Surgical Support for Severe COVID-19 Patients: A Retrospective Cohort Study in a French High-Density COVID-19 Cluster.
Identifieur interne : 000548 ( Main/Exploration ); précédent : 000547; suivant : 000549Surgical Support for Severe COVID-19 Patients: A Retrospective Cohort Study in a French High-Density COVID-19 Cluster.
Auteurs : Eric Noll [France] ; Christophe Muccioli [France] ; Pierre-Olivier Ludes [France] ; Julien Pottecher [France] ; Pierre Diemunsch [France] ; Sophie Diemunsch [France] ; Anaëlle Tchentcheli [France] ; Philippe Clavert [France] ; Girish P. Joshi [États-Unis] ; Philippe A. Liverneaux [France]Source :
- Surgical innovation [ 1553-3514 ] ; 2020.
Abstract
Background. The COVID-19 epidemic has resulted in a massive surge in the need for intensive care unit (ICU) care. To avoid being overwhelmed, hospitals had to adapt and support the ICU teams in structured ICU care including involving surgical teams. This work aims at describing the collaborative efforts between the ICU care team and the Surgical Task Force (STF) during a surge of ICU activity in a University Hospital in a French high-density COVID-19 cluster. Study Design. This retrospective single center study analyzed the STF workflow and the ICU population. The study included 55 patients hospitalized in our ICU, ICU-converted step-down units, and post-anesthesia care units. The primary measure was the global daily STF activity. The secondary measure was the daily activity for each of the 5 tasks accomplished by the STF. Results. The STF attempted 415 phone calls for 55 patients' families, 237 mobilizations of patients requiring prone positions, follow-up of 20 patients requiring medevac, and contribution to ethical discussion for 2 patients. The mean (SD) daily number of successful phones calls, ethical discussions, mobilizations of patients requiring prone positions and medevac follow-up were 18 (7), .1 (.4), 10 (7), and 2 (3), respectively. No actions for discharge summaries writing were required. The maximum number of daily mobilizations for patients requiring prone positions was 25. The maximum number of daily attempted phone calls and successful phone calls were 37 and 26, respectively. Conclusion. Surgeons' technical and nontechnical skills represented an effective support for ICU teams during the COVID-19 pandemic.
DOI: 10.1177/1553350620954571
PubMed: 32877312
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wicri:level="1"><nlm:affiliation>Department of Orthopaedic and Plastic Surgery, University Hospital of Strasbourg, FMTS, University of Strasbourg, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Orthopaedic and Plastic Surgery, University Hospital of Strasbourg, FMTS, University of Strasbourg</wicri:regionArea><wicri:noRegion>University of Strasbourg</wicri:noRegion><wicri:noRegion>University of Strasbourg</wicri:noRegion></affiliation></author><author><name sortKey="Joshi, Girish P" sort="Joshi, Girish P" uniqKey="Joshi G" first="Girish P" last="Joshi">Girish P. Joshi</name><affiliation wicri:level="2"><nlm:affiliation>Department of Anesthesiology and Pain Management, 89063UT Southwestern Medical, TX, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Anesthesiology and Pain Management, 89063UT Southwestern Medical, TX</wicri:regionArea><placeName><region type="state">Texas</region></placeName></affiliation></author><author><name sortKey="Liverneaux, Philippe A" sort="Liverneaux, Philippe A" uniqKey="Liverneaux P" first="Philippe A" last="Liverneaux">Philippe A. Liverneaux</name><affiliation wicri:level="1"><nlm:affiliation>Department of Orthopaedic and Plastic Surgery, University Hospital of Strasbourg, FMTS, University of Strasbourg, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Orthopaedic and Plastic Surgery, University Hospital of Strasbourg, FMTS, University of Strasbourg</wicri:regionArea><wicri:noRegion>University of Strasbourg</wicri:noRegion><wicri:noRegion>University of Strasbourg</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32877312</idno><idno type="pmid">32877312</idno><idno type="doi">10.1177/1553350620954571</idno><idno type="wicri:Area/Main/Corpus">000253</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000253</idno><idno type="wicri:Area/Main/Curation">000253</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000253</idno><idno type="wicri:Area/Main/Exploration">000253</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Surgical Support for Severe COVID-19 Patients: A Retrospective Cohort Study in a French High-Density COVID-19 Cluster.