Impact of the first wave of the COVID-19 pandemic on emergency surgical activities at the National Reference University Hospital of N’Djamena
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Keywords
COVID-19, Surgical emergencies, Africa, Chad
Abstract
Aim of the work: An evaluation of Covid-19 pandemic impact on emergency surgical activities at the CHU-RN in N'Djamena, Chad.
Method: A retrospective study of patients admitted to the surgical emergency room during the first wave of the pandemic (April-June 2020). The data were compared to those of patients admitted during the same period in 2019 (control group).
Results: A total of 3248 patients were received: 2366 in 2019 and 882 in 2020. Respective reduction of 50% of admissions and 31% of emergency operations were observed. The average age (30 years) and male predominance remained unchanged. The average admission time went from 72 hours in 2019 to 7 days in 2020. We also noticed that digestive emergencies, such as acute generalized peritonitis (6.6% vs 14.4%, p < 0.1) and strangulated hernias (6.6% vs 15.2% p: 0.07) were more severe in 2020.
Conclusion: COVID-19 had reduced admissions and urgent surgical interventions.
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References
2. Ndongo N A. Pandémie à Coronavirus (COVID-19) et pratique de la chirurgie dans les pays à ressources limitées Ann. Afr. Med.2020 ; 13(3): 3731-5.
3. Tchoubou FH. Comparaison de l’évolution du covid-19 dans six pays: Afrique du sud, Cameroun, Tchad, France, Italie et Etats-Unis durant leurs premiers mois de la pandémie. [Internet]. 2020 [cited september 20, 2021]. Disponible sur: https://hal.archives-ouvertes.fr/hal-02554785
4. Patriti et al. Emergency general surgery in Italy during the COVID-19 outbreak: first survey from the real life World Journal of Emergency Surgery.2020;15:36 https://doi.org/10.1186/s13017-020-00314-3
5. Lancaster EM, Sosa JA, Sammann A, et al. Rapid Response of an Academic Surgical Department to the COVID-19 Pandemic: Implications for Patients, Surgeons, and the Community. J Am Coll Surg [Internet]. 2020 Apr 9 [cited 2020 May 8]; Available from
6. Perrone G, Giuffrida M, Bonati E et al.Emergency Surgery in A Tertiary Hospital: The Covid-19 Experience. Bangladesh Journal of Medical Science, Special Issue on Covid19, 2020. Page : S 66-S 68 DOI:https://doi.org/10.3329/bjms.v19i0.48168
7. Choua O, Ali M M, Kaboro M, Moussa KM, Anour M. Etiological, Clinical, and Therapeutic Aspects of Acute Generalized Peritonitis in N’Djamena. Méd Santé Trop.2017; 27:270-3.
8. Kalli M, Valentin A, Younous S et al. Aspects épidémiologiques des traumatismes lies aux accidents de la voie publique chez les adultes au Centre Hospitalier Universitaire De Reference Nationale De N’Djamena (Chu-Rn), Tchad. ESJ. 2021;17(25) :396-406.
9. Orthopoulos G, Santone E, Izzo F, Tirabassi M. Increasing incidence of complicated appendicitis during COVID-19 pandemic. The American Journal of Surgery. 2021;221:1056-60
10. Lima DL, · Pereira X, Dos Santos DC, Camacho D, Malcher F. Where are the hernias? A paradoxical decrease in emergency hernia surgery during COVID 19 pandemic Hernia. 2020; 24:1141-2 https://doi.org/10.1007/s10029-020-02250-2
11. Atri S, Hadad A, Makni M, Kacem J. Digestive surgical emergencies during the COVID-19 pandemic are deeply affected and more advanced. J Chir Visc.2021; 158(1):98-9.
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