr... |
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St Andrew's COVID-19 surgery safety (StACS) study: Elective plastic surgery, trauma & burns
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| INTRODUCTION: This study evaluates COVID-19 related patient risk, when undergoing management within one of the largest specialist centres in Europe, which rapidly implemented national COVID-19 safety guidelines METHOD: A prospective cohort study was undertaken in all patients who underwent surgical (n = 1429) or non-op... |
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The impact of COVID-19 pandemic on bariatric patients' self-management post-surgery
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| BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic has had far reaching consequences on the health and well-being of the general public. Evidence from previous pandemics suggest that bariatric patients may experience increased emotional distress and difficulty adhering to healthy lifestyle changes post-surger... |
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The COVID CLAVICLE Study: A predictor of future trauma trends
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| BACKGROUND: Clavicle fractures are a common presentation to the Emergency Department following falls and sporting injuries. During 2020, the COVID-19 pandemic brought with it a long period of social isolation resulting in a change of behavior patterns and in return, the presentation of fractures to our local hospitals.... |
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Spinal surgery in COVID-19 pandemic era: One trauma hub center experience in central-southern Italy
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| The aim of the study is to analyze and report the results of the surgical activity in a spinal unit of a trauma hub in central Italy during COVID-19 pandemic. Surgical activity was compared between COVID 19 pandemic and the same period of time in 2019 at our institution. A 50% reduction of surgical procedures during th... |
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The impact of COVID‐19 on thoracic surgery residency programs in the US: A program director survey
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| OBJECTIVE: The coronavirus disease 2019 (COVID‐19) has altered how the current generation of thoracic surgery residents are being trained. The aim of this survey was to determine how thoracic surgery program directors (PDs) are adapting to educating residents during the COVID‐19 pandemic. METHODS: Thoracic surgery PDs ... |
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Effects of COVID-19 lockdown on a bariatric surgery waiting list cohort and its influence in surgical risk perception
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| PURPOSE: The COVID-19 outbreak has forced a 2-month lockdown (LD) in Spain We aimed to assess how that had affected our cohort of bariatric patients waiting for surgery METHODS: A review of electronic records and a structured phone interview with each patient were conducted Changes in severity of obesity were analyzed ... |
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COVID-19 Pandemic and Elective Spinal Surgery Cancelations – What Happens to the Patients?
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| BACKGROUND CONTEXT: The COVID-19 pandemic caused nationwide suspensions of elective surgeries due to reallocation of resources to the care of COVID-19 patients. Following resumption of elective cases, a significant proportion of patients continued to delay surgery, with many yet to reschedule, potentially prolonging th... |
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[Urologic cancer care during the first wave of the COVID-19 pandemic : Role of federal cancer registration in Germany]
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| Urologic cancer care needs to be prioritized despite multiple health care restrictions during the coronavirus disease 2019 (COVID-19) pandemic However, therapies and procedures may be delayed and complicated In Germany, analysis of the multiple cancer registries provides insights into the actual numbers of treated pati... |
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Management of non-invasive tumours, benign tumours and breast cancer during the COVID-19 pandemic: recommendations based on a Latin American survey
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| Introduction: The COVID-19 pandemic has changed health systems across the world, both in general hospitals and in oncology institutes or centres For cancer specialists, particularly breast cancer (BC), the COVID-19 pandemic represents a combination of challenges since the hospital resources and staff have become more l... |
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Coronavirus disease 2019 pandemic, restriction, and orthopedic trauma: Retrospective observational study
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| In 2019, the Coronavirus disease 2019 (Covid-19) was reported in Wuhan, China. Governments in various countries had taken many safeguards. This study investigated the incidence of orthopedic trauma in a rural region epidemiologically and guided source distribution and medical professionals to sustain healthcare systems... |
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Morbidity and Mortality in Patients with Perioperative COVID-19 Infection: Prospective Cohort in General, Gastroesophagic, Hepatobiliary, and Colorectal Surgery
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| BACKGROUND: Severe acute respiratory syndrome due to coronavirus 2 has rapidly spread worldwide in an unprecedented pandemic. Patients with an ongoing COVID-19 infection requiring surgery have higher risk of mortality and complications. This study describes the mortality and morbidity in patients with perioperative COV... |
