Perfil dos pacientes submetidos a cirurgia de urgência e emergência antes e durante o período de lockdown em um hospital de Florianópolis.
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Data
2022-11-30
Tipo de documento
Artigo Científico
Título da Revista
ISSN da Revista
Título de Volume
Área do conhecimento
Ciências da Saúde
Modalidade de acesso
Acesso embargado
Editora
Autores
Abreu, Rafaela Cristina
Tambara, Fernanda Pivetta
Orientador
Lattari, Tiago Grassano
Coorientador
Resumo
Objetivos: Identificar o perfil dos pacientes submetidos a cirurgia de urgência e emergência antes e durante o período de lockdown de COVID-19.
Métodos: Trata-se de um estudo observacional transversal que realizou a comparação de prontuários entre dois grupos distintos de pacientes submetidos a cirurgia de urgência e emergência no Hospital Governador Celso Ramos, em Florianópolis (n=252). O primeiro grupo corresponde àqueles atendidos durante o período de maiores restrições à circulação para o enfrentamento à pandemia de COVID-19 (Março a Junho de 2020) e o segundo, utilizado como controle, de pacientes atendidos no mesmo período do ano anterior. Resultados: Os dados sociodemográficos mantiveram-se semelhantes entre os grupos, com aumento apenas no número de doenças neurológicas como comorbidade prévia no ano de 2020 quando em comparação com 2019. Clinicamente, observou-se menos pacientes com diagnósticos de abdome agudo e fratura no período de lockdown, enquanto, por outro lado, mais pacientes apresentaram-se com diagnóstico de hérnia e neoplasia urológica. Houve maior intervalo de tempo entre o início dos sintomas e a chegada ao hospital, e maior gravidade na admissão, conforme aferido nos escores qSOFA e Emergency Surgery Score. Quanto aos resultados pós-operatórios, observamos maiores taxas de complicações, sem impacto na mortalidade.
Conclusões: O período de lockdown se associou a quadros potencialmente mais graves no setor de emergência, e com maior risco de efeitos adversos, o que pode ter causado um aumento na morbidade desta população estudada, porém, sem determinar um mesmo aumento na mortalidade.
Objectives: To identify the profile of patients submitted to urgent/emergency surgery before and during the period of COVID-19 lockdown. Methodology: This is a cross-sectional observational study that compared the medical records of two different groups of patients undergoing urgent and emergency surgery at Hospital Governador Celso Ramos, in Florianópolis (n=252). The first group corresponds to those treated during the period of greater restrictions on circulation to face the COVID- 19 pandemic (March to June 2020), and the second group, used as a control, of patients treated in the same period of the previous year. Results: Sociodemographic data remained similar among the groups, with only an increase in the number of neurological diseases as previous comorbidity in 2020 compared to 2019. Clinically, fewer patients were observed with diagnoses of acute abdomen and fracture in the lockdown period, while, on the other hand, more patients were diagnosed with hernia and urological neoplasia. There was a longer time interval between the onset of symptoms and arrival at the hospital, and greater severity at admission, as measured in the qSOFA and Emergency Surgery Score scores. As for the postoperative results, we observed higher rates of complications, with no impact on mortality. Conclusion: The lockdown period determined potentially more severe conditions in the emergency sector, and a higher risk of adverse effects, which determined an increase in the morbidity of this studied population, however, without determining the same increase in mortality.
Objectives: To identify the profile of patients submitted to urgent/emergency surgery before and during the period of COVID-19 lockdown. Methodology: This is a cross-sectional observational study that compared the medical records of two different groups of patients undergoing urgent and emergency surgery at Hospital Governador Celso Ramos, in Florianópolis (n=252). The first group corresponds to those treated during the period of greater restrictions on circulation to face the COVID- 19 pandemic (March to June 2020), and the second group, used as a control, of patients treated in the same period of the previous year. Results: Sociodemographic data remained similar among the groups, with only an increase in the number of neurological diseases as previous comorbidity in 2020 compared to 2019. Clinically, fewer patients were observed with diagnoses of acute abdomen and fracture in the lockdown period, while, on the other hand, more patients were diagnosed with hernia and urological neoplasia. There was a longer time interval between the onset of symptoms and arrival at the hospital, and greater severity at admission, as measured in the qSOFA and Emergency Surgery Score scores. As for the postoperative results, we observed higher rates of complications, with no impact on mortality. Conclusion: The lockdown period determined potentially more severe conditions in the emergency sector, and a higher risk of adverse effects, which determined an increase in the morbidity of this studied population, however, without determining the same increase in mortality.
Palavras-chave
Cirurgia geral, Serviço Hospitalar de Emergência, COVID-19, Quarentena, Avaliação do Impacto na Saúde