Türkiye'nin en yüksek doğum oranına sahip ilinde COVID-19 pandemisinin pediatrik ürolojik operasyonlar ve poliklinik hasta sayısına etkisinin değerlendirilmesi.

Abstract

Özet Amaç: Bu çalışmada COVID-19 pandemisinin pediatrik üroloji ameliyatlarına etkisini araştırmayı amaçladık. Materyal ve metod: Tıp Fakültesi Pediatrik Üroloji Kliniği’ne pandemi döneminde (19 Mart-22 Aralık 2020) ve pandemi öncesi dönemde (19 Mart-22 Aralık 2019) polikliniğe başvuran ve önlemler eşliğinde ameliyat edilen pediatrik hastaların hastane kayıtları retrospektif incelendi. Pandemi dönemi ve öncesi poliklinik hasta sayıları, ameliyat sayıları ve endikasyonları, ameliyat türleri karşılaştırıldı. Cerrahi prosedürlerin isimleri ve sayılar Avrupa Üroloji Derneği (EAU) öncelik sınıflandırmasına göre listelendi. Bulgular: COVID-19 pandemisi döneminde polikliniğe pediatrik hasta başvuru sayısı 2361 iken pandemi öncesi aynı dönemde 5214 idi. Pandemi döneminde polikliniğe başvuran hasta sayısının % 54,8 azaldığı görüldü. Pandemi döneminde toplam pediatrik ameliyat sayısı 316, pandemi dönemi öncesi 741 idi. Pandemi dönemi, pandemi öncesi ile karşılaştırıldığında pediatrik üroloji ameliyatlarında %58,4 azalma olduğu görüldü. Pandemi döneminde acil ameliyat sayısı 69, pandemi öncesi dönemde 85 idi. Pandemi döneminde acil ameliyatlardaki azalma %18,8 idi. Opere edilen hiçbir hastada COVID-19 nedeniyle komplikasyon izlenmedi. Sonuç: COVID-19 salgını sırasında hastanemizdeki pediatrik üroloji poliklinik başvurusu ve ameliyat sayısının azalmış olduğu görüldü. Acil müdahalelerin gerekli olduğu olgularda yeterli önlemler alınarak, herhangi bir kontaminasyon ve mortalite olmaksızın cerrahi operasyonlarının uygulanabilirliği görüldü.

Keywords

• Koronavirus
• koronavirus hastalığı 2019
• pandemi hastanesi
• pediatrik ürolojik cerrahi

Evaluation of the impact of COVID-19 pandemia on pediatric urological operations and the number of outpatient clinic patients in a province with, the highest birth rate Turkey

Abstract

Investigation of the effect of Covid-19 pandemic on pediatric urology operations in Şanliurfa province, where the birth rate is the highest in Turkey Abstract: Objective: The aim of this study is to investigate the effect of the COVID-19 pandemic on pediatric urology operations. Materials and Methods: Hospital records of pediatric patients who applied to Harran University Medical Faculty Pediatric Urology Clinic during the pandemic period (19 March-22 December 2020) and pre-pandemic period (19 March-22 December 2019) and were operated with precautions were retrospectively analyzed. The number of outpatient clinic patients during and before the pandemic period, the number of operations and indications, and the types of surgery were compared. The names and numbers of surgical procedures are listed according to the European Association of Urology (EAU) priority classification. Results: During the COVID-19 pandemic period, the number of pediatric patients admitted to the outpatient clinic was 2361, while it was 5214 in the same period before the pandemic. It was observed that the number of patients who applied to the outpatient clinic decreased by 54.8% during the pandemic period. While the total number of pediatric operations was 316 during the pandemic period, it was 741 before the pandemic period. When the pandemic period was compared with the pre-pandemic period, a 58.4% reduction was observed in pediatric urology operations. The number of emergency operations was 69 during the pandemic period and 85 in the pre-pandemic period. During the pandemic period, the reduction in emergency operations was 18.8%. No complications were observed due to COVID-19 in any of the operated patients. Conclusion: During the COVID-19 epidemic, it was observed that the number of pediatric urology outpatient clinic admissions and surgeries in our hospital decreased. In cases where urgent interventions were required, adequate precautions were taken, and surgical operations could be applied without any contamination and mortality. Keywords: Coronavirus, coronavirus disease 2019, pandemic hospital, pediatric urological surgery.