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The effect of COVID-19 lockdown on acute type A aortic dissection: insights from Bologna
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| This document is intended to provide an overview of the incidence and characteristics of acute type A aortic dissection in Bologna during the month of severe restrictions imposed by the National Italian government due to COVID-19 pandemic. Aspects on management and time to intervention are outlined. |
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Practical Guidance for Managing EMG Requests and Testing during the COVID‐19 Pandemic
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| The COVID‐19 pandemic has necessitated cancelation of elective or non‐urgent contact with the healthcare system, including non‐urgent nerve conduction studies and electromyography (electrodiagnostic [EDX] studies). The definitions of elective and non‐urgent are physician judgments, and often are not straightforward. Cl... |
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Review of orthopaedic trauma surgery during the peak of COVID-19 pandemic - An observational cohort study in the UK
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| Aim: This study aims to estimate the risk of acquiring medical complication or death from COVID-19 infection in patients who were admitted for orthopaedic trauma surgery during the peak and plateau of pandemic. Unlike other recently published studies, where patient-cohort included a more morbid group and cancer surgeri... |
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Compliance and perception about personal protective equipment among health care workers involved in the surgery of COVID-19 negative cancer patients during the pandemic
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| BACKGROUND: Health care workers (HCWs) are at risk of getting infected while at work, for example, operating room (OR), hence it is pertinent that they don all the appropriate personal protective equipment (PPE) to minimize the chance of getting infected. METHODS: A COVID-19 specific briefing and debriefing form was cr... |
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COVID-19 and Management of Orthopedic Emergencies. Producing a Consensus of Experts
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| OBJECTIVE: Report the results of a participatory approach in Tunisian orthopedic surgery, for the development of a consensus of experts, on the identification of the list of pathologies to always be considered as non-postponable emergencies, during the COVID-19 pandemic. MATERIAL AND METHODS: This descriptive study of ... |
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Setting up and maximising the usage of an Urgent Dental Care Centre in Blackpool. Sharing our experiences
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| An integrated Urgent Dental Care Centre with Tier 2 Oral Surgery support was set up in Blackpool starting 24th March 2020. This was in reaction to the COVID-19 pandemic. In the first month 1433 patients had telephone consultations and 713 extractions were performed. The challenges surrounding set up and continuity of c... |
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Fracture Surgery in Known COVID-19 Infected Patients: What Are the Challenges?
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| Background: Surgery in the time of COVID-19 pandemic is a challenging issue while treatment of affected fracture patients is inevitable. The present study summarizes the challenges that an orthopedic surgeon is confronting during the surgical treatment of fracture patients with concomitant COVID-19 infection. Methods: ... |
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The impact of SARS-CoV-2 (COVID-19) pandemic on trauma bay management and guideline adherence in a European level-one-trauma centre
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| PURPOSE: SARS CoV-2 (COVID-19) represents a pandemic that has led to adjustments of routine clinical practices. The initial management in the trauma bay follows detailed international valid algorithms. This study aims to work out potential adjustments of trauma bay algorithms during a global pandemic in order to reduce... |
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EMERGENCY HAND & RECONSTRUCTIVE MICROSURGERY IN THE COVID-19 POSITIVE PATIENT
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| Abstract The case spectrum in hand surgery is one of extremes – purely elective day surgery cases under local anesthesia to mangling limb injuries that require immediate, and frequently, lengthy, surgery. Despite the cancellation of most elective orthopedic and plastic surgical procedures, hand surgeons around the worl... |
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Laparoscopic Gastrointestinal Surgery During COVID-19 Pandemic: Single-Center Experience
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| Background: COVID-19 era has put laparoscopic surgery a risk procedure because of theoretical risk of viral transmission of COVID-19. However, safe evacuation of stagnant air during laparoscopic surgery is also necessary to safeguard health care warriors. Methods: We are reporting experience of 24 laparoscopic surgerie... |
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Preliminary evaluation of a new initiative to centralize colorectal cancer care during the COVID-19 epidemic in Shanghai, China: a retrospective study
