Abstract
Background: The SARS-CoV-2 pandemic is still ongoing and a major challenge for health care services worldwide. In the first WSES COVID-19 emergency surgery survey, a strong negative impact on emergency surgery (ES) had been described already early in the pandemic situation. However, the knowledge is limited about current effects of the pandemic on patient flow through emergency rooms, daily routine and decision making in ES as well as their changes over time during the last two pandemic years. This second WSES COVID-19 emergency surgery survey investigates the impact of the SARS-CoV-2 pandemic on ES during the course of the pandemic. Methods: A web survey had been distributed to medical specialists in ES during a four-week period from January 2022, investigating the impact of the pandemic on patients and septic diseases both requiring ES, structural problems due to the pandemic and time-to-intervention in ES routine. Results: 367 collaborators from 59 countries responded to the survey. The majority indicated that the pandemic still significantly impacts on treatment and outcome of surgical emergency patients (83.1% and 78.5%, respectively). As reasons, the collaborators reported decreased case load in ES (44.7%), but patients presenting with more prolonged and severe diseases, especially concerning perforated appendicitis (62.1%) and diverticulitis (57.5%). Otherwise, approximately 50% of the participants still observe a delay in time-to-intervention in ES compared with the situation before the pandemic. Relevant causes leading to enlarged time-to-intervention in ES during the pandemic are persistent problems with in-hospital logistics, lacks in medical staff as well as operating room and intensive care capacities during the pandemic. This leads not only to the need for triage or transferring of ES patients to other hospitals, reported by 64.0% and 48.8% of the collaborators, respectively, but also to paradigm shifts in treatment modalities to non-operative approaches reported by 67.3% of the participants, especially in uncomplicated appendicitis, cholecystitis and multiple-recurrent diverticulitis. Conclusions: The SARS-CoV-2 pandemic still significantly impacts on care and outcome of patients in ES. Well-known problems with in-hospital logistics are not sufficiently resolved by now; however, medical staff shortages and reduced capacities have been dramatically aggravated over last two pandemic years.
| Original language | English |
|---|---|
| Article number | 34 |
| Journal | World Journal of Emergency Surgery |
| Volume | 17 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - 12-2022 |
All Science Journal Classification (ASJC) codes
- Surgery
- Emergency Medicine
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In: World Journal of Emergency Surgery, Vol. 17, No. 1, 34, 12.2022.
Research output: Contribution to journal › Article › peer-review
TY - JOUR
T1 - Two years later
T2 - Is the SARS-CoV-2 pandemic still having an impact on emergency surgery? An international cross-sectional survey among WSES members
AU - Reichert, Martin
AU - Sartelli, Massimo
AU - Weigand, Markus A.
AU - Hecker, Matthias
AU - Oppelt, Philip U.
AU - Noll, Julia
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AU - Liese, Juliane
AU - Padberg, Winfried
AU - Coccolini, Federico
AU - Catena, Fausto
AU - Hecker, Andreas
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AU - Mastoraki, Aikaterini T.
AU - Landaluce-Olavarria, Aitor
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AU - Kuriyama, Akira
AU - Chichom-Mefire, Alain
AU - Porcu, Alberto
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AU - Osipov, Aleksei V.
AU - Coppola, Alessandro
AU - Cucchetti, Alessandro
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AU - Vereczkei, Andras
AU - Balla, Andrea
AU - Bottari, Andrea
AU - Baumann, Andreas
AU - Fette, Andreas
AU - Litvin, Andrey
AU - Reichert, Aniella Katharina
AU - Guariniello, Anna
AU - Paspala, Anna
AU - Schneck, Anne Sophie
AU - Brillantino, Antonio
AU - Pesce, Antonio
AU - Isik, Arda
AU - Leppäniemi, Ari Kalevi
AU - Papadopoulos, Aristeidis
AU - Kechagias, Aristotelis
AU - Mohamed, Ashraf Yehya Abdalla
AU - Mitul, Ashrarur Rahman
AU - Marinis, Athanasios
AU - Syllaios, Athanasios
AU - Mantoglu, Baris
AU - De Simone, Belinda
AU - Weiss, Benjamin Stefan
AU - Pösentrup, Bernd
AU - Picardi, Biagio
AU - Zampogna, Biagio
AU - Sakakushev, Boris Eugeniev
AU - Atanasov, Boyko Chavdarov
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AU - Cascone, Chiara
AU - Chouliaras, Christos
AU - Bendinelli, Cino
AU - Lopes, Claudia
AU - Guerci, Claudio
AU - Weber, Clemens
AU - Nastos, Constantinos
AU - Mesina, Cristian
AU - Caputo, Damiano
AU - Massalou, Damien
AU - Cavaliere, Davide
AU - McNamara, Deborah A.
