Estrategias implementadas en departamentos de cirugía pediátrica durante pandemia por COVID-19
Resumen
Objetivo: Identificar las medidas adoptadas por distintas instituciones en el área de cirugía pediátrica con relación en la atención a pacientes durante la pandemia por COVID-19. Métodos: Se realizó una búsqueda en septiembre de 2021 a través de PubMed Central con cuatro palabras clave: “Cirugía pediátrica, pandemia, COVID-19 y calidad de atención”. Se eligieron veinte artículos en idioma inglés, cuyos trabajos fueron realizados en instituciones de Europa, Asia y América. Se analizaron cada uno de los artículos para identificar la implementación de acciones que permitieran continuar con atención de pacientes en las instituciones involucradas. Material: Veinte artículos, publicados en idioma inglés, de tres continentes. Resultados: Nueve publicados en Europa, cuatro en Asia y el resto de América; se encontraron siete diferentes tipos de acciones para continuar con la atención de pacientes, que fueron: administrativos (19); atención en quirófano (9); integración de equipo de trabajo (8); clasificación de cirugías (electivas o urgencia; 7); estructurales internos (4); método de enseñanza (3); atención en consulta externa (3). Conclusión: El virus SARS-Cov2 ha generado un colapso del Sistema sanitario; afectó de manera importante a la población infantil, sobretodo respecto a los padecimientos quirúrgicos, ya que hay evidencia de la existencia de pánico generada en los padres de estos pacientes, lo que hace que no se realice diagnóstico oportuno y atrase el tratamiento. Asimismo, los médicos residentes en esta área han sido poco adiestrados en procedimientos quirúrgicos. Las modificaciones expuestas en este artículo son una pauta que marca el antes y después de la pandemia.
Descargas
Citas
Ingram M-CE, Raval MV, Newton C, Lopez ME, Berman L. Characterization of initial North American pediatric surgical response to the COVID-19 pandemic. J Pediatr Surg. 2020;55(8):1431–5. https://dx.doi.org/10.1016%2Fj.jpedsurg.2020.06.001
Gunadi, Idham Y, Paramita VMW, Fauzi AR, Dwihantoro A, Makhmudi A. The Impact of COVID-19 pandemic on pediatric surgery practice: A cross-sectional study. Ann Med Surg (Lond). 2020;59:96–100. https://dx.doi.org/10.1016%2Fj.amsu.2020.09.020
Shi G, Huang J, Pi M, Chen X, Li X, Ding Y, et al. Impact of early Coronavirus Disease 2019 pandemic on pediatric cardiac surgery in China. J Thorac Cardiovasc Surg. 2021;161(5):1605-1614.e4. https://dx.doi.org/10.1016%2Fj.jtcvs.2020.11.074
Qazi SH, Saleem A, Pirzada AN, Hamid L-R, Dogar SA, Das JK. Challenges to delivering pediatric surgery services in the midst of COVID 19 crisis: experience from a tertiary care hospital of Pakistan. Pediatr Surg Int. 2020;36(11):1267–73.
Merino-Mateo L, Tordable Ojeda C, Cabezalí Barbancho D, Gómez Fraile A. Repercusión de la pandemia COVID-19 sobre la actividad quirúrgica de Urología Pediátrica: análisis de las complicaciones posquirúrgicas según la clasificación de Clavien-Dindo. Actas Urol Esp (Engl Ed). 2020;44(10):659–64.
DeFazio JR, Kahan A, Fallon EM, Griggs C, Kabagambe S, Zitsman J, et al. Development of pediatric surgical decision-making guidelines for COVID-19 in a New York City children’s hospital. J Pediatr Surg. 2020;55(8):1427–30. https://dx.doi.org/10.1016%2Fj.jpedsurg.2020.05.043
Dedeilia A, Esagian SM, Ziogas IA, Giannis D, Katsaros I, Tsoulfas G. Pediatric surgery during the COVID-19 pandemic. World J Clin Pediatr. 2020;9(2):7–16.
Pini Prato A, Conforti A, Almstrom M, Van Gemert W, Scuderi MG, Khen-Dunlop N, et al. Management of COVID-19-positive pediatric patients undergoing minimally invasive surgical procedures: Systematic review and recommendations of the Board of European Society of Pediatric Endoscopic Surgeons. Front Pediatr. 2020;8:259.
Camporesi A, Melloni GEM, Diotto V, Bertani P, La Pergola E, Pelizzo G. Organizational aspects of pediatric anesthesia and surgery between two waves of Covid-19. Acta Anaesthesiol Scand. 2021;65(6):755–60. https://dx.doi.org/10.1111%2Faas.13802
Metzger GA, Cooper J, Lutz C, Jatana KR, Nishimura L, Deans KJ, et al. Recognizing the benefit of telemedicine before and after COVID-19: A survey of pediatric surgery providers. J Surg Res. 2021;267:274–83.
Montalva L, Haffreingue A, Ali L, Clariot S, Julien-Marsollier F, Ghoneimi AE, et al. The role of a pediatric tertiary care center in avoiding collateral damage for children with acute appendicitis during the COVID-19 outbreak. Pediatr Surg Int. 2020;36(12):1397–405.
Pelizzo G, Costanzo S, Maestri L, Selvaggio GGO, Pansini A, Zuccotti GV, et al. The challenges of a Children’s Hospital during the COVID-19 pandemic: The pediatric surgeon’s Point of View. Pediatr Rep. 2020;12(3):114–23.
