Evidence map›Paper›PMID 33136190›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2021

Effects of COVID-19 pandemic on general surgical emergencies: are some emergencies really urgent? Level 1 trauma center experience.

Ahmet Surek, Sina Ferahman, Eyup Gemici, Ahmet Cem Dural, Turgut Donmez, Mehmet Karabulut

Open access · bronzeAbstract read
In one paragraph

Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
3.7field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 56 citations in OpenAlex.

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  17. Impact of the COVID-19 pandemic on emergency general surgery outcomes: A single-center retrospective cohort study.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2022
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  20. The effects of COVID-19 pandemic on emergency anterior abdominal wall hernia surgery: is it safe to postpone elective hernia surgery in the pandemic?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Ahmet SurekDepartment of General Surgery, Turkish Ministry of Health, University of Health Sciences (UHS), Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Building A, Level 4, Tevfik Saglam Cad. Nr:11, Bakirkoy, Istanbul, Turkey. ahmetsurek82@hotmail.com.ORCID http://orcid.org/0000-0002-5950-1067
Sina FerahmanDepartment of General Surgery, Turkish Ministry of Health, University of Health Sciences (UHS), Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Building A, Level 4, Tevfik Saglam Cad. Nr:11, Bakirkoy, Istanbul, Turkey.
Eyup GemiciDepartment of General Surgery, Turkish Ministry of Health, University of Health Sciences (UHS), Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Building A, Level 4, Tevfik Saglam Cad. Nr:11, Bakirkoy, Istanbul, Turkey.
Ahmet Cem DuralDepartment of General Surgery, Turkish Ministry of Health, University of Health Sciences (UHS), Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Building A, Level 4, Tevfik Saglam Cad. Nr:11, Bakirkoy, Istanbul, Turkey.
Turgut DonmezDepartment of General Surgery, Turkish Ministry of Health, University of Health Sciences (UHS), Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Building A, Level 4, Tevfik Saglam Cad. Nr:11, Bakirkoy, Istanbul, Turkey.
Mehmet KarabulutDepartment of General Surgery, Turkish Ministry of Health, University of Health Sciences (UHS), Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Building A, Level 4, Tevfik Saglam Cad. Nr:11, Bakirkoy, Istanbul, Turkey.
Ministry of Health · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this paper is to investigate the effect of COVID-19 pandemic on general surgical emergencies as well as analyzing the effectiveness of measures taken in reducing the incidence of COVID-19 in patients and healthcare professionals.

methodsPatients who underwent emergency surgery between the pandemic period of March 14th to May 15th 2020 and within the same period from the previous year were reviewed retrospectively. COVID-19 incidence in patients and health professionals working in the general surgery department during these periods was questioned.

resultsDemographic data were similar between the two time periods. The number of patients who underwent surgery in the pandemic group (n = 103) was lower than the control group (n = 252). There was a 59.1% reduction in emergency surgeries. The biggest decreases were the admissions of incarcerated hernia, uncomplicated appendicitis and acute cholecystitis (92%, 81.3%, 47.3%, respectively). During the pandemic, an increase was of patient rates who underwent surgery for complicated appendicitis and AMIO (p = 0.001, p = 0.019, respectively). The rate of mortality was higher in patients who underwent emergency surgery during pandemic (p = 0.049). The results of COVID-19 screening were positive in 6 (6/103, 5.82%) patients undergoing emergency surgery. None of the doctors working in the ward were infected with COVID-19 infection (0/20). The screening tests were positive in only two nurses working on the ward (2/24, 8.33%).

conclusionIn this and similar pandemics, we suggest that a new algorithm is necessary to approach emergencies and the results of this study can contribute to that end.

Indexed as

COVID-19Infection ControlSurgical Procedures, OperativeEmergenciesEmergency Service, HospitalFemaleGeneral SurgeryHealth Services Needs and DemandHumansIncidenceMaleMiddle AgedMortalityOccupational ExposureSARS-CoV-2Surgery Department, HospitalCOVID-19EmergencyGeneral surgeryOperation

Identifiers

PMID33136190
PMCPMC7604226
OpenAlexW3095605560

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.