minimally invasive surgery project...are there any sop for covid-19+ patients in the outpatient...
TRANSCRIPT
Minimally Invasive Surgery Project
What is your subspeciality?
Oncological surgery
Gastrointestinal (visceralsurgery)
Upper GI
Gynecology
Urology
65%
2%0% 0%
32%
➢ 1 center skipped the question
What hospital do you currently work in?
Academic/teaching
Local district
Private
Other
47%
42%
8%
2%
➢ 1 center skipped the question
How would you describe the current status of your hospital in relation to COVID-19 pandemic?
Still maintaining normal surgical practise forboth elective and emergency
Cancelling elective non cancer surgery
Cancelling all elective surgery
Surge of COVID-19 cases that is significantlyimpacting all services
Complete lockdown2%
51%
13%
8%6%
➢ 29 centers skipped the question
Have you been asked to help out in other specialties such asEmergency Departement (ED),
Emergency Internal Medicin or Intensive Therapy Unit (ITU)?
Yes
No
Not yet
17%
43%
19%
➢ 31 centers skipped the question
If yes; did you received the required training?
Yes
No14%
43%
➢ 64 centers skipped the question
Where have you been asked to help out?
Emergency department
Emergency internal medicine
Intensive therapy unit
Other
34%
19%
2%5%
➢ 60 centers skipped the question
Does your hospital test for Covid-19 for patientsto be admitted with suspected symptoms?
Yes
No
3%
76%
➢ 31 centers skipped the question
If yes; when is the test performed?
At home
Into the hospital, once the patient isjust in ward
At the hospital entrance, beforeadmission
4%
26%
49%
➢ 34 centers skipped the question
Do you have in your hospital a ward dedicatedfor COVID-19 positive patients?
Yes
No
10%
71%
➢ 28 centers skipped the question
If yes; are surgical patients with COVID+ admitted to this a Covid+ ward?
Yes
No20%
54%
➢ 39 centers skipped the question
How many COVID-19+ patients has your hospital treated so far?
UK PortugalColombia SpainGermany ThailandEstonia Czech RepublicHong Kong IndonesiaArab Emirates IrelandSingapore AlbaniaTaiwan SlovakiaQatar USASlovenia RomaniaIrak UkrainePhilippines JordanIsrael AustraliaBelgium PakistanDenmark PanamaIndia NetherlandsNorway JapanPoland LabanonSweden SwitzerlandMessico ArgentineCroatia AustriaTurkey GreeceBosnia CanadaFrance BulgariaMalta SerbiaItaly
➢ Total patients: 37630
Italy
How many COVID-19+ Patients has your hospital treated so far?
➢ 12 centers answered 0 patients
➢ 14 centers answered < 10 patients
➢ 3 centers answered 10 patients
➢ 3 centers answered 15 patients
➢ 1 center answered 23 patients
➢ 3 centers answered 25 patients
➢ 1 center answered 27 patients
➢ 3 centers answered 30 patients
➢ 1 center answered 40 patients
➢ 7 centers answered 50 patients
➢ 1 center answered 60 patients
➢ 2 centers answered 70 patients
➢ 1 center answered 80 patients
➢7 centers answered 100 patients
➢ 5 centers answered 150 patients
➢ 6 centers answered 200 patients
➢ 3 centers answered 250 patients
➢ 10 centers answered 300 patients
➢ 6 centers answered 400 patients
➢ 1 center answered 450 patients
➢ 7 centers answered 500 patients
➢ 1 center answered 1000 patients
➢ 1 centers answered 1800 patients
49 centers skipped the question
How many COVID-19+ patients have been in ITU so far?UK PortugalUnited Arab Emirates ArabiaSpain ThailandIndonesia PanamaPoland IrelandPakistan LebanonRomania FinlandHong Kong IrakBelgium SingaporeAlbania TaiwanEstonia GreeceGermany SloveniaUSA ColombiaDenmark CanadaCroatia NetherlandsNorway JapanMessico QatarSwitzerland IsraelFrance TurkeyMalta BulgariaSlovakia AustriaIndia ArgentineSerbia BosniaPhilippines Italy
➢ Total patients: 6053
Italy45%
How many COVID-19+ Patients have been in ITU so far?
