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Experience in a Thoracic Surgery Clinic During the COVİD-19 Pandemic

Yıl 2022, Cilt 12, Sayı 4, 492 - 494, 31.07.2022
https://doi.org/10.16899/jcm.1081714

Öz

Aim : During the COVID-19 pandemic, all elective surgeries, except emergency surgeries and surgeries for patients with malignancy, were postponed. However, thoracic surgery clinics continued to operate during the pandemic. In this study, patients who presented to the thoracic surgery clinic of our hospital during and those who presented before the COVID-19 pandemic were compared, and changes in characteristics of the patients presenting to the thoracic surgery clinic during the COVID-19 pandemic were investigated. Materials and methods: Age, gender, and reason for admission to the hospital were documented for all patients who presented to the thoracic surgery clinic of our hospital during March 2019–March 2020 and March 2020–March 2021. Patients presenting to the clinic were categorized into malignancy, trauma, chest pain, pneumothorax, and other disease groups. Results: In total, 947 patients presented to the clinic in the prepandemic period. Conversely, 756 patients presented to the clinic during the pandemic. In the prepandemic period, 353 patients presented with trauma; this number decreased to 154 during the pandemic. Additionally, during the pandemic, a decrease was observed in all patient admissions other than those due to malignancies. Conclusion: During the pandemic, there has been a decrease in patient admissions due to trauma, mostly as a result of curfews and restrictions. However, there has been a significant increase in the number of patients presenting with lung malignancies during the pandemic. This may be due to findings of incidental lung masses in the thoracic computed tomography performed after COVID-19 prediagnosis.

Kaynakça

  • 1) Luo J, Rizvi H, Preeshagul IR, et al. COVID-19 in patients with lung cancer. Ann Oncol 2020; 31(10): 1386-96. 2) Qi-Hang ZH, Zhe HE, Yi YA, et al. Expert consensus on clinical management strategy for patients with thoracic trauma during the epidemic period of COVID-19. Medical Journal of Chinese People's Liberation Army 2020; 45(3): 229-35.
  • 3) Ciofani JL, Han D, Allahwala UK, et al. Internet search volume for chest pain during the COVID-19 pandemic. Am Heart J 2021; 231: 157-9.
  • 4) Chen N, Zhou M, Dong X, et al. Epidemiological and clinical features of 99 2019 new cases of coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet 2020; 395(10223): 507-13.
  • 5) Quincho-Lopez A, Quincho-Lopez DL, Hurtado-Medina FD. Case report: pneumothorax and pneumomediastinum as uncommon complications of COVID-19 Pneumonia-literature Review. Am J Trop Med Hyg 2020; 103(3): 1170-6.
  • 6) Hollingshead C, Hanrahan J. Spontaneous pneumothorax following COVID-19 pneumonia. IDCases 2020; 21: e00868
  • 7) Sihoe AD, Wong RH, Lee AT, et al. Severe acute respiratory syndrome complicated by spontaneous pneumothorax. Chest 2004; 125(6): 2345-51.
  • 8) Vega JM, Gordo ML, Tascón AD, Vélez SO. Pneumomediastinum and spontaneous pneumothorax as an extrapulmonary complication of COVID-19 disease. Emerg Radiol 2020; 27(6): 727-30.

COVID-19 Pandemisi Sırasında Göğüs Cerrahisi Kliniği Deneyimimiz

Yıl 2022, Cilt 12, Sayı 4, 492 - 494, 31.07.2022
https://doi.org/10.16899/jcm.1081714

