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About:
The impact of COVID-19 on the plastic surgery activity in a high-complexity university hospital in Brazil: the importance of reconstructive plastic surgery during the pandemic
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An Entity of Type :
schema:ScholarlyArticle
, within Data Space :
covidontheweb.inria.fr
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Type:
Academic Article
research paper
schema:ScholarlyArticle
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type
Academic Article
research paper
schema:ScholarlyArticle
isDefinedBy
Covid-on-the-Web dataset
has title
The impact of COVID-19 on the plastic surgery activity in a high-complexity university hospital in Brazil: the importance of reconstructive plastic surgery during the pandemic
Creator
Abbas, Laielly
Baptista Do Nascimento, Bruno
Camargo, Cristina
De Freitas Busnardo, Fabio
Gemperli, Rolf
Goldenberg, Dov
Gomes, Gustavo
Lobato, Rodolfo
Monteiro, Ribeiro
Pagotto, Figueiredo
Penteado, Vitor
Source
Medline; PMC
abstract
BACKGROUND: The Hospital das Clínicas - University of Sao Paulo Medical School (HCFMUSP) is the largest university hospital complex in Brazil. HCFMUSP has been converted into a reference center for coronavirus disease 2019. The Division of Plastic Surgery postponed non-essential surgeries and outpatient consultations, accomplishing new guidelines (ANG) of national and international organizations. Even with these challenges arising from the pandemic, alternatives were considered to maintain institutional characteristics. This study aims to analyze this new scenario and the impact on patients’ assistance and Plastic Surgery residents training. METHODS: Total number of surgeries, type of procedures, and outpatient consultations in 2020, before (pre-ANG) and after (post-ANG) ANG, were compared with the same period in 2019 (2019-pre and 2020-post). RESULTS: A marked reduction in the total number of surgeries and outpatient consultations was observed in the post-ANG period. In the post-ANG period, 267 operations were performed (26.7 ± 20.3/week), while in the 2019-post period, 1036 surgeries were performed (103.6 ± 9.7/week) (p = 0.0002). Similarly, 1571 consultations were conducted in the post-ANG period (157.1 ± 93.6/week), while in the 2019-post period, 3907 were performed (390.7 ± 43.1/week) (p = 0.0003). However, in the post-ANG period, an increase in the proportion of reconstructive compared with aesthetic surgery was observed. The maintenance of highly complex procedures such as microsurgical transplants was also identified. CONCLUSIONS: The predominant profile of reconstructive surgeries at the Division of Plastic Surgery allowed the continuity of procedures at all technical complexity levels, patient care maintenance, and Plastic Surgery residents training. Level of evidence: not ratable
has issue date
2020-08-21
(
xsd:dateTime
)
bibo:doi
10.1007/s00238-020-01729-6
bibo:pmid
32843821
has license
no-cc
sha1sum (hex)
16b7aecf4632c214a0d4719172aa7b218fc1dff0
schema:url
https://doi.org/10.1007/s00238-020-01729-6
resource representing a document's title
The impact of COVID-19 on the plastic surgery activity in a high-complexity university hospital in Brazil: the importance of reconstructive plastic surgery during the pandemic
has PubMed Central identifier
PMC7440965
has PubMed identifier
32843821
schema:publication
Eur J Plast Surg
resource representing a document's body
covid:16b7aecf4632c214a0d4719172aa7b218fc1dff0#body_text
is
schema:about
of
named entity 'outpatient'
named entity 'operations'
named entity '2019'
named entity 'This'
named entity 'international organizations'
named entity 'predominant'
named entity 'postponed'
named entity 'national'
named entity 'coronavirus disease 2019'
named entity 'ANG'
named entity 'THESE'
named entity 'NEW'
named entity 'complexity'
named entity 'Brazil'
named entity 'care'
named entity 'performed'
named entity 'compared'
named entity 'Sao Paulo'
named entity '2019'
named entity 'outpatient'
named entity 'period'
named entity 'observed'
named entity 'Plastic Surgery'
named entity 'Plastic Surgery'
named entity 'patient care'
named entity 'Plastic Surgery'
named entity 'university hospital'
named entity 'reconstructive plastic surgery'
named entity 'university hospital'
named entity 'COVID-19'
named entity 'Brazil'
named entity 'procedures'
named entity 'number'
named entity 'Plastic Surgery'
named entity 'Stata'
named entity 'Wuhan'
named entity 'ICU'
named entity 'COVID-19'
named entity 'facial trauma'
named entity 'COVID-19 pandemic'
named entity 'prone position'
named entity 'COVID'
named entity 'melanomas'
named entity 'surgical treatment'
named entity 'COVID-19'
named entity 'COVID'
named entity 'Ethics'
named entity '95% confidence interval'
named entity 'COVID-19'
named entity 'Taiwan'
named entity '19.5'
named entity 'reconstructive surgeries'
named entity 'WHO'
named entity 'oncological'
named entity 'Greater São Paulo'
named entity 'plastic surgery'
named entity 'reconstructive surgeries'
named entity 'COVID-19'
named entity 'infection'
named entity 'SARS-CoV-2'
named entity 'medical training'
named entity 'facial trauma'
named entity 'Brazil'
named entity 'infection'
named entity 'Coronaviruses'
named entity 'post-operative'
named entity 'pressure injuries'
named entity 'elective procedures'
named entity 'pathogen'
named entity 'coronavirus disease 2019'
named entity 'WHO'
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