Serveur d'exploration sur la COVID en France

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Surgical activity during the Covid-19 pandemic: Results for 112 patients in a French tertiary care center, a quality improvement study.

Identifieur interne : 000547 ( Main/Exploration ); précédent : 000546; suivant : 000548

Surgical activity during the Covid-19 pandemic: Results for 112 patients in a French tertiary care center, a quality improvement study.

Auteurs : P. Philouze [France] ; M. Cortet [France] ; D. Quattrone [France] ; P. Céruse [France] ; F. Aubrun [France] ; G. Dubernard [France] ; J Y Mabrut [France] ; M C Delignette [France] ; K. Mohkam [France]

Source :

RBID : pubmed:32693151

Descripteurs français

English descriptors

Abstract

BACKGROUND

After the emergence of Covid-19 in China, Hubei Province, the epidemic quickly spread to Europe. France was quickly hit and our institution was one of the first French university to receive patients infected with Sars-COV2. The predicted massive influx of patients motivated the cancellation of all elective surgical procedures planned to free hospitalization beds and to free intensive care beds. Nevertheless, we should properly select patients who will be canceled to avoid life-threatening. The retained surgical indications are surgical emergencies, oncologic surgery, and organ transplantation.

MATERIAL AND METHODS

We describe the organization of our institution which allows the continuation of these surgical activities while limiting the exposure of our patients to the Sars Cov2.

RESULTS

After 4 weeks of implementation of intra-hospital protocols for the control of the Covid-19 epidemic, 112 patients were operated on (104 oncology or emergency surgeries and 8 liver transplants). Only one case of post-operative contamination was observed. No mortality related to Covid-19 was noted. No cases of contamination of surgical care personnel have been reported.

CONCLUSION

We found that the performance of oncological or emergency surgery is possible, safe for both patients and caregivers.


DOI: 10.1016/j.ijsu.2020.07.023
PubMed: 32693151
PubMed Central: PMC7368406


Affiliations:


