Impact of the first COVID-19 surge on the outcomes of diverticulitis
Introduction: During the first surge of the COVID-19 pandemic, healthcare utilization changed. We sought to examine the impact of the first COVID-19 surge on the outcomes of patients whose elective surgeries for diverticulitis were postponed and those who underwent urgent surgery during the surge. M...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-09-01
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| Series: | Surgery in Practice and Science |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666262022000584 |
| _version_ | 1811297317684248576 |
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| author | Tess H. Aulet Shannon B. Spencer Jonathan S. Abelson Elizabeth M. Breen Angela H. Kuhnen Julia T. Saraidaridis Peter W. Marcello David A. Kleiman |
| author_facet | Tess H. Aulet Shannon B. Spencer Jonathan S. Abelson Elizabeth M. Breen Angela H. Kuhnen Julia T. Saraidaridis Peter W. Marcello David A. Kleiman |
| author_sort | Tess H. Aulet |
| collection | DOAJ |
| description | Introduction: During the first surge of the COVID-19 pandemic, healthcare utilization changed. We sought to examine the impact of the first COVID-19 surge on the outcomes of patients whose elective surgeries for diverticulitis were postponed and those who underwent urgent surgery during the surge. Materials and methods: This was a retrospective study from a single tertiary center in the Northeast of the US. Patients whose elective surgeries were delayed, or who underwent urgent surgery for diverticulitis during the first COVID-19 surge (3/16/2020 to 8/1/2020) were included. A cohort from 2019 was used for comparison. Variables were compared between groups including: procedure, death, length of stay, disposition, stoma rate, technique for surgery, and leak rate. Results: Forty-five patients were included in the COVID-19 group and 44 patients in the 2019 group. Twenty-seven patients had elective surgeries delayed during the COVID-19 surge. Ten (37%) required more urgent surgery, 80% with complicated disease. Six (22%) were admitted to the hospital and 13 (48%) required additional antibiotics. Eight (30%) patients postponed their surgeries indefinitely and 7 (26%) had surgery once permitted. There were no observed differences between the two groups in the rate of complicated disease, leaks, technique for surgery or stoma rate. Conclusions: During the first COVID-19 surge, over 1/3 of patients whose elective diverticulitis surgeries were postponed required urgent surgery, a majority of whom had complicated disease. There were no apparent differences in outcomes when compared to a pre-pandemic cohort, highlighting the importance of a triage system with the ability to escalate surgery in a timely manner. |
| first_indexed | 2024-04-13T06:02:28Z |
| format | Article |
| id | doaj.art-804217a26cc34deabf1147eb2455fa59 |
| institution | Directory Open Access Journal |
| issn | 2666-2620 |
| language | English |
| last_indexed | 2024-04-13T06:02:28Z |
| publishDate | 2022-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Surgery in Practice and Science |
| spelling | doaj.art-804217a26cc34deabf1147eb2455fa592022-12-22T02:59:24ZengElsevierSurgery in Practice and Science2666-26202022-09-0110100116Impact of the first COVID-19 surge on the outcomes of diverticulitisTess H. Aulet0Shannon B. Spencer1Jonathan S. Abelson2Elizabeth M. Breen3Angela H. Kuhnen4Julia T. Saraidaridis5Peter W. Marcello6David A. Kleiman7Corresponding author.; Division of Colon and Rectal Surgery, Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805, United StatesDivision of Colon and Rectal Surgery, Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805, United StatesDivision of Colon and Rectal Surgery, Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805, United StatesDivision of Colon and Rectal Surgery, Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805, United StatesDivision of Colon and Rectal Surgery, Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805, United StatesDivision of Colon and Rectal Surgery, Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805, United StatesDivision of Colon and Rectal Surgery, Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805, United StatesDivision of Colon and Rectal Surgery, Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805, United StatesIntroduction: During the first surge of the COVID-19 pandemic, healthcare utilization changed. We sought to examine the impact of the first COVID-19 surge on the outcomes of patients whose elective surgeries for diverticulitis were postponed and those who underwent urgent surgery during the surge. Materials and methods: This was a retrospective study from a single tertiary center in the Northeast of the US. Patients whose elective surgeries were delayed, or who underwent urgent surgery for diverticulitis during the first COVID-19 surge (3/16/2020 to 8/1/2020) were included. A cohort from 2019 was used for comparison. Variables were compared between groups including: procedure, death, length of stay, disposition, stoma rate, technique for surgery, and leak rate. Results: Forty-five patients were included in the COVID-19 group and 44 patients in the 2019 group. Twenty-seven patients had elective surgeries delayed during the COVID-19 surge. Ten (37%) required more urgent surgery, 80% with complicated disease. Six (22%) were admitted to the hospital and 13 (48%) required additional antibiotics. Eight (30%) patients postponed their surgeries indefinitely and 7 (26%) had surgery once permitted. There were no observed differences between the two groups in the rate of complicated disease, leaks, technique for surgery or stoma rate. Conclusions: During the first COVID-19 surge, over 1/3 of patients whose elective diverticulitis surgeries were postponed required urgent surgery, a majority of whom had complicated disease. There were no apparent differences in outcomes when compared to a pre-pandemic cohort, highlighting the importance of a triage system with the ability to escalate surgery in a timely manner.http://www.sciencedirect.com/science/article/pii/S2666262022000584DiverticulitisCOVID-19Outcomes |
| spellingShingle | Tess H. Aulet Shannon B. Spencer Jonathan S. Abelson Elizabeth M. Breen Angela H. Kuhnen Julia T. Saraidaridis Peter W. Marcello David A. Kleiman Impact of the first COVID-19 surge on the outcomes of diverticulitis Surgery in Practice and Science Diverticulitis COVID-19 Outcomes |
| title | Impact of the first COVID-19 surge on the outcomes of diverticulitis |
| title_full | Impact of the first COVID-19 surge on the outcomes of diverticulitis |
| title_fullStr | Impact of the first COVID-19 surge on the outcomes of diverticulitis |
| title_full_unstemmed | Impact of the first COVID-19 surge on the outcomes of diverticulitis |
| title_short | Impact of the first COVID-19 surge on the outcomes of diverticulitis |
| title_sort | impact of the first covid 19 surge on the outcomes of diverticulitis |
| topic | Diverticulitis COVID-19 Outcomes |
| url | http://www.sciencedirect.com/science/article/pii/S2666262022000584 |
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