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| Background: A novel colorectal cancer center (CCC) was developed in the Shanghai Tenth People’s hospital of Tongji University during the COVID-19 epidemic. In this study, we aimed to evaluate the CCC model in terms of three aspects. Methods: This retrospective study used data from the Shanghai Tenth People’s hospital p... |
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Impact de la pandémie de COVID-19 sur l’activité chirurgicale au sein des services d’urologie de l’Assistance Publique -Hôpitaux de Paris
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| ABSTRACT Introduction: As a result of the COVID-19 pandemic in France, all non-emergency surgical activity has been cancelled since March 12, 2020. In order to anticipate the reinstatement of delayed interventions, surgical activity reduction analysis is essential. The objective of this study was to evaluate the reduct... |
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Fragility hip fractures in the COVID-19 pandemic – a local experience in the United Kingdom
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| BACKGROUND: Fragility hip fractures are a major cause of morbidity and mortality in the UK. The 2019 novel coronavirus disease (COVID-19) pandemic led to restrictions on trauma services in several hospitals with potential operating delays and unintended negative outcomes. This local study describes the impact of operat... |
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Admission avoidance in acute epistaxis: A prospective national audit during the initial peak of the COVID-19 pandemic
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| OBJECTIVES: To report changes in practice brought about by COVID-19 and the implementation of new guidelines, and to explore factors relating to unscheduled re-presentations for patients discharged from the emergency department (ED). DESIGN: Prospective multicentre national audit over 12 weeks from 6th April 2020. SETT... |
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The impact of a dedicated coronavirus disease 2019 primary angioplasty protocol on time components related to ST-segment elevation myocardial infarction management in a 24/7 primary percutaneous coronary intervention-capable hospital
### Res... | BACKGROUND: Primary per-cutaneous coronary intervention (PPCI) as treatment of choice for ST-Elevation Myocardial Infarction (STEMI) should be performed rapidly Applying preventive strategies during coronavirus disease 2019 (COVID-19) outbreak as an ongoing major global concern is necessary However, critical times in S... |
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Informed Consent for Emergency Obstetric Care During COVID-19 Pandemic
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| Informed consent process has become a challenging issue before surgery for any emergency obstetric care during this COVID pandemic. There is an increased risk of morbidity if there is a need of intensive care unit postoperatively and a risk of high mortality if patient has symptoms of COVID-19. Admission to intensive c... |
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Impact of the Strategies Adopted to Face the COVID-19 Pandemic in a Brazilian Reference Institute for High Complexity Surgery in Orthopedics and Traumatology
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| COVID-19 pandemics required substantial reorganization and adaptation of healthcare services all over the world This study aims to analyze the effect of operational strategies implemented in Brazil to manage the extra strain placed on healthcare services by the COVID-19 pandemic of 2020 In particular, this investigatio... |
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Early Response of the Orthopaedic Trauma Community to the COVID-19 Pandemic
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| Background With the rise of the COVID-19 pandemic, medical systems and providers have been forced to undertake substantial changes to staffing structure, hospital policy, and surgical indications to remain able to care for patients and protect the providers Here, we present a survey of orthopaedic trauma fellowship dir... |
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Cirugía electiva durante la pandemia por SARS-CoV-2 (COVID-19): análisis de morbimortalidad y recomendaciones sobre priorización de los pacientes y medidas de seguridad./ [Elective surgery during the SARS-CoV-2 pandemic (COVID-19): a morbimo... | Introduction: The spread of the SARS-CoV-2 infection (COVID-19) has required adaptation by hospitals affected by the pandemic, which has caused a reduction in elective surgical activity. Methods: Retrospective study of patients operated on in the previous month and during the peak of the pandemic. We analysed the COVID... |
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EP.WE.470 Emergency General Surgery during the first COVID peak, a single centre experience
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| AIMS: The COVID-19 pandemic brought significant changes on all aspects of health care. We aimed to conduct a retrospective review of the trends in general surgical and vascular procedures during the first peak following the cessation of all elective activity. METHODS: All general and vascular procedures performed durin... |
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Impact of COVID-19 Pandemic in a Brazilian High-Volume Aortic Center
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| INTRODUCTION: The coronavirus disease 2019 (COVID-19) pandemic brought an unprecedented lack of control of what was to come. The intent of this document is to provide a balance of how much was ceased to be done for patients with aortic disease, to assess the mortality of these patients, and to show what happened to tho... |
