Pudov Surgical care in a multi-field hospital during the new coronavirus infection pandemic (SARS-COVID-19): a 5-year experience

Mikhaylichenko M.I.

Chita State Medical Academy

ORCID: 0000-0001-8660-2982

Mudrov V.A.

Chita State Medical Academy

ORCID: 0000-0002-5961-5400

Zverochkina Yu.N.

Regional Main Clinical Hospital

Porushnichak E.B.

Regional Main Clinical Hospital

Pudov M.V.

Regional Main Clinical Hospital

Pudov Surgical care in a multi-field hospital during the new coronavirus infection pandemic (SARS-COVID-19): a 5-year experience

Authors:

Mikhaylichenko M.I., Mudrov V.A., Zverochkina Yu.N., Porushnichak E.B., Pudov M.V.

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Journal: Pirogov Russian Journal of Surgery. 2023;(9): 53‑58

DOI: 10.17116/hirurgia202309153

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To cite this article:

Mikhaylichenko MI, Mudrov VA, Zverochkina YuN, Porushnichak EB, Pudov MV. Pudov Surgical care in a multi-field hospital during the new coronavirus infection pandemic (SARS-COVID-19): a 5-year experience. Pirogov Russian Journal of Surgery. 2023;(9):53‑58. (In Russ.)
https://doi.org/10.17116/hirurgia202309153

Подписка 2025-2 (Pirogov Russian Journal of Surgery)

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OBJECTIVE

To analyze the 5-year experience of surgical care in a multi-field hospital during the coronavirus pandemic and before infection.

MATERIAL AND METHODS

We assessed «non-traumatic» surgery and the main indicators in a multi-field hospital during the coronavirus pandemic and surgical work in the «pre-COVID» period.

RESULTS

The number of discharged patients was the same between 2018 and 2021. In 2020—2021, mortality increased by 2.8 times, the number of deceased patients — by 2.5 times, hospitalizations for emergency surgical indications — by 2.1 times. Elective care decreased by 2.5 times. The number of adverse vascular events increased by 3 times.

CONCLUSION

Acute increase in emergency surgery and decrease in elective care create the prerequisites for growth of «neglect» with subsequent postoperative complications. We observed significant increase in mortality. It is advisable to create a backup emergency surgical service in infectious disease hospitals to provide care in obviously infected patients.

Keywords:

emergency surgery

coronavirus infection

multi-field hospital

Authors:

Mikhaylichenko M.I.

Chita State Medical Academy

ORCID: 0000-0001-8660-2982

Mudrov V.A.

Chita State Medical Academy

ORCID: 0000-0002-5961-5400

Zverochkina Yu.N.

Regional Main Clinical Hospital

Porushnichak E.B.

Regional Main Clinical Hospital

Pudov M.V.

Regional Main Clinical Hospital

Received:

10.02.2023

Accepted:

14.03.2023

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