Pediatrik Cerrahi Operasyonlarında Pandemik Normalleşme Sürecinin Değerlendirilmesi: Üçüncü Basamak Merkez Deneyimi

Year 2024, Volume: 21 Issue: 3, 387 - 392

Büşra Manduz Yavuz , Düriye Gül İnal , İçten Ezgi İnce , Onur Yavuz , Volkan Hancı , Çimen Gülben Olguner

https://doi.org/10.35440/hutfd.1536531

Abstract

Amaç: Bu çalışmanın amacı pediatrik cerrahi operasyonlarında pandemi normalizasyon sürecini değerlendirmektir.ediatrik cerrahi operasyonlarında pandemik normalleşme sürecinin değer-lendirilmesi: Üçüncü basamak merkez deneyimi
Materyal ve Metod: Bu, üçüncü basamak bir merkezde yürütülen retrospektif kesitsel ve karşılaştırmalı çalışmadır. Çalışmamıza 917 kişi dahil edildi. Ülkemizde COVID-19 salgınının ilk dal-gasının ardından normalleşmenin açıklandığı Haziran 2020 ile ikinci önlem dalgasının başladığı Kasım 2020 arasındaki dönem olarak tanımlandı [Grup 1 (n= 393,42.7%)]. Bir yıl sonra, aynı zaman dilimine (Haziran 2021-Kasım 2021) karşılık gelen ikinci dönem [Grup 2 (n=525, %57,3)] olarak tanımlandı.
Bulgular: Grup 1'in ortanca yaşı 5, Grup 2'nin ortanca yaşı 6 idi (p<0,001). Acil ameliyatlar Grup 2'de daha sık görüldü (%31,1'e karşı %35,4). Genel anestezi her iki grupta da en sık uygulanan anestezi yöntemidir (%98,5'e karşı %97,3). Her iki grupta da en sık batın ameliyatları yapıldı (%48'e karşı %49). Laparoskopik cerrahi uygulanma oranı Grup 1'de %62 iken Grup 2'de %62,1 oldu. Ameliyat öncesi COVID-19 polimeraz zincir reaksiyonu (PCR) test incelemesi Grup 2’de ve ameliyat sonrası COVID-19 PCR test incelemesi Grup 1'de istatistiksel olarak anlamlı fark tespit edildi. Lenfosit ve C-reaktif protein (CRP) serum belirteçleri gruplar arasında benzerdi. Yoğun bakım ünitesi/anestezi sonrası bakım ünitesi ihtiyacı ile ölüm oranları arasında fark yoktu.
Sonuç: Normalleşme sürecinde pediatrik cerrahi operasyonlarının sayısı azalsa da vakaların kalitesi ve sonuçları açısından başarılı bir süreç yönetildi.

Keywords

COVID-19, pandemi normalizasyon süreci, pediatrik cerrahi

Evaluation of the Pandemic Normalization Process in Pediatric Surgery Operations: Tertiary Center Experience

Abstract

Objectives: The aim of this study was to evaluate pandemicinormalization process in pediatric surgery operations.
Methods: This was a retrospective study conducted at a tertiary center. In our study, 917 individuals were included. It was defined as the period between June 2020, when normalization was announced after the first wave of the Coronavirusidisease-19 (COVID-19) pandemic in our country, and November 2020, when the second wave of measures began [Group 1 (n=393,42.7%)]. One year later was defined as the second period [Group 2 (n=525, 57.3%)], corresponding to the same time period (June 2021-November 2021).
Results: The median age of Group 1 was 5 years and Group 2 was 6 years (p <0.001). Emergency surgery was more common in Group 2 (31.1% vs 35.4%). General anesthesia is the most commonly perfomed anesthesia method in both groups (98.5% vs 97.3%). Abdominal operations were the most common in both groups (48% vs 49%). While the rate of laparoscopic surgery was 62% in Group 1, it was 62.1% in Group 2. A statistically significant difference was detected in preoperative COVID-19 polymeraseichain reaction (PCR) test examination Group 2 and postoperative COVID-19 PCR test examination Group 1. Lymphocyte and C-reactive protein (CRP) serum markers were similar between groups. There was no difference between the need for intensive care unit/postanesthesia care unit and mortality rates.
Conclusion: Although the number of pediatric surgical operations decreased during the normalization period, a successful process was managed in terms of the quality and results of the cases.

Keywords

COVID-19, pandemicinormalization process, pediatric surgery

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