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Unexpected Decrease in Shunt Surgeries Performed during the Shelter-in-Place Period of the COVID-19 Pandemic
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| BACKGROUND: It is expected that the incidence of cerebrospinal fluid (CSF) shunt malfunctions would remain unchanged during the shelter-in-place period related to the COVID-19 pandemic. OBJECTIVE: To examine the number of shunt surgeries performed in a single institution during this time interval in comparison to equiv... |
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SHOULD I BE CONCERNED? SURGICAL TRAINING IN THE TIME OF COVID19
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| As the US healthcare system restructured to deal with the COVID-19 pandemic, medical training was significantly disrupted. During the peak of the crisis, three surgical trainees in different stages of their residency shared their experiences and concerns on how this pandemic affected their training. The article is inte... |
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The number of patients "worse than death" while waiting for a hip or knee arthroplasty has nearly doubled during the COVID-19 pandemic
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| AIMS: The aim of this study was to assess the quality of life of patients on the waiting list for a total hip (THA) or knee arthroplasty (KA) during the COVID-19 pandemic. Secondary aims were to assess whether length of time on the waiting list influenced quality of life and rate of deferral of surgery. METHODS: During... |
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Clinical Characteristics and Perioperative Complication Profiles of COVID-19–Positive Patients Undergoing Hip Fracture Surgery
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| INTRODUCTION: The coronavirus 2019 (COVID-19) pandemic disease has imposed an unprecedented degree of stress on healthcare systems. This study aimed to understand whether COVID-19 positivity is associated with an increased risk of adverse outcomes after geriatric hip fracture surgery. METHODS: From a national administr... |
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Management of Neurosurgical Cases in a Tertiary Care Referral Hospital During the COVID-19 Pandemic: Lessons From a Middle-Income Country
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| Background/Introduction COVID-19 pandemic has been at its peak for the past 6months and has affected more than 215 countries around the world. India is now the 2nd most-affected nation with more than 48,00,000 cases and 79,000 deaths. Despite this, and the fact that it is a lower-middle-income nation the number of deat... |
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Sample times for surveillance of S. aureus transmission to monitor effectiveness and provide feedback on intraoperative infection control
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| Background : Reductions in perioperative surgical site infections are obtained by a multifaceted approach including patient decolonization, vascular care, hand hygiene, and environmental cleaning Associated surveillance of S aureus transmission quantifies the effectiveness of these basic measures to prevent transmissio... |
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Emergency surgical strategies for patients with acute abdomen during the COVID-19 outbreak
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| Objective: To investigate the emergency surgical strategies for patients with acute abdomen during the Corona Virus Disease 2019 (COVID-19) outbreak Methods: The retrospective and descriptive study was conducted The clinical data of 20 patients with acute abdomen who were admitted to the Union Hospital Affiliated to To... |
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Clinical Pathway for Emergency Brain Surgery during COVID-19 Pandemic and Its Impact on Clinical Outcomes
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| BACKGROUND: One of the challenges neurosurgeons are facing in the global public health crisis caused by the coronavirus disease 2019 (COVID-19) pandemic is to balance COVID-19 screening with timely surgery. We described a clinical pathway for patients who needed emergency brain surgery and determined whether difference... |
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694 The Impact Of COVID-19 On Trauma Referrals to a National Neurosurgical Centre
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| OBJECTIVE: To investigate the impact of COVID-19 on trauma referrals to a National Neurosurgical Centre. METHOD: Retrospective analysis of a prospectively maintained database of all trauma referrals to the National Neurosurgical Centre at Beaumont Hospital, during the period March 1(st) – May 31(st), 2019 and 2020. Pat... |
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SARS‐CoV‐2 infection, COVID‐19 and timing of elective surgery: A multidisciplinary consensus statement on behalf of the Association of Anaesthetists, the Centre for Peri‐operative Care, the Federation of Surgical Specialty Associations, the ... | The scale of the COVID‐19 pandemic means that a significant number of patients who have previously been infected with SARS‐CoV‐2 will require surgery. Given the potential for multisystem involvement, timing of surgery needs to be carefully considered to plan for safe surgery. This consensus statement uses evidence from... |
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[Current status for urpper tract transitional cell carcinoma during COVID-19 pandemia.]
