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Vol. 44. Issue 9.
Pages 604-610 (November 2020)
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Vol. 44. Issue 9.
Pages 604-610 (November 2020)
Original article
DOI: 10.1016/j.acuroe.2020.06.003
What has changed during the state of emergency due to COVID-19 on an Academic Urology Department of a Tertiary Hospital in Portugal
Los cambios producidos durante el estado de alarma debido a la COVID-19 en un Servicio de Urología de un Hospital Universitario Terciario en Portugal
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R. Bernardinoa,
Corresponding author
ruimmbernardino@gmail.com

Corresponding author.
, M. Gila, V. Andradea, L. Severoa, M. Alvesb, A.L. Papoilab, L. Campos Pinheiroa
a Urology Department, Central Lisbon Hospital Center, Lisbon, Portugal
b Epidemiology and Statistics Unit, Research Center, Central Lisbon Hospital Center, Lisbon, Portugal
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Tables (4)
Table 1. Characteristics of Urology ED Patients.
Table 2. Cause of Admission of Urology ED patients.
Table 3. Diagnostic of Urology ED patients.
Table 4. Results of univariable regression analysis – outcome: to have been submitted to surgery.
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Abstract
Objective

To compare the activity the Urology Department of a Portuguese Academic Hospital during the state of emergency and the equivalent period at the previous year. We compared the number of elective consultations and diagnostic urologic examinations, number and type of elective surgeries, as well as patients’ demographic characteristics and main causes of presentation to Urology Emergency Department (ED) during the two mentioned periods.

Materials and methods

Data from 691 patients coming to emergency department were collected from institutional clinical software from March 18th 2020 to May 2nd 2020—and from the same period the previous year. Data collected were age, sex, day of the presentation to Emergency Department, referral from other hospitals, triage color, reason of admission, diagnosis of discharge, and the need for emergency surgery or hospitalization. In order to identify associations between demographic and clinical variables with having been submitted to an emergency surgery (outcome), logistic regression models were applied.

Results

Multivariable analysis showed an association of sex with being submitted to surgery, 65.6% decrease in the odds for the male gender. The period (COVID versus non-COVID) did not show a significant association with surgery.

Conclusion

Our department experienced an noticeable activity reduction. We also observe a reduction in urgent causes to attend the ED considered less serious. The percentage of cases requiring emergency surgery and hospitalization was higher during COVID-period.

Keywords:
COVID-19
Emergency department
Tertiary Hospital
Urology
Resumen
Objetivo

Comparar la actividad del Servicio de Urología de un Hospital Universitario Portugués durante el estado de alarma y el período equivalente del año anterior. Comparamos el número de consultas electivas y pruebas diagnósticas urológicas, el número y el tipo de cirugías electivas, así como las características demográficas de los pacientes y los principales causas de ingreso al Servicio de Urgencias (SU) de Urología durante los dos períodos mencionados.

Materiales y métodos

Los datos de 691 pacientes que acudieron a urgencias desde el 18 de marzo de 2020 hasta el 2 de mayo de 2020—y del mismo período del año anterior-se recogieron del software medico institucional. Los datos recopilados fueron edad, sexo, fecha de visita al servicio de urgencias, derivación desde otros hospitales, color del triaje, causa del ingreso, diagnóstico al alta y la necesidad de cirugía de urgencia u hospitalización. Con la intención de identificar las asociaciones entre las variables demográficas y clínicas con el hecho de haber sido sometido a una cirugía de urgencia (variable), se aplicaron modelos de regresión logística.

Resultados

El análisis multivariante mostró asociación entre el sexo del paciente con el hecho de ser sometido a una cirugía, con una disminución del 65,6% en las probabilidades para el género masculino. El período (COVID versus sin-COVID) no mostró una asociación significativa con la cirugía.

Conclusión

Nuestro departamento experimentó una reducción importante en la actividad. También observamos una reducción de las causas urgentes para acudir a los servicios de urgencias considerados menos graves. El porcentaje de casos que requirieron cirugía de urgencia y hospitalización fue mayor durante el período COVID.

Palabras clave:
COVID-19
Servicio de urgencias
Hospital terciario
Urología

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