Elective Surgery During the SARS-CoV-2 Pandemic (COVID-19): A Morbimortality Analysis and Recommendations on Patient Prioritisation and Security Measures

Surgical Outcomes During COVID-19 Pandemic

“…There are few studies dealing with surgical morbidity and mortality in COVID-19 patients ( 9 , 10 , 11 , 12 , 13 , 14 , 27 ) and almost none from Latin America. The earliest report was made by Aminian A, et al ( 10 ) describing 4 surgical patients who developed perioperative complications in the first few weeks of COVID-19 outbreak in Iran during 02/2020.…”

“…All patients developed postoperative pneumonia with a 20.5% mortality rate. Studies from Spain from February–May 2020 ( 12 , 13 , 27 ) estimated a COVID-19 infection rate around 7% and a complication rate up to 80% (30% severe complication rate) and a 2–20% mortality rate with mainly pulmonary causes. Doglietto F, et al ( 14 ) found a 12.3% COVID ( 19 ) infection rate and a 19.5% mortality rate in a third level specialty hospital in Lombardy (epicenter of the Italian pandemic).…”

“…Even with these procedures postponed, urgent and emergent surgeries are still performed in COVID-19 positive and negative patients as well. Data on management and outcomes of surgical patients operated during this pandemic is scarce and urgently needed ( 9 , 10 , 11 , 12 , 13 , 14 , 15 ).…”

Estudio del impacto de la pandemia por SARS-CoV-2 en la práctica quirúrgica urgente y electiva en un hospital de tercer nivel

“…Este incremento se acompañó de un descenso de la cirugía electiva del 93,8%, pasando de 113 cirugías electivas en el periodo de 4 semanas previo al confinamiento hasta las 7 cirugías realizadas las 4 semanas siguientes. Di Martino et al 20 publican un descenso similar de la cirugía programada durante el pico de incidencia de la pandemia por SARS-CoV-2.…”

“…Queremos destacar la recogida del número total de pacientes operados en nuestro centro durante el periodo de febrero a mayo que nos permite describir la evolución de la cirugía urgente y electiva durante el estado de prealarma, el pico de actividad en UMI y la posterior recuperación, añadiendo información a lo conocido hasta ahora 20 . También debemos destacar que aunque sea limitado a un centro, nuestra población de referencia es de más de 800.000 personas.…”