AU - Demetriades, Demetrios
AU - Pantalone, Desirè
AU - Coletta, Diego
AU - Sasia, Diego
AU - Visconti, Diego
AU - Weber, Dieter G.
AU - Corallino, Diletta
AU - Chatzipetris, Dimitrios
AU - Manatakis, Dimitrios K.
AU - Ntourakis, Dimitrios
AU - Papaconstantinou, Dimitrios
AU - Schizas, Dimitrios
AU - Chrysikos, Dimosthenis
AU - Adamovich, Dmitry Mikhailovich
AU - Elkafrawy, Doaa
AU - Seban, Dragos
AU - García, Edgar Fernando Hernandez
AU - Baldini, Edoardo
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AU - Tan, Edward C.T.H.
AU - Baili, Efstratia
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AU - Griffiths, Ewen A.
AU - D’Acapito, Fabrizio
AU - Saraceno, Federica
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AU - Zeppernick, Felix Alexander
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AU - Favi, Francesco
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AU - Fleres, Francesco
AU - Pata, Francesco
AU - Roscio, Francesco Pietro Maria
AU - Mulita, Francesk
AU - Dor, Frank J.M.F.
AU - Linder, Fredrik
AU - Dimofte, Gabriel
AU - Rodrigues, Gabriel
AU - Nita, Gabriela
AU - Sganga, Gabriele
AU - Martines, Gennaro
AU - Mazzarella, Gennaro
AU - Perrone, Gennaro
AU - Velmahos, George
AU - Lianos, Georgios D.
AU - Tomadze, Gia
AU - Baiocchi, Gian Luca
AU - D’Ambrosio, Giancarlo
AU - Pellino, Gianluca
AU - Pattacini, Gianmaria Casoni
AU - Giraudo, Giorgio
AU - Lisi, Giorgio
AU - Tebala, Giovanni Domenico
AU - Pirozzolo, Giovanni
AU - Montori, Giulia
AU - Argenio, Giulio
AU - Brisinda, Giuseppe
AU - Currò, Giuseppe
AU - Giuliani, Giuseppe
AU - Palomba, Giuseppe
AU - Roscitano, Giuseppe
AU - Avşar, Gökhan
AU - Augustin, Goran
AU - Clarizia, Guglielmo
AU - Vega, Gustavo M.Machain
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AU - Sethi, Harsheet
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AU - Lohse, Helmut A.Segovia
AU - Lohse, Herald René Segovia
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AU - Kryvoruchko, Igor A.
AU - Iannone, Immacolata
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AU - Lazaridis, Ioannis I.
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AU - Nikolopoulos, Ioannis
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AU - Reccia, Isabella
AU - Di Carlo, Isidoro
AU - Olaoye, Iyiade Olatunde
AU - Czepiel, Jacek
AU - Kim, Jae Il
AU - Meyer, Jeremy
AU - Terrazas, Jesus Manuel Saenz
AU - Tochie, Joel Noutakdie
AU - Galante, Joseph M.
AU - Davies, Justin
AU - Sugand, Kapil
AU - Gonfa, Kebebe Bekele
AU - Rasa, Kemal
AU - Kok, Kenneth Y.Y.
AU - Apostolou, Konstantinos G.
AU - Lasithiotakis, Konstantinos
AU - Tsekouras, Konstantinos
AU - Angamuthu, Kumar
AU - Akhmeteli, Lali
AU - Sydorchuk, Larysa
AU - Fortuna, Laura
AU - Siragusa, Leandro
AU - Pagani, Leonardo
AU - Solaini, Leonardo
AU - Miller, Lisa A.
AU - Bains, Lovenish
AU - Ansaloni, Luca
AU - Ferrario, Luca
AU - Bonavina, Luigi
AU - Conti, Luigi
AU - Buonomo, Luis Antonio
AU - Tallon-Aguilar, Luis
AU - Tomczyk, Lukas
AU - Widmer, Lukas Werner
AU - Walędziak, Maciej
AU - Gachabayov, Mahir
AU - Bulanauca, Maloni M.
AU - Malbrain, Manu L.N.G.
