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COVID-19对选择性普通手术取消和紧急情况演示的影响
Kai Yun Jodene Tay1, Evangeline Woodford2, Jingyi Cao3
1Department of Surgery, Blacktown Hospital, Blacktown, New South Wales, Australia.
ANZ journal of surgery
|March 24, 2025
概括
由于COVID-19流行病的延迟,选择性手术的等待时间显著增加. 然而,等待名单上一般外科病人的急诊室陈述在流行病后没有显著变化.
科学领域:
- 一般外科 整体外科
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 由于COVID-19大流行,澳大利亚的选择性外科手术程序被广泛取消和推迟.
- 本研究调查了这些手术延迟对急诊室 (ED) 访问和患者结果的后果.
研究的目的:
- 评估COVID-19相关的选择性手术延迟对ED演示的影响.
- 为了评估等待名单上的普通外科病人的术后结果.
主要方法:
- 一项回顾性队列研究比较了从2021年到2023年 (COVID后) 提交给ED的等待名单上的普通外科患者,与2017年到2019年 (COVID前) 的队列.
- 主要结局:ED表现的发生率. 二次结果:紧急手术干预和术后发病率.
- 使用SPSS统计版本24.0.0进行统计分析.
主要成果:
- 在COVID后和COVID前组之间没有观察到ED呈现率的显著差异 (22.1%与21.4%).
- 在COVID后,平均等候名单时间大幅增加,影响了51.5%的患者,而在COVID前为9.2%.
- 第1类和第2类程序的等待时间显著超过了COVID后期推的持续时间.
结论:
- 选择性手术延迟和增加等待列表时间在COVID-19大流行后显而易见.
- 尽管等待时间较长,但等待名单患者中的紧急病例发生率保持不变.
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