</title><author><name sortKey="Noll, Eric" sort="Noll, Eric" uniqKey="Noll E" first="Eric" last="Noll">Eric Noll</name><affiliation wicri:level="1"><nlm:affiliation>Department of Anesthesiology and Intensive Care, Hautepierre Hospital, Strasbourg University Hospital, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Anesthesiology and Intensive Care, Hautepierre Hospital, Strasbourg University Hospital</wicri:regionArea><wicri:noRegion>Strasbourg University Hospital</wicri:noRegion><wicri:noRegion>Strasbourg University Hospital</wicri:noRegion></affiliation><affiliation wicri:level="3"><nlm:affiliation>Institut Hospitalo-Universitaire (Image-Guided Surgery), Strasbourg University, Strasbourg, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Institut Hospitalo-Universitaire (Image-Guided Surgery), Strasbourg University, Strasbourg</wicri:regionArea><placeName><region type="region">Grand Est</region><region type="old region">Alsace (région administrative)</region><settlement type="city">Strasbourg</settlement></placeName></affiliation></author><author><name sortKey="Muccioli, Christophe" sort="Muccioli, Christophe" uniqKey="Muccioli C" first="Christophe" last="Muccioli">Christophe Muccioli</name><affiliation wicri:level="1"><nlm:affiliation>Department of Orthopaedic and Plastic Surgery, University Hospital of Strasbourg, FMTS, University of Strasbourg, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Orthopaedic and Plastic Surgery, University Hospital of Strasbourg, FMTS, University of Strasbourg</wicri:regionArea><wicri:noRegion>University of Strasbourg</wicri:noRegion><wicri:noRegion>University of Strasbourg</wicri:noRegion></affiliation></author><author><name sortKey="Ludes, Pierre Olivier" sort="Ludes, Pierre Olivier" uniqKey="Ludes P" first="Pierre-Olivier" last="Ludes">Pierre-Olivier Ludes</name><affiliation wicri:level="1"><nlm:affiliation>Department of Anesthesiology and Intensive Care, Hautepierre Hospital, Strasbourg University Hospital, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Anesthesiology and Intensive Care, Hautepierre Hospital, Strasbourg University Hospital</wicri:regionArea><wicri:noRegion>Strasbourg University Hospital</wicri:noRegion><wicri:noRegion>Strasbourg University Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Pottecher, Julien" sort="Pottecher, Julien" uniqKey="Pottecher J" first="Julien" last="Pottecher">Julien Pottecher</name><affiliation wicri:level="1"><nlm:affiliation>Department of Anesthesiology and Intensive Care, Hautepierre Hospital, Strasbourg University Hospital, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Anesthesiology and Intensive Care, Hautepierre Hospital, Strasbourg University Hospital</wicri:regionArea><wicri:noRegion>Strasbourg University Hospital</wicri:noRegion><wicri:noRegion>Strasbourg University Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Diemunsch, Pierre" sort="Diemunsch, Pierre" uniqKey="Diemunsch P" first="Pierre" last="Diemunsch">Pierre Diemunsch</name><affiliation wicri:level="1"><nlm:affiliation>Department of Anesthesiology and Intensive Care, Hautepierre Hospital, Strasbourg University Hospital, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Anesthesiology and Intensive Care, Hautepierre Hospital, Strasbourg University Hospital</wicri:regionArea><wicri:noRegion>Strasbourg University Hospital</wicri:noRegion><wicri:noRegion>Strasbourg University Hospital</wicri:noRegion></affiliation><affiliation wicri:level="3"><nlm:affiliation>Institut Hospitalo-Universitaire (Image-Guided Surgery), Strasbourg University, Strasbourg, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Institut Hospitalo-Universitaire (Image-Guided Surgery), Strasbourg University, Strasbourg</wicri:regionArea><placeName><region type="region">Grand Est</region><region type="old region">Alsace (région administrative)</region><settlement type="city">Strasbourg</settlement></placeName></affiliation></author><author><name sortKey="Diemunsch, Sophie" sort="Diemunsch, Sophie" uniqKey="Diemunsch S" first="Sophie" last="Diemunsch">Sophie Diemunsch</name><affiliation