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


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


  1. Perez-Holanda S. “Organizational Aspects of Clinical Safety in Surgical Patients during the Covid-19 Pandemic in a Tertiary Level Hospital”. EC Gastroenterology and Digestive System12 (2020): 08-21.
  2. Perez-Holanda S. “Different Strategical Lines in Clinical Safety for Surgical Patients during the Two COVID-19 Pandemic Waves in a Tertiary Level Hospital”. EC Gastroenterology and Digestive System2 (2021): 86-98.
  3. Perez-Holanda S. “What we have Learned during these Three Pandemic Waves”. EC Gastroenterology and Digestive System7 (2021): 01-10.
  4. General Directorate of Public Health. “Government of the Principality of Asturias (Oviedo, Asturias, Spain). "Health Observatory of Asturias: Regional COVID-19 situation depending on the Health Area”. Daily accumulative reports by Internet Access (2021).
  5. General Directorate of Public Health. “Government of the Principality of Asturias (Oviedo, Asturias, Spain). “Health Website of Principality of Asturias: Regional COVID-19 situation depending on the Health Area”. Daily accumulative reports by Internet Access (2021).
  6. Government of the Principality of Asturias. “Decree 34/2020, of December 11, by which measures are adopted to contain the spread of infections caused by SARS-CoV-2 within the framework of the state of alarm, during the Christmas Time”. Official Gazette of the Principality of Asturias (BOPA) 238 (2020).
  7. Government of the Principality of Asturias. “Decree 29/2020, of November 3, second modification of Decree 27/2020 of October 26, by which measures are adopted to contain the spread of infections caused by SARS-CoV-2 within the framework of the state of alarm”. Official Gazette of the Principality of Asturias (BOPA) 212 (2020).
  8. Chorén EM., et al. “The limitation of time zones mobility by night for 628,000 Asturians, pending the judges”. La Nueva España. Commentary in newspaper (2021).
  9. Mones A., et al. “HUCA Assistance Indicators Dashboards”. Management Control Service, Central University Hospital of Asturias (HUCA)”. Technical Document (2021).
  10. General Directorate of Public Health. “Government of the Principality of Asturias (Oviedo, Asturias, Spain). “COVID-19 vaccines, information for citizens:". Technical Document (2021).
  11. Government of Spain. “Royal Decree 1039/2011, of July 15, which establishes the framework criteria to guarantee a maximum time of access to the health benefits of the National Health System”. Official Gazette of Spain (BOE) 207 (2011).
  12. Perez-Holanda S. “Are we Witnessing a Change in the Paradigm Established for the Surgical and Critical Patients´ Management in the Upcoming COVID-19 Pandemic Waves?”. EC Gastroenterology and Digestive System 11 (2021).
  13. Government of Spain. “Ministry of Health and Consumption”. “Handbook of Major Ambulatory Surgery Units: Standards and Recommendations”. Ministry Publications Center (Madrid, Spain). NIPO: 351-08-088-0. Technical Document (2008).
  14. Alvarez P. “The pandemic raises more than 2,000 hip and knee prostheses on standby”. La Nueva España. Commentary in newspaper (2021).
  15. Palicio M. “The incidence in young people doubles in 3 days and Asturias returns to very high risk”. La Nueva España. Commentary in newspaper (2021).
  16. Alvarez P. “Juvenile screening and more accurate tracking: weapons to avoid the sixth wave”. La Nueva España”. Commentary in Newspaper (2021).
  17. Kirby T. “Has Spain reached herd immunity?” The Lancet (2021).
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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