Impacto en el patrón de atención en cirugía de cabeza y cuello y las medidas sanitarias adoptadas durante los primeros 150 días de la era COVID-19
Date
2021-12
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Publisher
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2452-4549
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Abstract
Introducción: La pandemia COVID-19 generó una reestructuración en la atención quirúrgica mundialmente debido a su alta transmisibilidad y la inherente limitación de los recursos humanos y materiales
disponibles. Objetivo: Describir el impacto de la pandemia COVID-19 en el Equipo de Cirugía Cabeza
y Cuello del Complejo Asistencial Barros Luco Trudeau (CABL) en su ejecución clínico-quirúrgica y la
secuenciación organizada de las medidas sanitarias aplicadas a lo largo del tiempo durante los primeros
150 días de iniciada la pandemia en Chile. Materiales y Método: Realizamos una revisión retrospectiva de los pacientes sometidos a cirugía y/o evaluados ambulatoriamente durante el período COVID-19
comprendido entre el 3 de marzo y el 31 de julio de 2020, comparado con el mismo intervalo de tiempo
de 2019. Características clínicas y medidas sanitarias empleadas durante este período fueron sintetizadas.
Resultados: Detectamos un descenso del 64% en atención ambulatoria y un descenso del 58% en la carga
quirúrgica, comparado con el año 2019. Durante el período COVID-19 de 2020, un total de 61 pacientes
fueron sometidos a intervención quirúrgica. La principal indicación de cirugía fue cáncer en un 75,4% (46).
No se reportaron pacientes contagiados por COVID-19 en los 14 días siguientes a la hospitalización. Se
discuten las consideraciones perioperatorias empleadas y restricciones nacionales/institucionales sanitarias.
Conclusión: La crisis sanitaria mundial secundaria al COVID-19 generó una reducción en las atenciones
ambulatorias y cirugías realizadas por Equipo de Cabeza y Cuello CABL. A pesar de las restricciones
sanitarias, organizamos estratificadamente la atención para preservar la resolución de casos críticos no
diferibles en cabeza y cuello
Introduction: The COVID-19 pandemic generated a restructuring of surgical care worldwide due to the disease’s high transmissibility and the inherent limitation of available human and material resources. Aim: The study´s aim was to describe the impact of the COVID-19 pandemic on the head and neck surgery team at Complejo Asistencial Barros Luco Trudeau (CABL) in clinical-surgical execution and organization of sanitary sequencing measures implemented over time during the first 150 days after the pandemic started in Chile. Materials and Method: We performed a retrospective review of patients undergoing surgery or outpatient evaluation during the COVID-19 period from 03-03-2020 to 07-31-2020, compared to the same time interval in 2019. Clinical characteristics and sanitary measures used during this period were synthesized. Results: We detected a 64% decrease in outpatient care and a 58% decrease in surgical load from 2019. During the COVID-19 period of 2020, a total of 61 patients underwent surgical intervention. The main indication for surgery was cancer, in 75.4% of patients (46). COVID-19 was not reported in any patients in the 14 days following hospitalization. We discussed the perioperative considerations used and the national/ institutional sanitary restrictions. Conclusions: The global health crisis to COVID-19 generated a reduction in outpatient care and surgeries performed by the CABL head and neck team. Despite health restrictions, we organized care stratified to preserve critical head and neck non-deferrable cases.
Introduction: The COVID-19 pandemic generated a restructuring of surgical care worldwide due to the disease’s high transmissibility and the inherent limitation of available human and material resources. Aim: The study´s aim was to describe the impact of the COVID-19 pandemic on the head and neck surgery team at Complejo Asistencial Barros Luco Trudeau (CABL) in clinical-surgical execution and organization of sanitary sequencing measures implemented over time during the first 150 days after the pandemic started in Chile. Materials and Method: We performed a retrospective review of patients undergoing surgery or outpatient evaluation during the COVID-19 period from 03-03-2020 to 07-31-2020, compared to the same time interval in 2019. Clinical characteristics and sanitary measures used during this period were synthesized. Results: We detected a 64% decrease in outpatient care and a 58% decrease in surgical load from 2019. During the COVID-19 period of 2020, a total of 61 patients underwent surgical intervention. The main indication for surgery was cancer, in 75.4% of patients (46). COVID-19 was not reported in any patients in the 14 days following hospitalization. We discussed the perioperative considerations used and the national/ institutional sanitary restrictions. Conclusions: The global health crisis to COVID-19 generated a reduction in outpatient care and surgeries performed by the CABL head and neck team. Despite health restrictions, we organized care stratified to preserve critical head and neck non-deferrable cases.
Description
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Citation
Revista de Cirugía, Vol. 73, N° 6 (2021) p. 718-727.
Keywords
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Atribución-NoComercial-CompartirIgual 3.0 Chile (CC BY-NC-SA 3.0 CL)