GuidelineWorld journal of emergency surgery : WJES2021
The management of surgical patients in the emergency setting during COVID-19 pandemic: the WSES position paper.
Guideline in World journal of emergency surgery : WJES, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.
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Who cites it
35 citing papers in PubMed, 1 synthesis or guideline pooled it, 73 citations in OpenAlex.
- Do COVID-19 CT features vary between patients from within and outside mainland China? Findings from a meta-analysis.Frontiers in public health · 2022Pooled it
- Adverse Outcomes in Patients on Chronic Anticoagulation Therapy Undergoing Sleeve Gastrectomy Conversions: Analysis of 30,664 Patients from the MBSAQIP Database.Obesity surgery · 2026Article
- Dynamic Shifts in Respiratory Pathogens During the First Post-COVID-19 Autumn-Winter in Beijing.International journal of general medicine · 2026Article
- COVID-19 infection is a significant risk factor for death in patients presenting with acute cholecystitis: a secondary analysis of the ChoCO-W cohort study.World journal of emergency surgery : WJES · 2025Review
- Worse cholecystectomy outcomes during the COVID-19 pandemic: were staff shortages or a change in patient case-mix the culprit?Surgical endoscopy · 2024Article
- Effects of the COVID-19 pandemic on short-term postoperative outcomes for colorectal perforation: A nationwide study in Japan based on the National Clinical Database.Annals of gastroenterological surgery · 2024Article
- The Operating Room management for emergency Surgical Activity (ORSA) study: a WSES international survey.Updates in surgery · 2024Article
- Optimizing Surgical Care Amidst COVID-19: A Scoping Review of Practices and Policies.Healthcare (Basel, Switzerland) · 2023Article
- Perioperative considerations for acute appendicitis in patients with COVID-19 infection: two case reports.Annals of coloproctology · 2023Article
- Cancer management during the COVID-19 world pandemic.Cancer immunology, immunotherapy : CII · 2023Review
- Antibiotic prescribing guideline recommendations in COVID-19: a systematic survey.EClinicalMedicine · 2023Article
- How the COVID-19 pandemic affected the severity and clinical presentation of diverticulitis.Intestinal research · 2023Article
- Impact of the COVID-19 Pandemic on the Severity and Early Postoperative Outcomes of Acute Appendicitis.Cureus · 2023Article
- Evolutionary analysis of patient's morbidity and mortality in emergency surgical care during the pandemic: Retrospective comparison between first and second waves of COVID-19.Cirugia espanola · 2023Article
- The new timing in acute care surgery (new TACS) classification: a WSES Delphi consensus study.World journal of emergency surgery : WJES · 2023Article
- Impact of COVID-19 outbreak on acute gallbladder disease in the emergency department.Clinical and experimental emergency medicine · 2023Article
- Prioritizing rapid COVID-19 testing in emergency general surgery patients decreases burden of inpatient hospital admission.Trauma surgery & acute care open · 2023Article
- The ChoCO-W prospective observational global study: Does COVID-19 increase gangrenous cholecystitis?World journal of emergency surgery : WJES · 2022Observational
- Article
- Impact of COVID-19 Pandemic Lockdown on the Prognosis, Morbidity, and Mortality of Patients Undergoing Elective and Emergency Abdominal Surgery: A Retrospective Cohort Study in a Tertiary Center, Saudi Arabia.International journal of environmental research and public health · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
20 authors at 17 institutions in 8 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSince the COVID-19 pandemic has occurred, nations showed their unpreparedness to deal with a mass casualty incident of this proportion and severity, which resulted in a tremendous number of deaths even among healthcare workers. The World Society of Emergency Surgery conceived this position paper with the purpose of providing evidence-based recommendations for the management of emergency surgical patients under COVID-19 pandemic for the safety of the patient and healthcare workers.
methodA systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Review and Meta-analysis Protocols (PRISMA-P) through the MEDLINE (PubMed), Embase and SCOPUS databases. Synthesis of evidence, statements and recommendations were developed in accordance with the GRADE methodology.
resultsGiven the limitation of the evidence, the current document represents an effort to join selected high-quality articles and experts' opinion.
conclusionsThe aim of this position paper is to provide an exhaustive guidelines to perform emergency surgery in a safe and protected environment for surgical patients and for healthcare workers under COVID-19 and to offer the best management of COVID-19 patients needing for an emergency surgical treatment. We recommend screening for COVID-19 infection at the emergency department all acute surgical patients who are waiting for hospital admission and urgent surgery. The screening work-up provides a RT-PCR nasopharyngeal swab test and a baseline (non-contrast) chest CT or a chest X-ray or a lungs US, depending on skills and availability. If the COVID-19 screening is not completed we recommend keeping the patient in isolation until RT-PCR swab test result is not available, and to manage him/she such as an overt COVID patient. The management of COVID-19 surgical patients is multidisciplinary. If an immediate surgical procedure is mandatory, whether laparoscopic or via open approach, we recommend doing every effort to protect the operating room staff for the safety of the patient.
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Registered trials
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.