Öz

Amaç: Pandemi döneminde acil cerrahi operasyonlar ve malignitesi olan hastalar dışında elektif operasyonlar ertelendi. Göğüs cerrahi poliklinik hizmeti pandemi döneminde de devam etti. Pandemi öncesi göğüs cerrahisi polikliniğine başvuran hastalar pandemi döneminde başvuran hastalar ile kıyaslandı. Pandemi döneminde göğüs cerrahi polikliniğine başvuran hasta karakteristiğinde bir değişim olup olmadığı değerlendirildi. Materyal-Metod: Mart 2019-mart 2020 dönemleri ile mart 2020-mart 2021 dönemleri arasındaki göğüs cerrahisi polikliniğine başvuran hastaların yaşları, cinsiyetleri, hastaneye başvuru sebepleri dökümente edildi. Polikliniğe başvuran hastalar maligniteler, travma, göğüs ağrısı, pnömotoraks ve diğer hastalıklar olarak sınıflandırılmıştır. Bulgular: Pandemi öncesi dönemde toplamda 947 hasta polikliniğe başvururken sonrasındaki sayı 756 idi. Travma nedeniyle polikliniğe basvuran hasta sayısı 353 iken pandemi döneminde 154 idi. Pandemi döneminde diğer başvuru sebepleri azalırken malignite nedeniyle basvuru artmış olarak izlendi. Sonuç: Çok büyük oranda sosyal kısıtlamalara bağlı olarak pandemi sonrası dönemde travmalara bağlı başvurularda azalma görülmüştür. Akciğer malignite hastalarında pandemi döneminde hem oransal hem de gözle görülür derecede sayısal artış olmuştur. Covid 19 ön tanısı nedeniyle çekilen toraks tomografilerinde rastlanan insidental akciğer kitleleri artıştan sorumlu tutulabilir.

Kaynakça

  • 1) Luo J, Rizvi H, Preeshagul IR, et al. COVID-19 in patients with lung cancer. Ann Oncol 2020; 31(10): 1386-96. 2) Qi-Hang ZH, Zhe HE, Yi YA, et al. Expert consensus on clinical management strategy for patients with thoracic trauma during the epidemic period of COVID-19. Medical Journal of Chinese People's Liberation Army 2020; 45(3): 229-35.
  • 3) Ciofani JL, Han D, Allahwala UK, et al. Internet search volume for chest pain during the COVID-19 pandemic. Am Heart J 2021; 231: 157-9.
  • 4) Chen N, Zhou M, Dong X, et al. Epidemiological and clinical features of 99 2019 new cases of coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet 2020; 395(10223): 507-13.
  • 5) Quincho-Lopez A, Quincho-Lopez DL, Hurtado-Medina FD. Case report: pneumothorax and pneumomediastinum as uncommon complications of COVID-19 Pneumonia-literature Review. Am J Trop Med Hyg 2020; 103(3): 1170-6.
  • 6) Hollingshead C, Hanrahan J. Spontaneous pneumothorax following COVID-19 pneumonia. IDCases 2020; 21: e00868
  • 7) Sihoe AD, Wong RH, Lee AT, et al. Severe acute respiratory syndrome complicated by spontaneous pneumothorax. Chest 2004; 125(6): 2345-51.
  • 8) Vega JM, Gordo ML, Tascón AD, Vélez SO. Pneumomediastinum and spontaneous pneumothorax as an extrapulmonary complication of COVID-19 disease. Emerg Radiol 2020; 27(6): 727-30.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Bilimleri ve Hizmetleri
Bölüm Orjinal Araştırma
Yazarlar

Kubilay İNAN> (Sorumlu Yazar)
ANKARA BİLKENT CİTY HOSPİTAL
0000-0002-1409-4760
Türkiye


İlknur AYTEKİN ÇELİK>
YILDIRIM BEYAZIT UNIVERSITY
0000-0003-0754-680X
Türkiye


Ozgur Omer YİLDİZ>
YILDIRIM BEYAZIT UNIVERSITY
0000-0001-7314-3131
Türkiye


Tamer DİREK>
ANKARA BİLKENT CİTY HOSPİTAL
0000-0001-7246-5614
Türkiye


Nurettin KARAOGLANOGLU>
YILDIRIM BEYAZIT UNIVERSITY
0000-0003-2827-6044
Türkiye

Destekleyen Kurum herhangi bir kurumdan destek almamaktadır
Proje Numarası proje çalışması değildir
Teşekkür ilginiz için teşekkür ederim
Erken Görünüm Tarihi 1 Haziran 2022
Yayımlanma Tarihi 31 Temmuz 2022
Kabul Tarihi 21 Nisan 2022
Yayınlandığı Sayı Yıl 2022, Cilt 12, Sayı 4

Kaynak Göster

AMA İnan K. , Aytekin Çelik İ. , Yildiz O. O. , Direk T. , Karaoglanoglu N. Experience in a Thoracic Surgery Clinic During the COVİD-19 Pandemic. J Contemp Med. 2022; 12(4): 492-494.