About: Continuing our work: transplant surgery and surgical oncology in a tertiary referral COVID-19 center

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About: Continuing our work: transplant surgery and surgical oncology in a tertiary referral COVID-19 center Goto Sponge NotDistinct Permalink

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	Continuing our work: transplant surgery and surgical oncology in a tertiary referral COVID-19 center
Creator	Antonini, Mario Battista, Giovanni Colasanti, Marco Roberto, · Sandri, Levi Berardi, Giammauro Del Basso, Celeste Ferretti, Stefano Guglielmo, Nicola Laurenzi, Andrea Meniconi, Luca Ettorre, Maria Gianpiero D'offizi, · Giuseppe, ·
Source	Medline; PMC
abstract	COVID-19 is rapidly spreading worldwide. Healthcare systems are struggling to properly allocate resources while ensuring cure for diseases outside of the infection. The aim of this study was to demonstrate how surgical activity was affected by the virus outbreak and show the changes in practice in a tertiary referral COVID-19 center. The official bulletins of the Italian National Institute for the Infectious Diseases “L. Spallanzani” were reviewed to retrieve the number of daily COVID-19 patients. Records of consecutive oncological and transplant procedures performed during the outbreak were reviewed. Patients with a high probability of postoperative intensive care unit (ICU) admission were considered as high risk and defined by an ASA score ≥ III and/or a Charlson Comorbidity Index (CCI) ≥ 6 and/or a Revised Cardiac Risk Index for Preoperative Risk (RCRI) ≥ 3. 72 patients were operated, including 12 (16.6%) liver and kidney transplantations. Patients had few comorbidities (26.3%), low ASA score (1.9 ± 0.5), CCI (3.7 ± 1.3), and RCRI (1.2 ± 0.6) and had overall a low risk of postoperative ICU admission. Few patients had liver cirrhosis (12.5%) or received preoperative systemic therapy (16.6%). 36 (50%) high-risk surgical procedures were performed, including major hepatectomies, pancreaticoduodenectomies, total gastrectomies, multivisceral resections, and transplantations. Despite this, only 15 patients (20.8%) were admitted to the ICU. Only oncologic cases and transplantations were performed during the COVID-19 outbreak. Careful selection of patients allowed to perform major cancer surgeries and transplantations without further stressing hospital resources, meanwhile minimizing collateral damage to patients.
has issue date	2020-06-04(xsd:dateTime)
bibo:doi	10.1007/s13304-020-00825-3
bibo:pmid	32500431
has license	no-cc
sha1sum (hex)	5e77fcdf564fc8bcfd67baca4d4b8128020d055e
schema:url	https://doi.org/10.1007/s13304-020-00825-3
resource representing a document's title	Continuing our work: transplant surgery and surgical oncology in a tertiary referral COVID-19 center
has PubMed Central identifier	PMC7271142
has PubMed identifier	32500431
schema:publication	Updates Surg
resource representing a document's body	covid:5e77fcdf564fc8bcfd67baca4d4b8128020d055e#body_text
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