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| INTRODUCTION: First cases of COVID-19 were reported in China on December 2019 and rapidly spread globally The explosive increase in number of cases requiring hospitalization has led to a delay in a big number of surgical interventions, including oncologic surgeries Collateral effects of this increase means a challenge ... |
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"P(3)": an adaptive modeling tool for post-COVID-19 restart of surgical services
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| OBJECTIVE: To develop a predictive analytics tool that would help evaluate different scenarios and multiple variables for clearance of surgical patient backlog during the COVID-19 pandemic. MATERIALS AND METHODS: Using data from 27 866 cases (May 1 2018-May 1 2020) stored in the Johns Hopkins All Children's data wareho... |
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Case Volumes and Perioperative Coronavirus Disease 2019 Incidence in Neurosurgical Patients During a Pandemic: Experiences at Two Tertiary Care Centers in Washington, DC
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| OBJECTIVE: The true incidence of perioperative coronavirus disease 2019 (COVID-19) has not been well elucidated in neurosurgical studies. We reviewed the effects of the pandemic on the neurosurgical case volume to study the incidence of COVID-19 in patients undergoing these procedures during the perioperative period an... |
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Preliminary model assessing the cost-effectiveness of preoperative chlorhexidine mouthwash at reducing postoperative pneumonia among abdominal surgery patients in South Africa
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| BACKGROUND: Pneumonia is a common and severe complication of abdominal surgery, it is associated with increased length of hospital stay, healthcare costs, and mortality. Further, pulmonary complication rates have risen during the SARS-CoV-2 pandemic. This study explored the potential cost-effectiveness of administering... |
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Mortality Rates of Patients with Proximal Femoral Fracture in a Worldwide Pandemic: Preliminary Results of the Spanish HIP-COVID Observational Study
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| BACKGROUND: The outbreak of coronavirus disease 2019 (COVID-19), caused by SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2), in December 2019 in Wuhan, People's Republic of China, has developed into an unprecedented pandemic with enormous pressure on health-care providers around the world. A higher mortalit... |
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Neuro-oncology practice guidelines from a high-volume surgeon at the COVID-19 epicenter
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| BACKGROUND: During the coronavirus 19 (COVID-19) pandemic, physicians have begun adapting their daily practices to prevent transmissions. In this study we aimed to provide surgical neuro-oncologists with practice guidelines during the COVID-19 pandemic based on objective data from a high-volume brain tumor surgeon at t... |
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Challenges post-COVID-19: planning strategies to resume elective dentistry and allied surgical specialities
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| The effect of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic on the NHS in the UK has been profound and unprecedented Many surgical specialities, including dentistry, throughout the country have not been exempt from this effect As there are many aerosol-generating procedures and aerosol-gener... |
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Junior doctors as leaders in development and live management of a contingency rota during the COVID-19 pandemic: our experience at the general surgery department in queen elizabeth hospital, London
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| Clinical Fellow, Queen Elizabeth Hospital, London, UKConsultant Colorectal Surgeon and Clinical Director, Queen Elizabeth Hospital, London, UKThe COVID-19 pandemic has affected millions of patients around the world. Hospital departments had to adapt their services and expand their bed capacity. Our aim was to lead a te... |
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Impact of SARS-CoV-2 pandemic on emergency department activity at the pediatric surgery unit of a third-level hospital
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| INTRODUCTION: As a result of the emergence of the SARS-CoV-2 respiratory virus in Wuhan in December 2019, the Spanish Government declared the state of emergency with restrictions such as stay-at-home lockdown The objective of this study was to analyze emergency activity at a referral pediatric surgery unit in its terri... |
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Public Interest in Sports Medicine and Surgery (Anterior Cruciate Ligament, Meniscus, Rotator Cuff) Topics Declined Following the COVID-19 Outbreak
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| Purpose To quantify the coronavirus disease 2019 (COVID-19) pandemic’s impact on public interest in sports medicine and surgery topics. Methods The Google Trends analysis tool (Google Search Volume Indices (GSVI)) was utilized to collect search information regarding orthopaedic sports medicine terms (“ACL”), “meniscus”... |
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The management of emergency spinal surgery during the COVID-19 pandemic in Italy: a preliminary report
