Research Article
Volume 9 Issue 5 - 2022
Surgical and Critical Inpatients´ Management for Upcoming Pandemic Waves
Sergio Perez-Holanda*
Medical Deputy Director (Health Care Area IV, Oviedo), Central Universitary Hospital of Asturias, Principality of Asturias, Spain
*Corresponding Author: Sergio Perez-Holanda, Medical Deputy Director (Health Care Area IV, Oviedo), Central Universitary Hospital of Asturias, Principality of Asturias, Spain.
Received: December 23, 2021; Published: April 22, 2022




Abstract

Introduction: The emergency situation, caused by COVID-19, gave rise to the adoption of a series of measures to face these extraordinary circumstances. In Principality of Asturias (a Region in Northern Spain) during the fourth wave, the month in which our healthcare structures were most stressed was last July ´21.

Objective: The objective of this work is to review the different organizational aspects, focusing on inpatients´ management, who required surgical intervention at our hospital during that month.

Methods: This is a retrospective and descriptive of consecutive cases, which studies surgical activity during July ´21 contrasting with activity performed in previous pandemic waves, as well as the one performed in July´19 (prior to pandemic).

Results: Epidemiological indicators were increasing in each pandemic wave, as well as hospital occupancy in conventional beds. But nevertheless, critical bed occupancies were lower than in previous waves. There was a temporal coincidence between reaching 70% of the population vaccinated, and the abrupt decrease in the epidemiological indicators of the pandemic. The temporary postponement of scheduled surgical interventions was anecdotal. Donation and transplantation activity was maintained under normal conditions, without any restrictions by the effect of the pandemic. Scheduled surgical activity decreased by - 11.9% compared to July '19 (without pandemic). In the regional registry, this activity did not reduce the number of patients waiting for surgery, nor their waiting time.

Conclusions: Despite the limitations of our study, we can prudently deduce that vaccination seemed to represent a factor that could have modified the impact of the disease, and so, the stress suffered by the organization appeared to be less compared to previous pandemic waves.

Keywords: COVID-19 Pandemic; SARS-CoV-2 Infection; Safety Management; Surgery; Vaccination

References

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Citation: Sergio Perez-Holanda. “Surgical and Critical Inpatients´ Management for Upcoming Pandemic Waves”. EC Gastroenterology and Digestive System 9.5 (2022): 01-11.

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