wicri:level="1"><nlm:affiliation>Department of Anesthesiology and Intensive Care, Hautepierre Hospital, Strasbourg University Hospital, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Anesthesiology and Intensive Care, Hautepierre Hospital, Strasbourg University Hospital</wicri:regionArea><wicri:noRegion>Strasbourg University Hospital</wicri:noRegion><wicri:noRegion>Strasbourg University Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Tchentcheli, Anaelle" sort="Tchentcheli, Anaelle" uniqKey="Tchentcheli A" first="Anaëlle" last="Tchentcheli">Anaëlle Tchentcheli</name><affiliation wicri:level="1"><nlm:affiliation>Department of Anesthesiology and Intensive Care, Hautepierre Hospital, Strasbourg University Hospital, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Anesthesiology and Intensive Care, Hautepierre Hospital, Strasbourg University Hospital</wicri:regionArea><wicri:noRegion>Strasbourg University Hospital</wicri:noRegion><wicri:noRegion>Strasbourg University Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Clavert, Philippe" sort="Clavert, Philippe" uniqKey="Clavert P" first="Philippe" last="Clavert">Philippe Clavert</name><affiliation wicri:level="1"><nlm:affiliation>Department of Orthopaedic and Plastic Surgery, University Hospital of Strasbourg, FMTS, University of Strasbourg, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Orthopaedic and Plastic Surgery, University Hospital of Strasbourg, FMTS, University of Strasbourg</wicri:regionArea><wicri:noRegion>University of Strasbourg</wicri:noRegion><wicri:noRegion>University of Strasbourg</wicri:noRegion></affiliation></author><author><name sortKey="Joshi, Girish P" sort="Joshi, Girish P" uniqKey="Joshi G" first="Girish P" last="Joshi">Girish P. Joshi</name><affiliation wicri:level="2"><nlm:affiliation>Department of Anesthesiology and Pain Management, 89063UT Southwestern Medical, TX, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Anesthesiology and Pain Management, 89063UT Southwestern Medical, TX</wicri:regionArea><placeName><region type="state">Texas</region></placeName></affiliation></author><author><name sortKey="Liverneaux, Philippe A" sort="Liverneaux, Philippe A" uniqKey="Liverneaux P" first="Philippe A" last="Liverneaux">Philippe A. Liverneaux</name><affiliation wicri:level="1"><nlm:affiliation>Department of Orthopaedic and Plastic Surgery, University Hospital of Strasbourg, FMTS, University of Strasbourg, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Orthopaedic and Plastic Surgery, University Hospital of Strasbourg, FMTS, University of Strasbourg</wicri:regionArea><wicri:noRegion>University of Strasbourg</wicri:noRegion><wicri:noRegion>University of Strasbourg</wicri:noRegion></affiliation></author></analytic><series><title level="j">Surgical innovation</title><idno type="eISSN">1553-3514</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><i>Background.</i> The COVID-19 epidemic has resulted in a massive surge in the need for intensive care unit (ICU) care. To avoid being overwhelmed, hospitals had to adapt and support the ICU teams in structured ICU care including involving surgical teams. This work aims at describing the collaborative efforts between the ICU care team and the Surgical Task Force (STF) during a surge of ICU activity in a University Hospital in a French high-density COVID-19 cluster. <i>Study Design.</i> This retrospective single center study analyzed the STF workflow and the ICU population. The study included 55 patients hospitalized in our ICU, ICU-converted step-down units, and post-anesthesia care units. The primary measure was the global daily STF activity. The secondary measure was the daily activity for each of the 5 tasks accomplished by the STF. <i>Results.</i> The STF attempted 415 phone calls for 55 patients' families, 237 mobilizations of patients requiring prone positions, follow-up of 20 patients requiring medevac, and contribution to ethical discussion for 2 patients. The mean (SD) daily number of successful phones calls, ethical discussions, mobilizations of patients requiring prone positions and medevac follow-up were 18 (7), .1 (.4), 10 (7), and 2 (3), respectively. No actions for discharge summaries writing were required. The maximum number of daily mobilizations for patients requiring prone positions was 25. The maximum number of daily attempted phone calls and successful phone calls were 37 and 26, respectively. <i>Conclusion.