Keywords

• Coronavirus
• coronavirus disease 2019
• pandemic hospital
• pediatric urological surgery.

References

1. 1- Sohrabi C, Alsafi Z, O'Neill N, et al.World health organization declares global emergency:a review of the 2019 novel coronavirus(COVID-19). Int J Surg. 2020;76:71–6.
2. 2- World Health Organization. Coronavirus Disease 2019 (COVID-19): Situation Report −105. WHO; [Accessed May 21, 2020]. Coronavirus Disease 2019 (COVID-19): Situation Report − 105.
3. 3- TR Ministry of Health, General Directorate of Public Health. COVID-19 (SARS-CoV-2 Infection) Guideline Scientific Committee Study. [Accessed May 21, 2020]. Available from: https://covid19bilgi.saglik.gov.tr/depo/rehberler/COVID-19_Rehberi.pdf.
4. 4- Madanelo M, Ferreira C, Nunes-Carneiro D, et al. The impact of the COVID- 19 pandemic on the utilization of emergency urological services. BJU Int. 2020;126(2):256.
5. 5- Porreca A, Colicchia M, D'Agostino D, et al. Urology in the time of coronavirus: reduced access to urgent and emergent urological care during the coronavirus disease 2019 outbreak in Italy. Urol Int. 2020;104:1–6.
6. 6- Clinical and surgical consequences of the COVID-19 pandemic for patients with pediatric urological problems. Statement of the EAU guidelines panel for paediatric urology, March 30 2020. 2020.
7. 7- Zhou P, Yang X, Lou, Wang XG, Hu B, Zhang L, Zhang W, et al. A pneumonia outbreak associated with a new coronavirus of probable bat origin. Nature. 2020;579:270–3. doi: 10.1038/s41586-020-2012-7.
8. 8- Li Q, Guan X, Wu P, Wang X, Zhou L, Tong Y, et al. Early Transmission Dynamics in Wuhan, China, of Novel Coronavirus-Infected Pneumonia. N Engl J Med. 2020;382:1199–1207.

9. 9- World Health Organization. Coronavirus disease (COVID-19) pandemic. [Accessed May 21, 2020]. Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019.
10. 10- TC Ministry of Health Novel Coronavirus Disease (COVID-19) [Accessed May 21, 2020]. Available from: https://covid19bilgi.saglik.gov.tr/tr/.
11. 11- Ludvigsson JF. Systematic review of COVID-19 in children show milder cases and a better prognosis than adults. Acta Paediatr 2020. https://doi.org/10.1111/APA.15270.
12. 12-Australia Government. https://www.health.nsw.gov.au/Infectious/covid-19/ Pages/elective outpatient. aspx Accessed on June 6, 2020.
13. 13- Davenport M., Pakarinen M.P., Tam P., Laje P., Holcomb G.W. From the editors: the COVID-19 crisis and its implications for pediatric surgeons. J. Pediatr. Surg. 2020 doi: 10.1016/j.jpedsurg.2020.04.009.
14. 14- Puliatti S, Eissa A, et al. COVID-19 and urology: a comprehensive review of the literature. BJU Int. 2020;125(6):E7–E14.
15. 15- Yi Wei1,2, Chengjun Yu1,2, Tian Xin Zhao1,2, The impact of the COVID-19 pandemic on pediatric operations: a retrospective study of Chinese children. Wei et al. Italian Journal of Pediatrics (2020) 46:155 https://doi.org/10.1186/s13052-020-00915-3.
16. 16- Wulkan M.L. Pediatric surgery in the time of COVID-19. J. Laparoendosc. Adv. Surg. Tech. 2020;30:355.
17. 17- Polites S.F., Azarow K.S. Perspectives on pediatric appendicitis and appendectomy during the SARS-CoV-2 pandemic. J. Laparoendosc. Adv. Surg. Tech. 2020;30:356–357.
18. 18- Ficarra V, Novara G, Abrate A, Bartoletti R, Crestani A, De Nunzio C, et al. Urology practice during COVID-19 pandemic. BJU Int 2020;89:264e8.
19. 19- Brindle M, Gawande A. Managing COVID-19 in surgical systems. Ann Surg 2020:1.
20. 20- American College of Surgeons Committee on Trauma. Maintaining Trauma center access and care during the COVID-19 pandemic: guidance document for Trauma medical directors.2020.