Reactivation of the elective surgical practice and prioritization strategies during SARS-CoV-2 pandemic: a successful experience
DOI:
https://doi.org/10.17081/innosa.164Keywords:
SARS-CoV2, pandemia, reactivación cirugía electiva, Puntaje MeNTS, complicaciones Clavien-DindoAbstract
Objective: To describe the clinical/epidemiological characteristics and prioritization strategy in adult patients undergoing elective surgery during the SARS-CoV2 pandemic.
Method: Descriptive observational study of 297 surgical patients in a high complexity clinic in the city of Cali-Colombia, from April 27 to August 5, 2020. Four phases were established in the patients: Risk Stratification, Pre-surgical Strategy, Surgical Phase and Post-Surgical Follow-up.
Results: In the institution, 9 of the 20 authorized surgical services underwent surgical interventions during the study period. There were 21.9% of low severity complications (type I and II) according to Clavien-Dindo classification. A total of 189 oncologic (63%) and 108 non-oncologic (36%) procedures were performed. Risk stratification according to the MeNTS score was predominantly ≤50 (294 patients). Post-surgical follow-up was performed by telephone and face-to-face; only one patient presented symptoms suggestive of SARS-CoV2 infection.
Conclusion: During the resume of ambulatory surgical activities, strict protocols were established with defined criteria for the selection of patients undergoing surgical procedures and measures to minimize the risk of nosocomial SARS-CoV2 infection in patients and healthcare team personnel.
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