AU - Maegele, Marc
AU - Catarci, Marco
AU - Ceresoli, Marco
AU - Ranucci, Maria Chiara
AU - Antonopoulou, Maria Ioanna
AU - Papadoliopoulou, Maria
AU - Valenti, Maria Rosaria
AU - Sotiropoulou, Maria
AU - D’Oria, Mario
AU - Martín, Mario Serradilla
AU - Hirschburger, Markus
AU - Veroux, Massimiliano
AU - Fantoni, Massimo
AU - Nardi, Matteo
AU - Tolonen, Matti
AU - Montuori, Mauro
AU - Podda, Mauro
AU - Scheiterle, Maximilian
AU - Frountzas, Maximos
AU - Sarıkaya, Mehmet
AU - Yildirim, Mehmet
AU - Bender, Michael
AU - Vailas, Michail
AU - Teuben, Michel
AU - Campanelli, Michela
AU - Ammendola, Michele
AU - Malerba, Michele
AU - Pisano, Michele
AU - Pertea, Mihaela
AU - Slavchev, Mihail
AU - Ukkonen, Mika
AU - Bala, Miklosh
AU - Chirica, Mircea
AU - Barone, Mirko
AU - Shaat, Mohamed Maher
AU - Mohammed, Mohammed Jibreel Suliman
AU - Abuelgasim, Mona Awad Akasha
AU - Gureh, Monika
AU - Ouadii, Mouaqit
AU - Balkan, Mujdat
AU - Mohamed, Mumin
AU - Hakseven, Musluh
AU - Velenciuc, Natalia
AU - Cillara, Nicola
AU - de’Angelis, Nicola
AU - Tamini, Nicolò
AU - Zavras, Nikolaos J.
AU - Machairas, Nikolaos
AU - Michalopoulos, Nikolaos
AU - Koliakos, Nikolaos N.
AU - Pararas, Nikolaos
AU - Donlon, Noel E.
AU - Medappil, Noushif
AU - Ben-Ishay, Offir
AU - Stefano, Olmi
AU - Islam, Omar
AU - Tammo, Ömer
AU - Ioannidis, Orestis
AU - Aparicio, Oscar
AU - Baraket, Oussama
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AU - Cianci, Pasquale
AU - Örtenwall, Per
AU - Uchikov, Petar Angelov
AU - de Reuver, Philip
AU - Stahel, Philip F.
AU - Barie, Philip S.
AU - Piccoli, Micaela
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AU - Navsaria, Pradeep H.
AU - Sasmal, Prakash Kumar
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AU - Rahim, Razrim
AU - Çapoğlu, Recayi
AU - Koshy, Renol M.
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AU - Mohamed, Rifat Ramadan Mussa
AU - Deryol, Rıza
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AU - Scaramuzzo, Rosa
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AU - Ahmed, Salma
AU - Di Saverio, Salomone
AU - Emile, Sameh Hany
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AU - Symeonidis, Savvas
AU - Thomas, Scott G.
AU - Demir, Sebahattin
AU - Awad, Selmy S.
AU - Atici, Semra Demirli
AU - Chooklin, Serge
AU - Meric, Serhat
AU - Sarıkaya, Sevcan
AU - Chowdhury, Sharfuddin
AU - Mirghani, Shaza Faycal
AU - Wren, Sherry M.
AU - Gargarella, Simone
AU - Del Monte, Simone Rossi
AU - Esposito, Sofia
AU - Xenaki, Sofia
AU - Mohamed, Soliman Fayez Ghedan
AU - Beka, Solomon Gurmu
AU - Lunca, Sorinel
AU - Delis, Spiros G.
AU - Dritsas, Spyridon
AU - Morarasu, Stefan
AU - Magnone, Stefano
AU - Rossi, Stefano
AU - Bitsianis, Stefanos
AU - Kykalos, Stylianos
AU - Baral, Suman
AU - Jain, Sumita A.
AU - Ali, Syed Muhammad
AU - Pintar, Tadeja
AU - Triantafyllou, Tania
AU - Delko, Tarik
AU - Perra, Teresa
AU - Sidiropoulos, Theodoros A.
AU - Scalea, Thomas M.
AU - Vilz, Tim Oliver
AU - Hardcastle, Timothy Craig
AU - Wannatoop, Tongporn
AU - Herzog, Torsten
AU - Mishra, Tushar Subhadarshan
AU - Boggi, Ugo
AU - Calu, Valentin
AU - Tomajer, Valentina
AU - Agnoletti, Vanni
AU - Lohsiriwat, Varut
AU - Kong, Victor
AU - Muñoz-Cruzado, Virginia Durán
AU - Shelat, Vishal G.
AU - Khokha, Vladimir
AU - Ghannam, Wagih Mommtaz
AU - Biffl, Walter L.
AU - Zuidema, Wietse
AU - Kara, Yasin
AU - Kobe, Yoshiro
AU - Demetrashvili, Zaza
AU - Memish, Ziad A.
AU - Madrazo, Zoilo
AU - Balogh, Zsolt J.
AU - Bayhan, Zulfu
N1 - Publisher Copyright: © 2022, The Author(s).
