Effect of lockdown in surgical emergency accesses: experience of a COVID-19 hospital

Vanni, Gianluca; Legramante, Jacopo Maria; Pellicciaro, Marco; De Carolis, Gerardo; Cotesta, Maria; Materazzo, Marco; Buonomo, Chiara; Farinaccio, Andrea; Santori, Francesca; Saraceno, Federica; Ielpo, Benedetto; Aiello, Francesco; Paganelli, Carla; Grande, Michele; De Andreis, Girolamo; Chiocchi, Marcello; Palombi, Leonardo; Buonomo, Oreste Claudio

Effect of lockdown in surgical emergency accesses: experience of a COVID-19 hospital

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dc.contributor.author Vanni, Gianluca
dc.contributor.author Legramante, Jacopo Maria
dc.contributor.author Pellicciaro, Marco
dc.contributor.author De Carolis, Gerardo
dc.contributor.author Cotesta, Maria
dc.contributor.author Materazzo, Marco
dc.contributor.author Buonomo, Chiara
dc.contributor.author Farinaccio, Andrea
dc.contributor.author Santori, Francesca
dc.contributor.author Saraceno, Federica
dc.contributor.author Ielpo, Benedetto
dc.contributor.author Aiello, Francesco
dc.contributor.author Paganelli, Carla
dc.contributor.author Grande, Michele
dc.contributor.author De Andreis, Girolamo
dc.contributor.author Chiocchi, Marcello
dc.contributor.author Palombi, Leonardo
dc.contributor.author Buonomo, Oreste Claudio
dc.date.accessioned 2022-03-01T08:30:09Z
dc.date.available 2022-03-01T08:30:09Z
dc.date.issued 2020
dc.description.abstract Background/aim: SARS-CoV-2 pandemic imposed extraordinary restriction measures and a complete reorganization of the Health System. The aim of the study was to evaluate the impact of COVID-19 on emergency surgical department accesses. Patients and methods: Patients admitted to surgical emergency departments was retrospectively recorded during the Lockdown (March 11, 2020-May 3, 2020) and compared with the same number of days in 2019 and immediately before Lockdown (January 16, 2020-March 10, 2020). Diagnoses, priority levels, modes of patient's transportation, waiting times and outcomes were analysed. Results: During the lockdown phase, we ob-served a reduction in the access to emergency surgical departments of 84.45% and 79.78%, com-pared with the Pre-Lockdown2019 and Pre-Lockdown2020 groups, respectively. Patient's transportation, hospitalization and patients discharge with indications to an outpatient visit, waiting and total times exhibited a significant difference during the lockdown (p<0.005). Conclusion: We observed a reduction of surgical emergency accesses during the lockdown. Implementing the use of the regional systems and preventing overcrowding of emergency departments could be beneficial for reducing waiting times and improving the quality of treatments for patients.
dc.format.mimetype application/pdf
dc.identifier.citation Vanni G, Legramante JM, Pellicciaro M, DE Carolis G, Cotesta M, Materazzo M, et al. Effect of lockdown in surgical emergency accesses: experience of a COVID-19 hospital. In Vivo. 2020 Sep-Oct; 34(5): 3033-38. DOI: 10.21873/invivo.12137
dc.identifier.doi http://dx.doi.org/10.21873/invivo.12137
dc.identifier.issn 0258-851X
dc.identifier.uri http://hdl.handle.net/10230/52597
dc.language.iso eng
dc.publisher International Institute of Anticancer Research (IIAR)
dc.rights.accessRights info:eu-repo/semantics/openAccess
dc.subject.keyword COVID-19
dc.subject.keyword Emergency Department
dc.subject.keyword SARS-CoV-2
dc.subject.keyword First aid
dc.subject.keyword Lockdown
dc.subject.keyword Surgical emergency
dc.title Effect of lockdown in surgical emergency accesses: experience of a COVID-19 hospital
dc.type info:eu-repo/semantics/article
dc.type.version info:eu-repo/semantics/publishedVersion

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