About: Transforming a surgical department during the outbreak of new coronavirus pandemic. Clinical implications

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An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Transforming a surgical department during the outbreak of new coronavirus pandemic. Clinical implications
Creator	Vilallonga, Ramon Ruiz De Gordejuela, Garcia Amador, & Carrasco, Armengol Cossio-Gil, Yolima Manel, & Manuel Domínguez González, José Martín Sánchez, Rocio
Source	Medline; PMC
abstract	BACKGROUND: The 2019 novel coronavirus (2019-nCoV) has caused an outbreak of the disease now officially named coronavirus disease 2019 (COVID-19). Since then, all hospitals have required a complete restructuring of their usual facilities and the treatments provided. Our goal was to detail the remodeling of a tertiary hospital during the COVID-19 outbreak and analyze pitfalls to avoid increasing surgical department burdens. METHODS: This was a retrospective analysis of data affecting patients during their admission in our institution during March 2020. Data from general admission, intensive care units, and elective and emergency surgeries were collected and analyzed. All patients who underwent a surgical procedure were reviewed to elucidate limitations in the deployment of the hospital transformation to a COVID-19 hospital. RESULTS: A total of 688 patients have been treated in our institution. Of those, 186 required intensive care. More than 120 new intensive care beds have been created during this period, and a decrease in elective surgeries of more than 75% was observed. Inadvertent COVID-19 patients accounted for 70%. Thirty percent of the patients who underwent surgery while infected with COVID-19 died in our institution. CONCLUSIONS: The complete reorganization of surgical departments will be requested during the outbreak and adaptive solutions are needed in order to avoid increased mortality rates and infection among patients and to promote maximal optimization of surgical spaces. Timing, governmental decisions, and scientific society’s recommendations may be limitations in the efficient deployment of hospital transformations to COVID-19 facilities.
has issue date	2020-08-06(xsd:dateTime)
bibo:doi	10.1007/s00423-020-01931-x
bibo:pmid	32761374
has license	no-cc
sha1sum (hex)	0ba75e5c8913e663362d63eece9349c21007031c
schema:url	https://doi.org/10.1007/s00423-020-01931-x
resource representing a document's title	Transforming a surgical department during the outbreak of new coronavirus pandemic. Clinical implications
has PubMed Central identifier	PMC7408973
has PubMed identifier	32761374
schema:publication	Langenbecks Arch Surg
resource representing a document's body	covid:0ba75e5c8913e663362d63eece9349c21007031c#body_text
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