Strategies implemented in pediatric surgery departments during the COVID-19 pandemic
Abstract
Objective: To identify the measures adopted by different institutions in the area of pediatric surgery in relation to patient care during the COVID-19 pandemic. Methods: A search was conducted in September 2021 through PubMed Central using four words: "Pediatric surgery, pandemic, COVID-19, and quality of care." Twenty articles in English language were chosen, whose works were carried out in institutions in Europe, Asia and America. Each one of the articles was analyzed to identify the implementation of actions that would allow the continuation of patient care in the institutions involved. Material: Twenty articles, published in English, from three continents. Results: Nine published in Europe, four in Asia and the rest in America; seven different types of actions were identified to continue with patient care, which were: administrative (19); operating room care (9); work team integration (8); classification of surgeries (elective or emergency; 7); internal structural (4); teaching method (3); outpatient care (3). Conclusion: The SARS-Cov2 virus has generated a collapse of the health system; It significantly affected the child population, especially regarding surgical conditions, since there is evidence of the existence of panic generated in the parents of these patients, which means that timely diagnosis is not made and treatment is delayed. Also, resident physicians in this area have been poorly trained in surgical procedures. The modifications exposed in this article are a guideline that marks the before and after the pandemic.
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References
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
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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.
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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
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Copyright (c) 2022 Ana Paula Juárez Cervantes, Laura Rosa Cornejo Roldán
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