Evidence map›Paper›PMID 33971054›Full record

ArticlePaediatric anaesthesia2021

The COVID-19 pandemic first wave in Sweden: A national registry study of the effects on pediatric anesthesia and surgery.

Sixten Melander, Jimmy Almström, Gunnar Enlund, Peter Frykholm

Open access · bronzeAbstract read
In one paragraph

Article in Paediatric anaesthesia, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.9field-weighted citation impact, top 23% 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

8 citing papers in PubMed, 13 citations in OpenAlex.

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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

4 authors at 1 institution in 1 country.

Sixten MelanderDepartment of Surgical Sciences, Section of Anaesthesia and Intensive Care Medicine, Uppsala University, Uppsala, Sweden.
Jimmy AlmströmDepartment of Surgical Sciences, Section of Anaesthesia and Intensive Care Medicine, Uppsala University, Uppsala, Sweden.
Gunnar EnlundDepartment of Surgical Sciences, Section of Anaesthesia and Intensive Care Medicine, Uppsala University, Uppsala, Sweden.ORCID 0000-0001-9438-3644
Peter FrykholmDepartment of Surgical Sciences, Section of Anaesthesia and Intensive Care Medicine, Uppsala University, Uppsala, Sweden.ORCID 0000-0001-6402-136X
Uppsala University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic is pushing healthcare systems to their limits. Dramatic reductions in the adult elective surgery are ubiquitous, but corresponding changes in pediatric services are not well described. The Swedish Perioperative Registry contains data on all anesthetic procedures in Sweden, and therefore, provides a unique opportunity to analyze the effect of the pandemic on the pediatric anesthesia capacity on a national level. We hypothesized that there would be a significant reduction in pediatric elective procedures. The aim was to determine the effects on pediatric surgical and anesthetic services during the first wave of the COVID-19 pandemic in Sweden.

methodsFor this retrospective registry cohort study, we extracted all procedures performed on patients <18 years of age in 2020 and 2019. Weeks 12 to 26 of 2020 were defined as the first wave, and data were analyzed according to level of care, type of surgery, procedure code, and emergency or elective surgery.

resultsWe found 7015 fewer procedures during the first wave epoch. Elective cases were reduced by 53.7% while emergency surgery was not significantly affected. During the peak of the first wave in April, there was a 72.8% reduction in elective cases; ENT/maxillofacial surgery showed the greatest reduction (86.7%). The surgical and anesthesia capacity recovered to near-normal levels by the end of June 2020.

conclusionWe conclude that the impact of COVID-19 on pediatric surgical procedures in Sweden during the first wave of the pandemic was dramatic, but elective services were restored a few months after the peak.

Indexed as

AnesthesiaCOVID-19AdultChildCohort StudiesElective Surgical ProceduresHumansPandemicsRegistriesRetrospective StudiesSARS-CoV-2SwedenCOVID-19general surgeryorthopedic surgerypediatric hospitalsworkload

Identifiers

PMID33971054
PMCPMC8242453
OpenAlexW3160023802

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.