The SARS-CoV-2 pandemic is a major challenge for health care services worldwide. It’s impact on oncologic therapies and elective surgery has been described recently, and the literature provides guidelines regarding appropriate elective patient treatment during the pandemic. However, the impact of SARS-CoV-2 pandemic on emergency surgery services has been poorly investigated up to now. A 17-item web survey had been distributed to emergency surgeons in June 2020 around the world, investigating the impact of SARS-CoV-2 pandemic on patients and septic diseases both requiring emergency surgery and the time-to-intervention in emergency surgery routine, as well as experiences with surgery in COVID-19 patients. Ninety-eight collaborators from 31 countries responded to the survey. The majority (65.3%) estimated the impact of the SARS-CoV-2 pandemic on emergency surgical patient care as being strong or very strong. Due to the pandemic, 87.8% reported a decrease in the total number of patients undergoing emergency surgery and approximately 25% estimated a delay of more than 2 h in the time-to-diagnosis and another 2 h in the time-to-intervention. Fifty percent make structural problems with in-hospital logistics (e.g. transport of patients, closed normal wards etc.) mainly responsible for delayed emergency surgery and the frequent need (56.1%) for a triage of emergency surgical patients. 56.1% of the collaborators observed more severe septic abdominal diseases during the pandemic, especially for perforated appendicitis and severe septic cholecystitis (41.8% and 40.2%, respectively). 62.2% had experiences with surgery in COVID-19-infected patients. The results of The WSES COVID-19 emergency surgery survey are alarming. The combination of an estimated decrease in numbers of emergency surgical patients and an observed increase in more severe septic diseases may be a result of the fear of patients from infection with COVID-19 and a consecutive delayed hospital admission and diagnosis. A critical delay in time-to-diagnosis and time-to-intervention may be a result of changes in in-hospital logistics and operating room as well as intensive care capacities. Both reflect the potentially harmful impact of SARS-CoV-2 pandemic on emergency surgery services.

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SARES-CoV-2大流行对紧急手术服务的影响-WSES成员之间的一项跨国调查

SARS-CoV-2大流行是全球卫生保健服务面临的主要挑战。最近已经描述了它对肿瘤治疗和择期手术的影响，并且文献提供了有关大流行期间适当的择期患者治疗的指南。但是，到目前为止，SARS-CoV-2大流行对应急外科服务的影响尚未得到充分研究。2020年6月，在全球向急诊医生分发了一项17个项目的网络调查，调查了SARS-CoV-2大流行对既需要急诊手术又需要进行急诊常规干预的患者和败血症的影响，以及COVID-19患者的手术经验。来自31个国家的98位合作者对调查做出了回应。多数（65。3％）估计SARS-CoV-2大流行对紧急外科病人护理的影响是强或非常强。由于大流行，据报告有87.8％的人接受急诊手术的人数减少了，约25％的人估计诊断时间延迟超过2小时，干预时间再延迟2小时。50％的人在医院后勤方面造成结构性问题（例如，患者的运输，正常病房关闭等），这主要是造成急诊急诊手术的延迟以及急诊病人分流的频繁需求（56.1％）。56.1％的合作者在大流行期间观察到更严重的化脓性腹部疾病，尤其是穿孔性阑尾炎和严重的化脓性胆囊炎（分别为41.8％和40.2％）。62。2％的患者曾接受过COVID-19感染的患者接受过手术。WSES COVID-19紧急手术调查的结果令人震惊。急诊外科手术患者的估计数量减少与观察到的更严重的败血性疾病增加的结合可能是由于担心患者感染COVID-19以及连续的延迟入院和诊断所致。诊断时间和干预时间的严重延迟可能是医院后勤和手术室以及重症监护能力发生变化的结果。两者都反映出SARS-CoV-2大流行对紧急手术服务的潜在有害影响。急诊外科手术患者的估计数量减少与观察到的更严重的败血性疾病增加的结合可能是由于担心患者感染COVID-19以及连续的延迟入院和诊断所致。诊断时间和干预时间的严重延迟可能是医院后勤和手术室以及重症监护能力发生变化的结果。两者都反映出SARS-CoV-2大流行对紧急手术服务的潜在有害影响。急诊外科手术患者的估计数量减少与观察到的更严重的败血性疾病增加的结合可能是由于担心患者感染COVID-19以及连续的延迟入院和诊断所致。诊断时间和干预时间的严重延迟可能是医院后勤和手术室以及重症监护能力发生变化的结果。两者都反映出SARS-CoV-2大流行对紧急手术服务的潜在有害影响。诊断时间和干预时间的严重延迟可能是医院后勤和手术室以及重症监护能力发生变化的结果。两者都反映出SARS-CoV-2大流行对紧急手术服务的潜在有害影响。诊断时间和干预时间的严重延迟可能是医院后勤和手术室以及重症监护能力发生变化的结果。两者都反映出SARS-CoV-2大流行对紧急手术服务的潜在有害影响。