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Vol. 37. Issue 6.
Pages 408-414 (November - December 2022)
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Vol. 37. Issue 6.
Pages 408-414 (November - December 2022)
Original
Evaluación de la efectividad del nuevo modelo perioperatorio para recuperar la actividad quirúrgica durante la pandemia de COVID-19
Evaluation of the effectiveness of the new perioperative model to recover surgical activity during the COVID-19 pandemic
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Y. Loaiza-Aldeána,
Corresponding author
yloaiza@vhebron.net

Autor para correspondencia.
, M. de Miguela, V. Morales-Arizaa, A. González-Talladaa, S. Manriquea, J.M. Domínguez Gonzálezb, M. de Nadala
a Servicio de Anestesiología y Reanimación, Hospital Universitari Vall d́Hebron, Barcelona, España
b Subdirector Asistencial, Hospital Universitari Vall d’Hebron, Barcelona, España
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Resumen
Introducción

La primera ola de la pandemia de COVID-19 ocasionó la cancelación de las intervenciones electivas. Tras la mejora de la situación epidemiológica se aplicaron nuevos modelos de atención en los hospitales para reiniciar la actividad quirúrgica programada. El objetivo fue evaluar la efectividad del modelo organizativo establecido para recuperar la actividad quirúrgica durante el periodo de transición de la pandemia de COVID-19.

Métodos

Estudio observacional retrospectivo comparando los pacientes intervenidos de forma programada entre el 1 de septiembre y el 31 de octubre de 2020, grupo de estudio, con un grupo control del mismo periodo correspondiente al año 2019 en el Hospital General del Hospital Universitario Vall d’Hebron.

Resultados

La población total incluyó 1.825 pacientes, 888 en el grupo de estudio y 937 en el grupo control. La actividad quirúrgica global disminuyó un 6,43% durante el periodo de estudio con respecto al mismo periodo de 2019, con un descenso del 25,5% en las cirugías oncológicas. Siete pacientes se contagiaron por SARS-CoV-2 durante su ingreso hospitalario. La mortalidad intrahospitalaria fue del 0,9% en el grupo de estudio, frente al 0,7% del grupo control (p=0,8). La tasa de supervivencia en los pacientes oncológicos a los 90 días fue menor en el grupo de estudio (95,7% frente a 98,7%; p=0,02).

Conclusiones

El cambio en el modelo de gestión durante el periodo de transición de la pandemia de COVID-19 permitió recuperar la actividad quirúrgica programada a unos niveles similares a los existentes previos a la pandemia con mayor repercusión en la cirugía oncológica.

Palabras clave:
COVID-19
SARS-CoV-2
Cirugía programada
Efectividad
Mortalidad
Abstract
Introduction

The first wave of the COVID-19 pandemic caused the cancellation of elective interventions. After the improvement of the epidemiological situation, new models of care were applied in hospitals to restart the programmed surgical activity. The aim was to evaluate the effectiveness of the organizational model established to recover surgical activity during the transition period of the COVID-19 pandemic.

Methods

Retrospective observational study comparing patients who underwent schedule surgery from September 1 until October 31, 2020, study group, with a control group of the same period of time corresponding to the year 2019 at the General Hospital from the Vall d’Hebron University Hospital.

Results

The total population included 1,825 patients, 888 in the study group and 937 in the control group. Global surgical activity decreased 6.43% during the study period compared to the same period in 2019, with a 25.5% decrease in cancer surgeries. Seven patients became infected with SARS-CoV-2 during their hospital stay. In hospital mortality was 0.9% in the study group compared to 0.7% in control group (p=0.8). The survival rate in cancer patients at 90 days was lower in the study group (95.7% vs 98.7%; p=0.02).

Conclusions

The change in the management model during the transition period of the COVID-19 pandemic allowed the recovery of programmed surgical activity to levels similar to those existing prior to the pandemic with a greater impact on cancer surgery.

Keywords:
COVID-19
SARS-CoV-2
Elective surgical
Effectiveness
Mortality

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