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| AIMS: The current pandemic caused by COVID-19 is the biggest challenge for national health systems for a century. While most medical resources are allocated to treat COVID-19 patients, several non-COVID-19 medical emergencies still need to be treated, including vertebral fractures and spinal cord compression. The aim o... |
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Implementation of Clean Hospital Strategy and Prioritizing Covid-19 Prevention Factors Using Best-Worst Method
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| Many nations have suffered the catastrophe of COVID-19, and one of the first countries affected by the pandemic was Iran; all industries and individuals have been adversely affected by the pandemic. Health care systems and patients' conditions, in particular, were disrupted due to canceling elective surgery. To put it ... |
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Starting the first robotic lobectomy program in the Eastern Europe during Coronavirus disease-2019 pandemic
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| BACKGROUND: We report our experience in starting RATS (robotic-assisted thoracic surgery) lobectomy program during COVID-19 pandemic. METHODS: Data from 20 consecutive cases undergoing RATS lobectomy between August 2020 and April 2021 were prospectively accumulated into our database. RESULTS: The mean operational time ... |
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Emergency surgery in COVID-19 outbreak: Has anything changed? Single center experience
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| BACKGROUND: The current coronavirus disease 19 (COVID-19) pandemic is changing the organization of health care and has had a direct impact on the management of surgical patients.At the General Surgery Department of Sant’Anna University Hospital in Ferrara, Italy, surgical activities were progressively reduced during th... |
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Impact of the Novel Coronavirus 2019 (COVID-19) Pandemic on Head and Neck Cancer Care
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| OBJECTIVE: The study aimed to assess the impact of the coronavirus disease 2019 (COVID-19) pandemic on head and neck oncologic care at a tertiary care facility. STUDY DESIGN: This was a cross-sectional study conducted between March 18, 2020, and May 20, 2020. The primary planned outcome was the rate of treatment modifi... |
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EAES Recommendations for Recovery Plan in Minimally Invasive Surgery Amid COVID-19 Pandemic
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| BACKGROUND: COVID-19 pandemic presented an unexpected challenge for the surgical community in general and Minimally Invasive Surgery (MIS) specialists in particular. This document aims to summarize recent evidence and experts' opinion and formulate recommendations to guide the surgical community on how to best organize... |
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Assessing the Early Impact of the COVID-19 Pandemic on Spine Surgery Fellowship Education
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| This was a cross-sectional study. OBJECTIVE: The objective of this study is to report the impact of COVID-19 on spine surgery fellow education and readiness for practice. SUMMARY OF BACKGROUND DATA: COVID-19 has emerged as one of the most devastating global health crises of our time. To minimize transmission risk and t... |
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Year 2020 in review – Anaesthesiology in obstetrics
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| The article highlights and discusses several current topics that have been published in the field of anaesthesiology in obstetrics in the Czech Republic and abroad last year It summarizes the influence of COVID-19 pandemic on anaesthesiological praxis in obstetrics It also presents new developments in systemic and neur... |
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Percutaneous Cholecystostomy for Acute Cholecystitis: A Three-Year Single-Centre Experience Including During COVID-19
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| Introduction Percutaneous cholecystostomy is a recognised treatment modality for acute cholecystitis. Traditionally, its use was reserved for patients deemed unfit for surgery. However, the coronavirus disease 2019 (COVID-19) pandemic had a detrimental effect on both elective and emergency surgery. The utilisation of c... |
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Patient and Resource Management of Emergency Walk-In Clinic During a COVID-19 Pandemic State Lockdown
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| OBJECTIVE: To gather data on the most common chief complaints, diagnoses, in-office procedures, and surgeries that presented to the Kresge Eye Institute’s Emergency Clinic in Detroit, Michigan during the COVID-19 state lockdown period to provide data for staff and resource allocation in future waves. DESIGN: Retrospect... |
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Orthopaedic trauma during COVID-19: Is patient care compromised during a pandemic?()
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| BACKGROUND: The Coronavirus disease-2019 (COVID-19) placed unprecedented pressure on the healthcare system. Many institutions implemented a government-mandated restructured set of safety and administrative protocols to treat urgent orthopaedic trauma patients. The objective of this study was to compare two cohorts of p... |
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Characteristics and operation outcomes of neuro-oncology patients after COVID-19 pandemic — A case series
