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2020 ; 44
(10
): 665-673
Nephropedia Template TP
gab.com Text
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English Wikipedia
Cirugía urológica durante la pandemia por SARS-CoV-2 Análisis descriptivo de la
experiencia en un Servicio de Urología durante distintas fases epidemiológicas
#MMPMID33069489
González-Díaz A
; Abad-López P
; Peña-Vallejo E
; Caro-González MP
; Calzas-Montalvo C
; Gil-Moradillo J
; Miranda-Utrera N
; Díez-Sebastián J
; Varela-Rodríguez C
; Rodríguez-Antolín A
; Tejido-Sánchez A
Actas Urol Esp (Engl Ed)
2020[Dec]; 44
(10
): 665-673
PMID33069489
show ga
INTRODUCTION: The SARS-CoV-2 pandemic has changed the urological practice around
the world. Our objective is to describe the outcomes presented by patients
undergoing surgery in the urology department of a tertiary hospital, across the
pandemic phases. METHODS: Observational, cohort study including all patients
undergoing surgery from March 1 to May 14. According to the hospital
organization, we identified three periods: there were no changes during the first
two weeks (1(st). period), the following seven weeks, when only urgent
interventions were carried out after performance of nasopharyngeal swab test
(2(nd). period), and finally, elective surgery was resumed on May 4, after the
implementation of a multidisciplinary screening protocol (3(rd). period).
Demographic, baseline, surgical and perioperative variables, as well as
postoperative outcomes, were obtained in a retrospective (periods 1 and 2) and
prospective (period 3) manner. Telephone follow-up was initiated at least 3 weeks
after hospital discharge. RESULTS: 103 urological surgeries were performed, and
11 patients were diagnosed with COVID-19, 8 of them within the 1(st). PERIOD: The
diagnosis was already known in 1 patient, while the other 10 developed the
disease in an average of 25 days after the intervention and 16,6 days after
discharge. Of seven transplant patients, four got the infection. Three deaths
were recorded due to the disease: a 69-year-old woman transplanted and two men
over 80 with comorbidities and high anesthetic risk who underwent drainage of
retroperitoneal abscess and retrograde intrarenal surgery, respectively.
CONCLUSIONS: SARS-CoV-2 infection mainly affected renal transplant recipients or
elderly patients with high anesthetic risk, during the first 2 weeks of the
pandemic. After implementing preoperative PCR tests and a comprehensive screening
protocol, cases were substantially reduced, and safe surgical procedures were
achieved.
|*Pandemics
[MESH]
|*SARS-CoV-2
[MESH]
|Aged
[MESH]
|Aged, 80 and over
[MESH]
|COVID-19/*epidemiology/mortality
[MESH]
|Cohort Studies
[MESH]
|Elective Surgical Procedures/*statistics & numerical data
[MESH]
|Female
[MESH]
|Humans
[MESH]
|Kidney Transplantation/statistics & numerical data
[MESH]
|Male
[MESH]
|Middle Aged
[MESH]
|Prospective Studies
[MESH]
|Retrospective Studies
[MESH]
|Spain/epidemiology
[MESH]
|Symptom Assessment
[MESH]
|Tertiary Care Centers
[MESH]
|Urologic Surgical Procedures/*statistics & numerical data
[MESH]