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ORIGINAL ARTICLE   

Minerva Surgery 2022 February;77(1):14-21

DOI: 10.23736/S2724-5691.21.08919-X

Copyright © 2021 EDIZIONI MINERVA MEDICA

lingua: Inglese

Impact of COVID-19 on surgical activities and personnel: lessons for the future

Michele RUBBINI 1 , Pantaleo GRECO 1, 2, Margherita MANSERVIGI 1, 2, Ruby MARTINELLO 1, 2, Vincenzo GASBARRO 1, 3, Elisa PICCOLO 1, 3, Savino OCCHIONORELLI 4, 5, Domenico LACAVALLA 5, Leo MASSARI 6, 7, Gaetano CARUSO 6, 7, Antonio CALDARIA 4, 6, Paolo PERRI 7, 8, Niccolò SALGARI 8, Giorgio N. CAVALLESCO 1, 9, Gabriele ANANIA 1, 9, Matteo CHIOZZA 4, 9, Paolo CARCOFORO 1, 10, Alberto M. MARUCA 4,10, Michele A. CAVALLO 4, 11, Alba SCERRATI 4, 11, Gennaro CAPONE 11, Carlo V. FEO 1, 12, Nicolò FABBRI 12, Marta FAZZIN 12, Maria E. FORINI 13

1 Department of Medical Sciences, University of Ferrara, Ferrara, Italy; 2 Unit of Obstetrics and Gynecology, St. Anna University Hospital Ferrara, Ferrara Italy; 3 Unit of Vascular and Endovascular Surgery, St. Anna University Hospital Ferrara, Ferrara, Italy; 4 Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, Ferrara, Italy; 5 S.S.d. Emergency Surgery, St. Anna University Hospital Ferrara, Ferrara, Italy; 6 Unit of Orthopedics and Traumatology, St. Anna University Hospital Ferrara, Ferrara, Italy; 7 Department of Biomedical and Surgical Sciences, University of Ferrara, Ferrara, Italy; 8 Ophthalmology Clinic, St. Anna University Hospital, Ferrara Italy; 9 Unit of Surgery 1, St. Anna University Hospital Ferrara, Ferrara, Italy; 10 Unit of Surgery 2, St. Anna University Hospital Ferrara, Ferrara, Italy; 11 Unit of Neurosurgery, St. Anna University Hospital, Ferrara, Italy; 12 Unit of Provincial General Surgery, AUSL Ferrara, Ferrara, Italy; 13 St. Anna University Hospital, Ferrara, Italy



BACKGROUND: COVID-19 pandemic has impacted professional, economic and social activities. In the surgical field, it has brought changes to operating activities, the organization of workforces, the protection measures for patients and personnel against possible intraoperative transmissions as well as training young surgeons. This study intends to assess the extent of this impact in our institution.
METHODS: The patients operated on in nine Operating Units (OUs) in the period February 1 - March 31, 2020, with follow-ups on April 30, 2020, were evaluated both retrospectively and prospectively. Organizational, clinical and impact parameters on staff were evaluated.
RESULTS: Of the 833 consecutive admitted patients, 742 were operated on, 705 of whom were recruited for the study. Compared to the same period in 2019 there was a decrease in the number of operations (742 compared to 1187), similar use of intensive care unit (ICU), a diagnostic activity only for symptomatic patients, heterogeneity in organizational behaviors, an impact on staff who highlighted concerns about getting sick or passing the infection on to others (87.64%) or their family members (75.14%).
CONCLUSIONS: The present study made it possible to detect the need to make significant changes in the clinical, organizational and teaching fields, for which some operational proposals are suggested.


KEY WORDS: COVID-19; Surgical procedures, operative; Patients

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