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| BACKGROUND: COVID-19 has been spreading worldwide at hitherto unknown speed, and the treatment of neuro-oncology patients without COVID-19 has been greatly affected. METHODS: To compare the medical records and surgical results of surgical patients before and after the pandemic. We collected a total of 80 patients form ... |
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A systematic review and meta-analysis of surgery delays and survival in breast, lung and colon cancers: Implication for surgical triage during the COVID-19 pandemic
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| BACKGROUND: Thousands of cancer surgeries were delayed during the peak of the COVID-19 pandemic. This study examines if surgical delays impact survival for breast, lung and colon cancers. METHODS: PubMed/MEDLINE, EMBASE, Cochrane Library and Web of Science were searched. Articles evaluating the relationship between del... |
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Impact of the COVID-19 Pandemic on Surgical Oncology in Europe: Results of a European Survey
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| BACKGROUND: The first COVID-19 pandemic wave hit most of the health-care systems worldwide. The present survey aimed to provide a European overview on the COVID-19 impact on surgical oncology. METHODS: This anonymous online survey was accessible from April 24 to May 11, 2020, for surgeons (n = 298) who were contacted b... |
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Impact of COVID-19 Pandemic on Orthopedics and Traumatology Service
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| Medical records, including in-patient hospitalizations, outpatient clinic attendances, surgical operations performed, and accident and emergency department attendances, were retrieved from the territory-wide clinical data repository. Of the patients who presented at ED with orthopaedic complaints in Period 1, 892 were ... |
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Management and early outcomes of children with appendicitis in the UK and Ireland during the COVID-19 pandemic: a survey of surgeons and observational study
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| OBJECTIVES: Acute appendicitis is the most common surgical condition in children. In the UK, appendicectomy is the most common treatment with non-operative management unusual. Due to concerns about the risk of SARS-CoV-2 transmission during surgical procedures, surgeons were advised to consider non-operative treatment ... |
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Recommendations to Safeguard Reconstructive Microsurgeons Performing High-risk Operations during the COVID-19 Pandemic
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| An unprecedented number of health care providers have been infected and many have died during the COVID-19 pandemic. Reconstructive microsurgeons from different surgical backgrounds often are involved in the care of known COVID-19 and high-risk patients. The need for a magnification loupe/microscope makes it difficult ... |
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Impact of the COVID-19 pandemic on emergency and elective hip surgeries in Norway
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| Background and purpose - Many countries implemented strict lockdown policies to control the COVID-19 pandemic during March 2020. The impacts of lockdown policies on joint surgeries are unknown. Therefore, we assessed the effects of COVID-19 pandemic lockdown restrictions on the number of emergency and elective hip join... |
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International surgical guidance for COVID-19: Validation using an international Delphi process - Cross-sectional study
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| BACKGROUND: International professional bodies have been quick to disseminate initial guidance documents during the COVID-19 pandemic. In the absence of firm evidence, these have been developed by expert committees, limited in participant number. This study aimed to validate international COVID-19 surgical guidance usin... |
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CSF rhinorrhoea after endonasal intervention to the skull base (CRANIAL).: Part 2: Impact of COVID-19
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| BACKGROUND: During the pandemic, there has been a concern about the increased risk of perioperative mortality for patients with COVID-19, and the transmission risk to healthcare workers, particularly during endonasal neurosurgical operations. The Pituitary Society produced recommendations to guide management during thi... |
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The Impact of the COVID-19 Pandemic on an Israeli Acute Care Surgery Unit: Fewer Patients, More Disease
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| BACKGROUND: The COVID-19 pandemic has transformed and affected every aspect of health care. Like any catastrophic event, the stress on hospitals to maintain a certain level of function is immense. Acute surgical pathologies cannot be prevented or curtailed; therefore, it is important to understand patterns and outcomes... |
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### Response:
Laparoscopic Appendectomy in the Days of COVID-19
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| BACKGROUND: Acute appendicitis is one of the most common emergencies treated by general surgeons. The treatment of choice in the majority of cases is laparoscopic appendectomy. In the era of the COVID-19 pandemic, there is a concern for a delayed referral of patients and thus a more advanced presentation of the disease... |
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Transcatheter aortic valve implantation versus surgical aortic valve replacement during the COVID-19 pandemic-Current practice and concerns.