</i> Surgeons' technical and nontechnical skills represented an effective support for ICU teams during the COVID-19 pandemic.</div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">32877312</PMID><DateRevised><Year>2020</Year><Month>09</Month><Day>17</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1553-3514</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2020</Year><Month>Sep</Month><Day>02</Day></PubDate></JournalIssue><Title>Surgical innovation</Title><ISOAbbreviation>Surg Innov</ISOAbbreviation></Journal><ArticleTitle>Surgical Support for Severe COVID-19 Patients: A Retrospective Cohort Study in a French High-Density COVID-19 Cluster.</ArticleTitle><Pagination><MedlinePgn>1553350620954571</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1177/1553350620954571</ELocationID><Abstract><AbstractText><i>Background.</i> The COVID-19 epidemic has resulted in a massive surge in the need for intensive care unit (ICU) care. To avoid being overwhelmed, hospitals had to adapt and support the ICU teams in structured ICU care including involving surgical teams. This work aims at describing the collaborative efforts between the ICU care team and the Surgical Task Force (STF) during a surge of ICU activity in a University Hospital in a French high-density COVID-19 cluster. <i>Study Design.</i> This retrospective single center study analyzed the STF workflow and the ICU population. The study included 55 patients hospitalized in our ICU, ICU-converted step-down units, and post-anesthesia care units. The primary measure was the global daily STF activity. The secondary measure was the daily activity for each of the 5 tasks accomplished by the STF. <i>Results.</i> The STF attempted 415 phone calls for 55 patients' families, 237 mobilizations of patients requiring prone positions, follow-up of 20 patients requiring medevac, and contribution to ethical discussion for 2 patients. The mean (SD) daily number of successful phones calls, ethical discussions, mobilizations of patients requiring prone positions and medevac follow-up were 18 (7), .1 (.4), 10 (7), and 2 (3), respectively. No actions for discharge summaries writing were required. The maximum number of daily mobilizations for patients requiring prone positions was 25. The maximum number of daily attempted phone calls and successful phone calls were 37 and 26, respectively. <i>Conclusion.</i> Surgeons' technical and nontechnical skills represented an effective support for ICU teams during the COVID-19 pandemic.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Noll</LastName><ForeName>Eric</ForeName><Initials>E</Initials><Identifier Source="ORCID">https://orcid.org/0000-0001-5655-6866</Identifier><AffiliationInfo><Affiliation>Department of Anesthesiology and Intensive Care, Hautepierre Hospital, Strasbourg University Hospital, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Institut Hospitalo-Universitaire (Image-Guided Surgery), Strasbourg University, Strasbourg, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Muccioli</LastName><ForeName>Christophe</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Department of Orthopaedic and Plastic Surgery, University Hospital of Strasbourg, FMTS, University of Strasbourg, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ludes</LastName><ForeName>Pierre-Olivier</ForeName><Initials>PO</Initials><AffiliationInfo><Affiliation>Department of Anesthesiology and Intensive Care, Hautepierre Hospital, Strasbourg University Hospital, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pottecher</LastName><ForeName>Julien</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Anesthesiology and Intensive Care, Hautepierre Hospital, Strasbourg University Hospital, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Diemunsch</LastName><ForeName>Pierre</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Department of Anesthesiology and Intensive Care, Hautepierre Hospital, Strasbourg University Hospital, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Institut Hospitalo-Universitaire (Image-Guided Surgery), Strasbourg University, Strasbourg, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Diemunsch</LastName><ForeName>Sophie</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Anesthesiology