➢ 18 centers answered 0 patients
➢ 20 centers answered < 10 patients
➢ 3 centers answered 10 patients
➢ 3 centers answered 12 patients
➢ 2 centers answered 14 patients
➢ 4 centers answered 15 patients
➢ 10 center answered 20 patients
➢ 6 centers answered 25 patients
➢ 3 centers answered 30 patients
➢ 7 centers answered 40 patients
➢ 8 centers answered 50 patients
➢5 centers answered 60 patients
➢ 3 centers answered 70 patients
➢ 5 centers answered 80 patients
➢ 3 centers answered 100 patients
➢ 2 centers answered 150 patients
➢ 2 centers answered 200 patients
➢ 1 center answered 300 patients
43 centers skipped the question
Haw many COVID-19+ patients underwent emergencysurgical procedures in your centre?
UK Colombia Spain Ireland Romania Pakistan Singapore
Albania Greece Lithuania Egypt Croatia Belgium Germany
Argentine Israel France Turkey Finland Slovenia Arabia
Norway Netherlands Bosnia Georgia Italy
➢ Total patients: 1464
Italy44%
How many COVID-19+ Patients underwent emergencysurgical procedures in your center?
➢ 55 centers answered 0 patients
➢ 42 centers answered < 10 patients
➢ 8 centers answered 10 patients
➢ 1 center answered 20 patients
➢ 1 center answered 60 patients
➢ 1 center answered 1000 patients
40 centers skipped the question
How many COVID-19+ patients were operated on using MIS?
UK
Spain
Colombia
Ireland
Belgium
Bulgaria
Norway
Netherlands
France
Albania
Italy
➢ Total patients: 191
Italy46%
How many COVID-19+ Patients were opereted on using MIS?
➢ 0 centers answered 83 patients
➢ 14 centers answered 1 patient
➢ 3 centers answered 2 patients
➢ 1 center answered 6 patients
➢ 1 center answered 8 patients
➢ 1 center answered 10 patients
➢ 1 center answered 40 patients
42 centers skipped the question
Do you have/apply any special measures for MISwhen you operate on COVID-19 patients?
Yes
No
53%
22%
➢ 38 centers skipped the question
If yes; please specify
CO2 filter
Choice of energy device
Any additional procedure to reduce airleakage
CO2 filter and Choice of energy device
CO2 filter and Choice of energy device andAny additional procedure to reduce airleakageCO2 filter and Any additional procedure toreduce air leakage
Choice of energy device and Any additionalprocedure to reduce air leakage
33%
10%
15%
8%
5% 7%
1%
➢ 31 centers skipped the question
How many COVID-19+ patients are decreased in your centre until now?
UK PortugalColombia SpainIndonesia IndonesiaIreland RomaniaPhilippines AustriaFinland BelgiumBosnia PakistanSingapore AlbaniaIsrael NorwayHong kong GreeceJordan FranceCanada CroatiaNetherlands GermanyQatar SwitzerlandMessico IrakUkraine BulgariaTurkey SloveniaDenmark AustriaPoland SerbiaItaly
➢ Total patients: 9317
Italy18%
How many COVID-19+ patients are decreased in your centre until now?
➢ 24 centers answered 0
➢ 9 centers answered 1
➢ 7 centers answered 2
➢ 4 centers answered 3
➢ 1 center answered 4
➢ 4 centers answered 5
➢ 1 center answered 7
➢ 2 centers answered 9
➢ 6 centers answered 10
➢ 3 centers answered 11
➢ 1 center answered 12
➢ 1 center answered 13
➢ 5 centers answered 15
➢ 1 center answered 18
➢ 6 centers answered 20
➢ 4 centers answered 30
➢ 1 center answered 35
➢ 1 center answered 40
➢ 5 centers answered 50
➢ 2 centers answered 60
➢ 1 center answered 69
➢ 1 center answered 75
➢ 1 center answered 100
➢ 1 center answered 142
➢ 1 center answered 150
➢ 1 center answered 157
➢ 1 center answered 170
➢ 1 center answered 180
➢ 1 center answered 200
51 centers skipped the question
Are there any standard operating procedures (SOP) for COVID+ patients in your centre?
Yes
No
43%
26%
➢ 47 centers skipped the question
If yes; please select any of the following
OR
Perioperative care
Tele-consulting
OR and perioperative care and tele-consulting
OR and perioperative
Perioperative and tele-consulting
OR and tele-consulting
28%
16%
6% 6%
10%
2%1%
➢ 47 centers skipped the question
Are there any SOP for COVID-19+ patients in the OR?
Yes
No
35%
30%
➢ 52 centers skipped the question
Are there any SOP for COVID-19+ patients for perioperative care?
Yes
No
36%
28%
➢ 53 centers skipped the question
Are there any SOP for COVID-19+ patients in the outpatient setting?
Yes
No36%
41%
➢ 34 centers skipped the question
If yes; will you be willing to share them with EAES members?
