ОПЫТ ОРГАНИЗАЦИИ И РЕЗУЛЬТАТЫ ОКАЗАНИЯ НЕОТЛОЖНОЙ ХИРУРГИЧЕСКОЙ ПОМОЩИ В Г. СИМФЕРОПОЛЬ В ПЕРИОД ПАНДЕМИИ COVID-19

Abstract

Goal. Study of the course and outcomes of surgical patients’ treatment in the context of the COVID-19 pandemic. Material and methods. A prospective non-randomized study was carried out within the global project GlobalSurg-CovidSurg Week Data - Europe based on a survey of patients aged 18 years and older who underwent surgical treatment at Simferopol Clinical Hospital No. 6 during November 2020. To collect data, an anonymous questionnaire was used, it questionnaire was proposed by the implementers of the GlobalSurg- CovidSurg Week Data - Europe project and is the same for all medical institutions in Europe participating in the project. The inclusion criteria for the subjects were: age over 18, the presence of a surgical pathology associated with surgical intervention. The study involved 110 patients who underwent various surgical interventions from November 2 to November 29, 2020. Conclusion. Emergency surgical care in Simferopol at the peak of the pandemic was organized in violation of recommendations. When the critical level of COVID-19 morbidity in the hospital was reached, the departments were closed for 1.5-1 weeks for sanitation with the redistribution of patients according to routing orders. The same situation developed at a certain stage in the oncological dispensary, in the Republican hospital, and other hospitals. According to the survey data 30 days after discharge, the following conclusions can be drawn: most of the subjects were alive; complications were rare, including pneumonia, acute respiratory distress syndrome, and deep vein thrombosis. According to the Clavien-Dindau classification of surgical complications, most of the subjects did not have them. For the causes of death, the KVI will stand out, occupying the leading place.