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Georgiou M, Ridzuan-Allen A, Chamsin A, Siddiqui Z, Tolofari S, Ejikeme C, Jones R, Napier-Hemy TP, Rotas S, Hughes KE, Khattak AQ, McCabe JE, Omar AM, Mistry R, Samsudin A, Gana HBY, Floyd MS. Emergency Urology procedures during the COVID-19 pandemic in the UK: A 3-month prospective study. Urologia 2022:3915603221136321. [PMID: 36346172 PMCID: PMC9646888 DOI: 10.1177/03915603221136321] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
OBJECTIVE COVID-19 resulted in Regional tiered restrictions being introduced across the UK with subsequent implications for planned and emergency surgical care. Specific to Merseyside, Tier 4, Tier 2 and Tier 5 restrictions were introduced in late 2020 and early 2021. The purpose of this study was to examine the nature and workload of emergency urological procedures during three different national lockdown Tiers in the North West of England. METHOD A 3-month prospective study examining all emergency urological activity was conducted from November 2020 when Tier 4 restrictions were introduced and included Tier 2 restrictions in December and then concluded at the end of January 2021 when Tier 5 restrictions were in place. Data was obtained by identifying patients using the electronic theatre listing system. RESULTS A total of 71 emergency cases were performed (24 in November (Tier 4), 28 in December (Tier 2), 19 in January 2021 (Tier 5)) with 15 different types of procedures performed. The most frequently performed procedure was stent insertion (36), followed by scrotal exploration (10). The least commonly performed procedure was suprapubic catheter insertion under general anaesthesia (1). One patient required transfer to a different hospital. In total 6 calls were made by general surgery and 3 by gynaecology for urgent urological assistance in theatre. Three urology patients returned to the theatre as emergencies following elective procedures. CONCLUSION Unlike the Spring lockdown, acute urological presentations requiring operative intervention still presented daily. Of the 71 cases performed, most occurred in Tier 2. Stent insertion was the most commonly performed procedure, with the majority of the cases performed by registrars.
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Affiliation(s)
- Marita Georgiou
- Marita Georgiou, Department of Urology, St
Helens and Knowsley NHS Trust, Whiston Hospital, Prescot L35 5DR, Merseyside,
UK.
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ÇAKICI MÇ, TEMİZ MZ, İPLİKÇİ A, ÖZGÖR F, AKSOY AK, ÖZER M, ERDEM S, ULUS İ, KÜÇÜK EV, ÖTÜNÇTEMUR A, DEĞİRMENCİ E, AYDIN R, ATIŞ G, MÜSLÜMANOĞLU AY, SARILAR Ö, ÖZCAN F, YILDIRIM A. The clinical impact of the COVID-19 pandemic on daily urological practice: first 3-month multicenter results from İstanbul. Turk J Med Sci 2021; 51:962-971. [PMID: 33433971 PMCID: PMC8283505 DOI: 10.3906/sag-2009-184] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2020] [Accepted: 01/12/2021] [Indexed: 02/05/2023] Open
Abstract
BACKGROUND/AIM The aim of this paper was to determine the general tendencies of urology patients and effect of COVID-19 pandemic on daily urological practice at tertiary centers located in the most affected area in Turkey. MATERIALS AND METHODS We retrospectively analyzed the data of 39,677 patients (group 1) that applied to 6 different large-volume tertiary centers in İstanbul for outpatient consultation, surgery, or other procedures in the 3-month period between March 16 and June 14, 2020. The distribution of the number of patients who applied to subspecialty sections of urology outpatient clinics and inpatient services were recorded by weeks. That data was compared to data obtained from 145,247 patients that applied to the same centers in the same period of the previous year (group 2). The reflection of worldwide and Turkish COVID-19 case distribution on the daily urological practice was analyzed. RESULTS There was a decrease in the number of patients in all subspecialty sections the in group 1 compared to group 2; however, there was a significant proportional increase in urooncology and general urology admissions. A decrease of approximately 75% was observed in the total number of surgeries (p < 0.001). We detected a negative correlation between the numbers of admission to all outpatient clinics and COVID-19 cases or deaths in Turkey (p < 0.05). The same negative correlation was present for all surgical procedures and consultations (p < 0.05). The multivariate linear regression analysis revealed that the number of cases in Turkey, and the number of deaths worldwide affect the number of outpatient clinic admissions (R2 = 0.38, p = 0.028) and urological surgery (R2 = 0.33, p = 0.020) in Turkey negatively. CONCLUSION This novel pandemic has implications even for urology practice. Urological surgical procedures were more affected by COVID-19-related deaths in Turkey and worldwide. Outpatient admissions and urological surgeries decreased significantly by increasing COVID-19 case numbers in Turkey and worldwide deaths.
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Affiliation(s)
- Mehmet Çağlar ÇAKICI
- Department of Urology, Istanbul Medeniyet University Goztepe Training and Research Hospital, İstanbulTurkey
- * To whom correspondence should be addressed. E-mail:
| | - Mustafa Zafer TEMİZ
- Department of Urology, Health Science University, Bağcılar Training and Research Hospital, İstanbulTurkey
| | - Ayberk İPLİKÇİ
- Department of Urology, Istanbul Medeniyet University Goztepe Training and Research Hospital, İstanbulTurkey
| | - Faruk ÖZGÖR
- Department of Urology, Health Science University, Sultangazi Haseki Training and Research Hospital, İstanbulTurkey
| | - Alper Kerem AKSOY
- Department of Urology, Health Science University, Ümraniye Training and Research Hospital, İstanbulTurkey
| | - Murat ÖZER
- Department of Urology, Health Science University, Okmeydanı Training and Research Hospital, İstanbulTurkey
| | - Selçuk ERDEM
- Department of Urology, Istanbul Faculty of Medicine, İstanbul University, İstanbulTurkey
| | - İsmail ULUS
- Department of Urology, Health Science University, Bağcılar Training and Research Hospital, İstanbulTurkey
| | - Eyüp Veli KÜÇÜK
- Department of Urology, Health Science University, Ümraniye Training and Research Hospital, İstanbulTurkey
| | - Alper ÖTÜNÇTEMUR
- Department of Urology, Health Science University, Okmeydanı Training and Research Hospital, İstanbulTurkey
| | - Enes DEĞİRMENCİ
- Department of Urology, Istanbul Faculty of Medicine, İstanbul University, İstanbulTurkey
| | - Reşat AYDIN
- Department of Urology, Istanbul Faculty of Medicine, İstanbul University, İstanbulTurkey
| | - Gökhan ATIŞ
- Department of Urology, Istanbul Medeniyet University Goztepe Training and Research Hospital, İstanbulTurkey
| | - Ahmet Yaser MÜSLÜMANOĞLU
- Department of Urology, Health Science University, Bağcılar Training and Research Hospital, İstanbulTurkey
| | - Ömer SARILAR
- Department of Urology, Health Science University, Sultangazi Haseki Training and Research Hospital, İstanbulTurkey
| | - Faruk ÖZCAN
- Department of Urology, Istanbul Faculty of Medicine, İstanbul University, İstanbulTurkey
| | - Asıf YILDIRIM
- Department of Urology, Istanbul Medeniyet University Goztepe Training and Research Hospital, İstanbulTurkey
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