PY - 2022/12
Y1 - 2022/12
N2 - Background: The SARS-CoV-2 pandemic is still ongoing and a major challenge for health care services worldwide. In the first WSES COVID-19 emergency surgery survey, a strong negative impact on emergency surgery (ES) had been described already early in the pandemic situation. However, the knowledge is limited about current effects of the pandemic on patient flow through emergency rooms, daily routine and decision making in ES as well as their changes over time during the last two pandemic years. This second WSES COVID-19 emergency surgery survey investigates the impact of the SARS-CoV-2 pandemic on ES during the course of the pandemic. Methods: A web survey had been distributed to medical specialists in ES during a four-week period from January 2022, investigating the impact of the pandemic on patients and septic diseases both requiring ES, structural problems due to the pandemic and time-to-intervention in ES routine. Results: 367 collaborators from 59 countries responded to the survey. The majority indicated that the pandemic still significantly impacts on treatment and outcome of surgical emergency patients (83.1% and 78.5%, respectively). As reasons, the collaborators reported decreased case load in ES (44.7%), but patients presenting with more prolonged and severe diseases, especially concerning perforated appendicitis (62.1%) and diverticulitis (57.5%). Otherwise, approximately 50% of the participants still observe a delay in time-to-intervention in ES compared with the situation before the pandemic. Relevant causes leading to enlarged time-to-intervention in ES during the pandemic are persistent problems with in-hospital logistics, lacks in medical staff as well as operating room and intensive care capacities during the pandemic. This leads not only to the need for triage or transferring of ES patients to other hospitals, reported by 64.0% and 48.8% of the collaborators, respectively, but also to paradigm shifts in treatment modalities to non-operative approaches reported by 67.3% of the participants, especially in uncomplicated appendicitis, cholecystitis and multiple-recurrent diverticulitis. Conclusions: The SARS-CoV-2 pandemic still significantly impacts on care and outcome of patients in ES. Well-known problems with in-hospital logistics are not sufficiently resolved by now; however, medical staff shortages and reduced capacities have been dramatically aggravated over last two pandemic years.
AB - Background: The SARS-CoV-2 pandemic is still ongoing and a major challenge for health care services worldwide. In the first WSES COVID-19 emergency surgery survey, a strong negative impact on emergency surgery (ES) had been described already early in the pandemic situation. However, the knowledge is limited about current effects of the pandemic on patient flow through emergency rooms, daily routine and decision making in ES as well as their changes over time during the last two pandemic years. This second WSES COVID-19 emergency surgery survey investigates the impact of the SARS-CoV-2 pandemic on ES during the course of the pandemic. Methods: A web survey had been distributed to medical specialists in ES during a four-week period from January 2022, investigating the impact of the pandemic on patients and septic diseases both requiring ES, structural problems due to the pandemic and time-to-intervention in ES routine. Results: 367 collaborators from 59 countries responded to the survey. The majority indicated that the pandemic still significantly impacts on treatment and outcome of surgical emergency patients (83.1% and 78.5%, respectively). As reasons, the collaborators reported decreased case load in ES (44.7%), but patients presenting with more prolonged and severe diseases, especially concerning perforated appendicitis (62.1%) and diverticulitis (57.5%). Otherwise, approximately 50% of the participants still observe a delay in time-to-intervention in ES compared with the situation before the pandemic. Relevant causes leading to enlarged time-to-intervention in ES during the pandemic are persistent problems with in-hospital logistics, lacks in medical staff as well as operating room and intensive care capacities during the pandemic. This leads not only to the need for triage or transferring of ES patients to other hospitals, reported by 64.0% and 48.8% of the collaborators, respectively, but also to paradigm shifts in treatment modalities to non-operative approaches reported by 67.3% of the participants, especially in uncomplicated appendicitis, cholecystitis and multiple-recurrent diverticulitis. Conclusions: The SARS-CoV-2 pandemic still significantly impacts on care and outcome of patients in ES. Well-known problems with in-hospital logistics are not sufficiently resolved by now; however, medical staff shortages and reduced capacities have been dramatically aggravated over last two pandemic years.
KW - Appendicitis
KW - COVID-19
KW - Capacity
KW - Emergency
KW - Emergency surgery
KW - Pandemic
KW - Quarantine
KW - SARS-CoV-2
KW - Time to intervention
KW - WSES
UR - http://www.scopus.com/inward/record.url?scp=85132144052&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85132144052&partnerID=8YFLogxK
U2 - 10.1186/s13017-022-00424-0
DO - 10.1186/s13017-022-00424-0
M3 - Article
C2 - 35710386
AN - SCOPUS:85132144052
SN - 1749-7922
VL - 17
JO - World Journal of Emergency Surgery
JF - World Journal of Emergency Surgery
IS - 1
M1 - 34
ER -