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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
#MMPMID32408995
Di Martino M
; García Septiem J
; Maqueda González R
; Muñoz de Nova JL
; de la Hoz Rodríguez Á
; Correa Bonito A
; Martín-Pérez E
Cir Esp (Engl Ed)
2020[Nov]; 98
(9
): 525-532
PMID32408995
show ga
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-19 infection rate, the severity of respiratory infection according to the
Brescia respiratory COVID-19 severity scale, the adopted therapeutic measures and
the overall postoperative complications. RESULTS: From 17th February to 31st
March 2020, there was a progressive decrease in surgical activity, with only 213
patients operated on. This comprised 59 (27.8%) elective operations for
oncological diseases, 97 (45.5%) elective operations for benign diseases and 57
(26.7%) as urgent procedures. There was a progressive increase in the rate of
infection by COVID-19, with a total of 15 cases (7%). This included 10 patients
(16.9%) in the elective group for oncological disease, 1 (1%) in the elective
surgery group for benign disease and 4 (7%) in the urgent surgery group (P<.001).
Five patients presented with a severe respiratory infection, of which 4 were
affected by oncological disease. There were 3 deaths (1.4%), which were all due
to the worsening of a respiratory infection. CONCLUSIONS: The patients undergoing
the surgical procedures showed high rates of COVID-19 infection and postoperative
complications, especially the patients with oncological diseases. Local
resumption of surgical activity must be based on the prioritisation of the cases
to be operated on, respecting certain premises of security and optimisation of
the available resources.
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