and Intensive Care, Hautepierre Hospital, Strasbourg University Hospital, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tchentcheli</LastName><ForeName>Anaëlle</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Anesthesiology and Intensive Care, Hautepierre Hospital, Strasbourg University Hospital, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Clavert</LastName><ForeName>Philippe</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Department of Orthopaedic and Plastic Surgery, University Hospital of Strasbourg, FMTS, University of Strasbourg, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Joshi</LastName><ForeName>Girish P</ForeName><Initials>GP</Initials><AffiliationInfo><Affiliation>Department of Anesthesiology and Pain Management, 89063UT Southwestern Medical, TX, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Liverneaux</LastName><ForeName>Philippe A</ForeName><Initials>PA</Initials><AffiliationInfo><Affiliation>Department of Orthopaedic and Plastic Surgery, University Hospital of Strasbourg, FMTS, University of Strasbourg, France.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>09</Month><Day>02</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Surg Innov</MedlineTA><NlmUniqueID>101233809</NlmUniqueID><ISSNLinking>1553-3506</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">COVID-19</Keyword><Keyword MajorTopicYN="N">intensive care unit</Keyword><Keyword MajorTopicYN="N">surgical non-technical skills</Keyword><Keyword MajorTopicYN="N">surgical technical skills</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>9</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>9</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>9</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32877312</ArticleId><ArticleId IdType="doi">10.1177/1553350620954571</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>France</li><li>États-Unis</li></country><region><li>Alsace (région administrative)</li><li>Grand Est</li><li>Texas</li></region><settlement><li>Strasbourg</li></settlement></list><tree><country name="France"><noRegion><name sortKey="Noll, Eric" sort="Noll, Eric" uniqKey="Noll E" first="Eric" last="Noll">Eric Noll</name></noRegion><name sortKey="Clavert, Philippe" sort="Clavert, Philippe" uniqKey="Clavert P" first="Philippe" last="Clavert">Philippe Clavert</name><name sortKey="Diemunsch, Pierre" sort="Diemunsch, Pierre" uniqKey="Diemunsch P" first="Pierre" last="Diemunsch">Pierre Diemunsch</name><name sortKey="Diemunsch, Pierre" sort="Diemunsch, Pierre" uniqKey="Diemunsch P" first="Pierre" last="Diemunsch">Pierre Diemunsch</name><name sortKey="Diemunsch, Sophie" sort="Diemunsch, Sophie" uniqKey="Diemunsch S" first="Sophie" last="Diemunsch">Sophie Diemunsch</name><name sortKey="Liverneaux, Philippe A" sort="Liverneaux, Philippe A" uniqKey="Liverneaux P" first="Philippe A" last="Liverneaux">Philippe A. Liverneaux</name><name sortKey="Ludes, Pierre Olivier" sort="Ludes, Pierre Olivier" uniqKey="Ludes P" first="Pierre-Olivier" last="Ludes">Pierre-Olivier Ludes</name><name sortKey="Muccioli, Christophe" sort="Muccioli, Christophe" uniqKey="Muccioli C" first="Christophe" last="Muccioli">Christophe Muccioli</name><name sortKey="Noll, Eric" sort="Noll, Eric" uniqKey="Noll E" first="Eric" last="Noll">Eric Noll</name><name sortKey="Pottecher, Julien" sort="Pottecher, Julien" uniqKey="Pottecher J" first="Julien" last="Pottecher">Julien Pottecher</name><name sortKey="Tchentcheli, Anaelle" sort="Tchentcheli, Anaelle" uniqKey="Tchentcheli A" first="Anaëlle" last="Tchentcheli">Anaëlle Tchentcheli</name></country><country name="États-Unis"><region name="Texas"><name sortKey="Joshi, Girish P" sort="Joshi, Girish P" uniqKey="Joshi G" first="Girish P" last="Joshi">Girish P. Joshi</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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|wiki= Sante
|area= CovidFranceV1
|flux= Main
|étape= Exploration
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|clé= pubmed:32877312
|texte= Surgical Support for Severe COVID-19 Patients: A Retrospective Cohort Study in a French High-Density COVID-19 Cluster.
}}
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| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \
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