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<term>Adult (MeSH)</term>
<term>Aged (MeSH)</term>
<term>Aged, 80 and over (MeSH)</term>
<term>Betacoronavirus (MeSH)</term>
<term>Clinical Laboratory Techniques (MeSH)</term>
<term>Coronavirus Infections (diagnosis)</term>
<term>Coronavirus Infections (epidemiology)</term>
<term>Coronavirus Infections (prevention & control)</term>
<term>Digestive System Surgical Procedures (MeSH)</term>
<term>Elective Surgical Procedures (methods)</term>
<term>Emergencies (MeSH)</term>
<term>Female (MeSH)</term>
<term>France (epidemiology)</term>
<term>Gynecologic Surgical Procedures (MeSH)</term>
<term>Health Facilities (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Liver Transplantation (methods)</term>
<term>Lung (diagnostic imaging)</term>
<term>Male (MeSH)</term>
<term>Mass Screening (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Otorhinolaryngologic Surgical Procedures (MeSH)</term>
<term>Pandemics (prevention & control)</term>
<term>Pneumonia, Viral (diagnosis)</term>
<term>Pneumonia, Viral (epidemiology)</term>
<term>Pneumonia, Viral (prevention & control)</term>
<term>Quality Improvement (MeSH)</term>
<term>Real-Time Polymerase Chain Reaction (MeSH)</term>
<term>Retrospective Studies (MeSH)</term>
<term>Surgery Department, Hospital (organization & administration)</term>
<term>Surgical Procedures, Operative (methods)</term>
<term>Tertiary Care Centers (MeSH)</term>
<term>Tomography, X-Ray Computed (MeSH)</term>
</keywords>
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<term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Amélioration de la qualité (MeSH)</term>
<term>Betacoronavirus (MeSH)</term>
<term>Centres de soins tertiaires (MeSH)</term>
<term>Département hospitalier de chirurgie (organisation et administration)</term>
<term>Dépistage de masse (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>France (épidémiologie)</term>
<term>Humains (MeSH)</term>
<term>Infections à coronavirus (diagnostic)</term>
<term>Infections à coronavirus (prévention et contrôle)</term>
<term>Infections à coronavirus (épidémiologie)</term>
<term>Interventions chirurgicales non urgentes (méthodes)</term>
<term>Mâle (MeSH)</term>
<term>Pandémies (prévention et contrôle)</term>
<term>Pneumopathie virale (diagnostic)</term>
<term>Pneumopathie virale (prévention et contrôle)</term>
<term>Pneumopathie virale (épidémiologie)</term>
<term>Poumon (imagerie diagnostique)</term>
<term>Procédures de chirurgie digestive (MeSH)</term>
<term>Procédures de chirurgie gynécologique (MeSH)</term>
<term>Procédures de chirurgie opératoire (méthodes)</term>
<term>Procédures de chirurgie oto-rhino-laryngologique (MeSH)</term>
<term>Réaction de polymérisation en chaine en temps réel (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Sujet âgé de 80 ans ou plus (MeSH)</term>
<term>Techniques de laboratoire clinique (MeSH)</term>
<term>Tomodensitométrie (MeSH)</term>
<term>Transplantation hépatique (méthodes)</term>
<term>Urgences (MeSH)</term>
<term>Établissements de santé (MeSH)</term>
<term>Études rétrospectives (MeSH)</term>
</keywords>
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<term>France</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en">
<term>Coronavirus Infections</term>
<term>Pneumonia, Viral</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr">
<term>Infections à coronavirus</term>
<term>Pneumopathie virale</term>
</keywords>
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<term>Lung</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en">
<term>Coronavirus Infections</term>
<term>Pneumonia, Viral</term>
</keywords>
<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr">
<term>Poumon</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Elective Surgical Procedures</term>
<term>Liver Transplantation</term>
<term>Surgical Procedures, Operative</term>
</keywords>
<keywords scheme="MESH" qualifier="méthodes" xml:lang="fr">
<term>Interventions chirurgicales non urgentes</term>
<term>Procédures de chirurgie opératoire</term>
<term>Transplantation hépatique</term>
</keywords>
<keywords scheme="MESH" qualifier="organisation et administration" xml:lang="fr">
<term>Département hospitalier de chirurgie</term>
</keywords>
<keywords scheme="MESH" qualifier="organization & administration" xml:lang="en">
<term>Surgery Department, Hospital</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en">
<term>Coronavirus Infections</term>
<term>Pandemics</term>
<term>Pneumonia, Viral</term>
</keywords>
<keywords scheme="MESH" qualifier="prévention et contrôle" xml:lang="fr">
<term>Infections à coronavirus</term>
<term>Pandémies</term>
<term>Pneumopathie virale</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr">
<term>France</term>
<term>Infections à coronavirus</term>
<term>Pneumopathie virale</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Betacoronavirus</term>
<term>Clinical Laboratory Techniques</term>
<term>Digestive System Surgical Procedures</term>
<term>Emergencies</term>
<term>Female</term>
<term>Gynecologic Surgical Procedures</term>
<term>Health Facilities</term>
<term>Humans</term>
<term>Male</term>
<term>Mass Screening</term>
<term>Middle Aged</term>
<term>Otorhinolaryngologic Surgical Procedures</term>
