Objectives

The first surge in severe acute respiratory syndrome coronavirus 2 infection had a significant impact on health care institutions. Understanding how the pandemic affected general thoracic surgery would provide valuable data for establishing a health care protocol for upcoming surges.

Methods

A questionnaire survey on coronavirus disease-related patient statistics and health care was conducted between February 2020 and June 2020 across 14 facilities affiliated with the Kanagawa General Thoracic Surgery Study Group.

Results

The average number of newly referred patients from February to June 2020 was 65% of that during the same period in 2019. Six facilities placed restrictions on medical care services, among which four restricted surgeries. At all institutions and those placed on surgical restriction, the total number of surgeries under general anesthesia was 92% and 78%, the total number of primary lung cancers was 94% and 86%, and the total number of surgeries for pneumothorax was 71% and 77% of that in the preceding year, respectively. Infection control and insufficient resources of the medical material were the most influential factors impacting the medical institutions’ decision to restrict the services provided.

Conclusions

Restrictions on surgery had a significant impact on the care provided by general thoracic surgery departments. To avoid patient inconvenience, establishing a collaborative system that refers patients to operational medical institutions in case of medical treatment restrictions may be useful.

中文翻译：

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第一次冠状病毒疾病大流行对神奈川县普通胸外科实践的影响：神奈川普通胸外科研究小组的问卷调查

目标

严重急性呼吸综合征冠状病毒 2 型感染的首次激增对医疗机构产生了重大影响。了解大流行如何影响普通胸外科手术将为建立即将到来的激增的医疗保健协议提供有价值的数据。

方法

在 2020 年 2 月至 2020 年 6 月期间，对神奈川综合胸外科研究小组下属的 14 家机构进行了一项关于冠状病毒疾病相关患者统计和医疗保健的问卷调查。

结果

2020 年 2 月至 6 月平均新增转诊患者数为 2019 年同期的 65%。6 家机构限制医疗服务，其中 4 家限制手术。在所有机构和限制手术的机构中，全麻手术总数为92%和78%，原发性肺癌总数为94%和86%，气胸手术总数为71%分别为上年的 77%。感染控制和医疗物资资源不足是影响医疗机构限制服务决定的最重要因素。

结论

手术限制对普通胸外科提供的护理产生了重大影响。为了避免给患者带来不便，建立一个协作系统，在医疗限制的情况下将患者转介到运营医疗机构可​​能是有用的。