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| COVID-19 has had a dramatic impact on the provision of healthcare. COVID-19 can manifest with cardiac and thrombotic presentations. Additionally, patients with cardiovascular comorbidities are at an increased risk of adverse outcomes related to COVID-19 infection. This in turn has led to a significant reduction in the ... |
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Resumption of Elective Surgery Following COVID-19 Outbreak, Guideline for Female Pelvic Medicine and Surgery
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| Division of Female Pelvic Medicine and Surgery, Department of Obstetrics and Gynecology, Emam Khomeini Hospital, Tehran University of medical sciences proposed a clinically relevant algorithm to guide appropriate decision making based on underlying risk stratification and resource utilization in order to resume electiv... |
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### Response:
Surgical Prioritization: The Northwell Neurosurgical Prioritization Initiative
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| INTRODUCTION: Beginning in March, 2020, hospitals across the majority of the United States were required to cancel all elective surgery in preparation for a surge of patients with the coronavirus disease of 2019 (COVID-19). A large number of neurosurgical patients with less than emergency conditions had their surgery p... |
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### Response:
The impact of SARS-CoV-2 (COVID-19) pandemic on trauma bay management and guideline adherence in a European level-one-trauma centre
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| PURPOSE: SARS CoV-2 (COVID-19) represents a pandemic that has led to adjustments of routine clinical practices. The initial management in the trauma bay follows detailed international valid algorithms. This study aims to work out potential adjustments of trauma bay algorithms during a global pandemic in order to reduce... |
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### Response:
Neurosurgical Procedures and Safety During the COVID-19 Pandemic: A Case-Control Multi-Center Study
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| Abstract: Objective Quantitative documentation of the effects of outbreaks, including the COVID-19 pandemic, is limited in the field of neurosurgery. Our study aimed to evaluate the effects of the COVID-19 pandemic on neurosurgical practice and to determine whether surgical procedures are associated with increased morb... |
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Please summerize the given abstract to a title
### Response:
Impact of diabetes in patients waiting for invasive cardiac procedures during COVID-19 pandemic
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| BACKGROUND: During COVID-19 pandemic, elective invasive cardiac procedures (ICP) have been frequently cancelled or postponed. Consequences may be more evident in patients with diabetes. OBJECTIVES: The objective was to identify the peculiarities of patients with DM among those in whom ICP were cancelled or postponed du... |
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### Response:
Safety and operational efficiency of restructuring and redeploying a transcatheter aortic valve replacement service during the COVID-19 pandemic: The Oxford experience
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| BACKGROUND: The risk of nosocomial COVID-19 infection for vulnerable aortic stenosis patients and intensive care resource utilization has led to cardiac surgery deferral. Untreated severe symptomatic aortic stenosis has a dismal prognosis. TAVR offers an attractive alternative to surgery as it is not reliant on intensi... |
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Please summerize the given abstract to a title
### Response:
[Update in surgery].
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| The occurrence of the COVID-19 pandemic had a major impact on global society with major repercussions on surgical activity. As the pandemic has evolved, the hospital resources available to perform surgeries have been reallocated to COVID-19 patients with a reduction in surgical capacity. The impact has spread from urge... |
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Please summerize the given abstract to a title
### Response:
Outcomes of orthopaedic trauma patients undergoing surgery during the peak period of COVID-19 infection at a UK major trauma centre
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| BACKGROUND: To review the clinical outcomes of all patients undergoing emergency orthopaedic trauma surgery at a UK major trauma centre during the first 6 weeks of the COVID-19 related lockdown. METHODS: A retrospective review was performed of all patients who underwent emergency orthopaedic trauma surgery at a single ... |
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Can machine learning optimize the efficiency of the operating room in the era of COVID-19?
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| SUMMARY: The cancellation of large numbers of surgical procedures because of the coronavirus disease 2019 (COVID-19) pandemic has drastically extended wait lists and negatively affected patient care and experience. As many facilities resume clinical work owing to the currently low burden of disease in our community, we... |
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### Response:
Pattern of Maxillofacial Injuries during Covid-19 Pandemic at Birat Medical College Teaching Hospital of Eastern Nepal
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| Introduction: Maxillofacial injuries are one of the most common injuries seen in trauma patients Road traffic accidents (RTA) are the most common cause of maxillofacial injuries all over the world RTA are supposed to decrease due to lockdown which has become a usual phenomenon during the COVID- 19 pandemic Changes in t... |
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Osteomyelitis, diabetic foot ulcers and the role of the community nurse.
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| Community nurses face numerous challenges in both diagnosing and effectively treating their patients. The diabetic patient has complex needs requiring a holistic approach. With a reported increase in diabetic patients, and a possible decline in some routine screening following Covid-19 pandemic, complications in diabet... |
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