<term>Quality Improvement</term>
<term>Real-Time Polymerase Chain Reaction</term>
<term>Retrospective Studies</term>
<term>Tertiary Care Centers</term>
<term>Tomography, X-Ray Computed</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Amélioration de la qualité</term>
<term>Betacoronavirus</term>
<term>Centres de soins tertiaires</term>
<term>Dépistage de masse</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mâle</term>
<term>Procédures de chirurgie digestive</term>
<term>Procédures de chirurgie gynécologique</term>
<term>Procédures de chirurgie oto-rhino-laryngologique</term>
<term>Réaction de polymérisation en chaine en temps réel</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Techniques de laboratoire clinique</term>
<term>Tomodensitométrie</term>
<term>Urgences</term>
<term>Établissements de santé</term>
<term>Études rétrospectives</term>
</keywords>
<keywords scheme="Wicri" type="geographic" xml:lang="fr">
<term>France</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<p>
<b>BACKGROUND</b>
</p>
<p>After the emergence of Covid-19 in China, Hubei Province, the epidemic quickly spread to Europe. France was quickly hit and our institution was one of the first French university to receive patients infected with Sars-COV2. The predicted massive influx of patients motivated the cancellation of all elective surgical procedures planned to free hospitalization beds and to free intensive care beds. Nevertheless, we should properly select patients who will be canceled to avoid life-threatening. The retained surgical indications are surgical emergencies, oncologic surgery, and organ transplantation.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>MATERIAL AND METHODS</b>
</p>
<p>We describe the organization of our institution which allows the continuation of these surgical activities while limiting the exposure of our patients to the Sars Cov2.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>After 4 weeks of implementation of intra-hospital protocols for the control of the Covid-19 epidemic, 112 patients were operated on (104 oncology or emergency surgeries and 8 liver transplants). Only one case of post-operative contamination was observed. No mortality related to Covid-19 was noted. No cases of contamination of surgical care personnel have been reported.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSION</b>
</p>
<p>We found that the performance of oncological or emergency surgery is possible, safe for both patients and caregivers.</p>
</div>
</front>
</TEI>
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<DateCompleted>
<Year>2020</Year>
<Month>08</Month>
<Day>27</Day>
</DateCompleted>
<DateRevised>
<Year>2020</Year>
<Month>08</Month>
<Day>27</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Electronic">1743-9159</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>80</Volume>
<PubDate>
<Year>2020</Year>
<Month>Aug</Month>
</PubDate>
</JournalIssue>
<Title>International journal of surgery (London, England)</Title>
<ISOAbbreviation>Int J Surg</ISOAbbreviation>
</Journal>
<ArticleTitle>Surgical activity during the Covid-19 pandemic: Results for 112 patients in a French tertiary care center, a quality improvement study.</ArticleTitle>
<Pagination>
<MedlinePgn>194-201</MedlinePgn>
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<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.ijsu.2020.07.023</ELocationID>
<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">After the emergence of Covid-19 in China, Hubei Province, the epidemic quickly spread to Europe. France was quickly hit and our institution was one of the first French university to receive patients infected with Sars-COV2. The predicted massive influx of patients motivated the cancellation of all elective surgical procedures planned to free hospitalization beds and to free intensive care beds. Nevertheless, we should properly select patients who will be canceled to avoid life-threatening. The retained surgical indications are surgical emergencies, oncologic surgery, and organ transplantation.</AbstractText>
<AbstractText Label="MATERIAL AND METHODS" NlmCategory="METHODS">We describe the organization of our institution which allows the continuation of these surgical activities while limiting the exposure of our patients to the Sars Cov2.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">After 4 weeks of implementation of intra-hospital protocols for the control of the Covid-19 epidemic, 112 patients were operated on (104 oncology or emergency surgeries and 8 liver transplants). Only one case of post-operative contamination was observed. No mortality related to Covid-19 was noted. No cases of contamination of surgical care personnel have been reported.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">We found that the performance of oncological or emergency surgery is possible, safe for both patients and caregivers.</AbstractText>
<CopyrightInformation>Copyright © 2020 IJS Publishing Group Ltd. Published by Elsevier Ltd. All rights reserved.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y">
<Author ValidYN="Y">
<LastName>Philouze</LastName>
<ForeName>P</ForeName>
<Initials>P</Initials>
<AffiliationInfo>