Referencias
Ingram M-CE, Raval MV, Newton C, Lopez ME, Berman L. Characterization of initial North American pediatric surgical response to the COVID-19 pandemic. J Pediatr Surg. 2020;55(8):1431–5. https://dx.doi.org/10.1016%2Fj.jpedsurg.2020.06.001
Gunadi, Idham Y, Paramita VMW, Fauzi AR, Dwihantoro A, Makhmudi A. The Impact of COVID-19 pandemic on pediatric surgery practice: A cross-sectional study. Ann Med Surg (Lond). 2020;59:96–100. https://dx.doi.org/10.1016%2Fj.amsu.2020.09.020
Shi G, Huang J, Pi M, Chen X, Li X, Ding Y, et al. Impact of early Coronavirus Disease 2019 pandemic on pediatric cardiac surgery in China. J Thorac Cardiovasc Surg. 2021;161(5):1605-1614.e4. https://dx.doi.org/10.1016%2Fj.jtcvs.2020.11.074
Qazi SH, Saleem A, Pirzada AN, Hamid L-R, Dogar SA, Das JK. Challenges to delivering pediatric surgery services in the midst of COVID 19 crisis: experience from a tertiary care hospital of Pakistan. Pediatr Surg Int. 2020;36(11):1267–73.
Merino-Mateo L, Tordable Ojeda C, Cabezalí Barbancho D, Gómez Fraile A. Repercusión de la pandemia COVID-19 sobre la actividad quirúrgica de Urología Pediátrica: análisis de las complicaciones posquirúrgicas según la clasificación de Clavien-Dindo. Actas Urol Esp (Engl Ed). 2020;44(10):659–64.
DeFazio JR, Kahan A, Fallon EM, Griggs C, Kabagambe S, Zitsman J, et al. Development of pediatric surgical decision-making guidelines for COVID-19 in a New York City children’s hospital. J Pediatr Surg. 2020;55(8):1427–30. https://dx.doi.org/10.1016%2Fj.jpedsurg.2020.05.043
Dedeilia A, Esagian SM, Ziogas IA, Giannis D, Katsaros I, Tsoulfas G. Pediatric surgery during the COVID-19 pandemic. World J Clin Pediatr. 2020;9(2):7–16.
Pini Prato A, Conforti A, Almstrom M, Van Gemert W, Scuderi MG, Khen-Dunlop N, et al. Management of COVID-19-positive pediatric patients undergoing minimally invasive surgical procedures: Systematic review and recommendations of the Board of European Society of Pediatric Endoscopic Surgeons. Front Pediatr. 2020;8:259.
Camporesi A, Melloni GEM, Diotto V, Bertani P, La Pergola E, Pelizzo G. Organizational aspects of pediatric anesthesia and surgery between two waves of Covid-19. Acta Anaesthesiol Scand. 2021;65(6):755–60. https://dx.doi.org/10.1111%2Faas.13802
Metzger GA, Cooper J, Lutz C, Jatana KR, Nishimura L, Deans KJ, et al. Recognizing the benefit of telemedicine before and after COVID-19: A survey of pediatric surgery providers. J Surg Res. 2021;267:274–83.
Montalva L, Haffreingue A, Ali L, Clariot S, Julien-Marsollier F, Ghoneimi AE, et al. The role of a pediatric tertiary care center in avoiding collateral damage for children with acute appendicitis during the COVID-19 outbreak. Pediatr Surg Int. 2020;36(12):1397–405.
Pelizzo G, Costanzo S, Maestri L, Selvaggio GGO, Pansini A, Zuccotti GV, et al. The challenges of a Children’s Hospital during the COVID-19 pandemic: The pediatric surgeon’s Point of View. Pediatr Rep. 2020;12(3):114–23.
Jessop ZM, Dobbs TD, Ali SR, Combellack E, Clancy R, Ibrahim N, et al. Personal protective equipment for surgeons during COVID-19 pandemic: systematic review of availability, usage and rationing: CUTTING EDGE REVIEW : British journal of surgery. Br J Surg. 2020;107(10):1262–80.
Lewit R, Gosain A. Virtual interviews may fall short for Pediatric Surgery fellowships: Lessons learned from COVID-19/SARS-CoV-2. J Surg Res. 2021;259:326–31.
Lakshin G, Banek S, Keese D, Rolle U, Schmedding A. Telemedicine in the pediatric surgery in Germany during the COVID-19 pandemic. Pediatr Surg Int. 2021;37(3):389–95. https://dx.doi.org/10.1007%2Fs00383-020-04822-w
Lerendegui L, Boudou R, Percul C, Curiel A, Durante E, Moldes JM, et al. Impact of the COVID-19 pandemic on surgical skills training in pediatric surgery residents. Pediatr Surg Int [Internet]. 2021; Disponible en: http://dx.doi.org/10.1007/s00383-021-04961-8
Fisher JC, Tomita SS, Ginsburg HB, Gordon A, Walker D, Kuenzler KA. Increase in pediatric perforated appendicitis in the New York City metropolitan region at the epicenter of the COVID-19 outbreak. Ann Surg. 2021;273(3):410–5.
Osorno JF, Giraldo M, Marín AF, Figueroa LM. Novel Coronavirus infection in an infant with intussusception. Glob Pediatr Health. 2021;8:2333794X2110129.
Gunadi, Balela N, Kalim AS, Widitjiarso W, Fahri F, Tedja AK, et al. The COVID-19 pandemic impact on pediatric surgery residency programs. Heliyon. 2021;7(6):e07199.
Pogorelić Z, Milanović K, Veršić AB, Pasini M, Divković D, Pavlović O, et al. Is there an increased incidence of orchiectomy in pediatric patients with acute testicular torsion during COVID-19 pandemic?-A retrospective multicenter study. J Pediatr Urol. 2021;17(4):479.e1-479.e6.
Derechos de autor 2022 Ana Paula Juárez Cervantes, Laura Rosa Cornejo Roldán
Esta obra está bajo licencia internacional Creative Commons Reconocimiento-NoComercial-SinObrasDerivadas 4.0.