<Affiliation>Head and Neck Department, Groupement Hospitalier Nord, Hospices Civils de Lyon, Lyon 1 University 103 Grande Rue de La Croix-Rousse, 69004, Lyon, France. Electronic address: pierre.philouze@chu-lyon.fr.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Cortet</LastName>
<ForeName>M</ForeName>
<Initials>M</Initials>
<AffiliationInfo>
<Affiliation>Gynecology and Obstetrics Department, Groupement Hospitalier Nord, Hospices Civils de Lyon, Lyon 1 University 103 Grande Rue de La Croix-Rousse, 69004, Lyon, France. Electronic address: marion.cortet@chu-lyon.fr.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Quattrone</LastName>
<ForeName>D</ForeName>
<Initials>D</Initials>
<AffiliationInfo>
<Affiliation>Department of Anesthesiology and Critical Care, Groupement Hospitalier Nord, Hospices Civils de Lyon, Lyon 1 University 103 Grande Rue de La Croix-Rousse, 69004, Lyon, France. Electronic address: diego.quattrone@chu-lyon.fr.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Céruse</LastName>
<ForeName>P</ForeName>
<Initials>P</Initials>
<AffiliationInfo>
<Affiliation>Head and Neck Department, Groupement Hospitalier Nord, Hospices Civils de Lyon, Lyon 1 University 103 Grande Rue de La Croix-Rousse, 69004, Lyon, France. Electronic address: philippe.ceruse@chu-lyon.fr.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Aubrun</LastName>
<ForeName>F</ForeName>
<Initials>F</Initials>
<AffiliationInfo>
<Affiliation>Department of Anesthesiology and Critical Care, Groupement Hospitalier Nord, Hospices Civils de Lyon, Lyon 1 University 103 Grande Rue de La Croix-Rousse, 69004, Lyon, France. Electronic address: frederic.aubrun@chu-lyon.fr.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Dubernard</LastName>
<ForeName>G</ForeName>
<Initials>G</Initials>
<AffiliationInfo>
<Affiliation>Gynecology and Obstetrics Department, Groupement Hospitalier Nord, Hospices Civils de Lyon, Lyon 1 University 103 Grande Rue de La Croix-Rousse, 69004, Lyon, France. Electronic address: gil.dubernard@chu-lyon.fr.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Mabrut</LastName>
<ForeName>J Y</ForeName>
<Initials>JY</Initials>
<AffiliationInfo>
<Affiliation>Department of General Surgery and Liver Transplantation, Groupement Hospitalier Nord, Hospices Civils de Lyon, Lyon 1 University, INSERM Unit 1052 / CNRS 5286 103 Grande Rue de La Croix-Rousse, 69004, Lyon, France. Electronic address: jean-yves.mabrut@chu-lyon.fr.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Delignette</LastName>
<ForeName>M C</ForeName>
<Initials>MC</Initials>
<AffiliationInfo>
<Affiliation>Department of Anesthesiology and Critical Care, Groupement Hospitalier Nord, Hospices Civils de Lyon, Lyon 1 University 103 Grande Rue de La Croix-Rousse, 69004, Lyon, France. Electronic address: marie-charlotte.delignette@chu-lyon.fr.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Mohkam</LastName>
<ForeName>K</ForeName>
<Initials>K</Initials>
<AffiliationInfo>
<Affiliation>Department of General Surgery and Liver Transplantation, Groupement Hospitalier Nord, Hospices Civils de Lyon, Lyon 1 University, INSERM Unit 1052 / CNRS 5286 103 Grande Rue de La Croix-Rousse, 69004, Lyon, France. Electronic address: kayvan.mohkam@chu-lyon.fr.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList>
<PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic">
<Year>2020</Year>
<Month>07</Month>
<Day>18</Day>
</ArticleDate>
</Article>
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<Country>England</Country>
<MedlineTA>Int J Surg</MedlineTA>
<NlmUniqueID>101228232</NlmUniqueID>
<ISSNLinking>1743-9159</ISSNLinking>
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<SupplMeshName Type="Protocol" UI="C000657964">COVID-19 diagnostic testing</SupplMeshName>
<SupplMeshName Type="Organism" UI="C000656484">severe acute respiratory syndrome coronavirus 2</SupplMeshName>
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<CitationSubset>IM</CitationSubset>
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<DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D000073640" MajorTopicYN="N">Betacoronavirus</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D019411" MajorTopicYN="N">Clinical Laboratory Techniques</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D018352" MajorTopicYN="N">Coronavirus Infections</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
<QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName>
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<QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName>
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<MeshHeading>
<DescriptorName UI="D004630" MajorTopicYN="N">Emergencies</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D005602" MajorTopicYN="N" Type="Geographic">France</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
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<MeshHeading>
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</MeshHeading>
<MeshHeading>
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<QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName>
</MeshHeading>
<MeshHeading>
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<DescriptorName UI="D060888" MajorTopicYN="N">Real-Time Polymerase Chain Reaction</DescriptorName>
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