Yes
No
20%
21%
➢ 87 centers skipped the question
During the pandemic of COVID-19, have you witnessed a reduced incidence of acute surgical condition such as acute appendicitis,
cholecystitis and diverticulitis?
Yes
No
59%
6%
➢ 51 centers skipped the question
Are you using CT routinely in diagnosis of all COVID-19 patients?
Yes
No
45%
20%
➢ 52 centers skipped the question
Are you using US in diagnosis of all COVID-19?
Yes
No
24%
39%
➢ 55 centers skipped the question
Have you encountered many patients referred for surgical review with abdominal symptoms?
Yes
No18%
46%
➢ 54 centers skipped the question
If yes; what is the main age category?
➢ 112 centers skipped the question
➢ 3 centers answered 31-40
➢ 4 centers answered 51-60
➢ 8 centers answered 71-80
➢ 6 centers answered 61-70
➢ 11 centers answered 41-50
➢ 3 centers answered > 80
➢ 1 center answered 21-30
If yes; what are the main symptoms?
Abdominal pain
Diarrhea
Vomiting
Other
21%
7%
0%2%
➢ 104 centers skipped the question
Of those patients, have you encountered any COVID-19+ patientswith an abdominal pathology?
Yes
No
24%
31%
➢ 67 centers skipped the question
If yes; specify age range
➢ 1 center answered 31-40
➢ 6 centers answered 51-60
➢ 10 centers answered 71-80
➢ 9 centers answered 61-70
➢ 8 centers answered 41-50
➢ 3 centers answered > 80
➢ 1 center answered 21-30
➢ 110 centers skipped the question
If yes; specify if you had to operate on them and which approach used
Open surgery
Laparoscopic surgery
Robotic surgery
13% 13%
1%
➢ 109 centers skipped the question
What was the main findings?
Obstructing tumour
Bowel perforation
Acute inflammatory condition ofappendix
Acute inflammatory condition ofgall bladder
Acute inflammatory condition ofdiverticulit
6%
7%
11%
3%
4%
➢ 103 centers skipped the question
Do your patients recover in a dedicated COVID-19 ward?
Yes
No
49%
11%
➢ 60 centers skipped the question
Have you encountered more/other complications with COVID-19 patients?
Yes
No
10%
41%
➢ 72 centers skipped the question
If yes
Respiratory
Infective
Other
8%
4%
1%
➢ 128 centers skipped the question
Do you follow the same recovery programme as for non-COVID-19 patients or do you have a different protocol?
Yes
No
19%
33%
➢ 71 centers skipped the question
If yes; what are the main changes?
Routine antibiotics useprophylactic for a week
Other
15%
4%
➢ 120 centers skipped the question
In your opinion, where are the gaps in relationship to COVID-19 and surgicalpractise (use a scale of 1-5 where 5 is the maximum)
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
4%
8%
14% 14%
18%
➢ 62 centers skipped the question
VIRUS SPECIFY
SURGICAL PROCEDURES AND PROTECTIVE MEASURES
Grade 1
Grade 2
Grade 3
Grade 4
Grade 53%
5%
15%
17%
20%
➢ 62 centers skipped the question
In your opinion, where are the gaps in relationship to COVID-19 and surgical practise (use a scale of 1-5 where 5 is the maximum)
ITU/ INTERNAL MEDICINE (GENERAL) FOR SERVICE REDISTRIBUTION
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
3%
7%
18%
20%
12%
➢ 62 centers skipped the question
In your opinion, where are the gaps in relationship to COVID-19 and surgical practise (use a scale of 1-5 where 5 is the maximum)
DIAGNOSTICS MODALITIES OF THE VIRUS
Grade 1
Grade 2
Grade 3
Grade 4
Grade 54%
11%
18%
16%
9%
➢ 62 centers skipped the question
In your opinion, where are the gaps in relationship to COVID-19 and surgical practise (use a scale of 1-5 where 5 is the maximum)
OTHERS
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
5%
6%
8%
6%
2%
➢ 73 centers skipped the question
In your opinion, where are the gaps in relationship to COVID-19 and surgical practise (use a scale of 1-5 where 5 is the maximum)
Grade 1
Grade 2
Grade 3
Grade 4
Grade 53%
4%
20%
13%
18%
HUMAN RESOURCES (REDIRECTION OF SURGICAL STAFF)
➢ 63 centers skipped the question
In your opinion, where are the gaps in relationship to COVID-19 and surgicalpractise (use a scale of 1-5 where 5 is the maximum)
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
1%
3%
20%
16%
18%
HUMAN RESOURCES (SURGICAL STAFF TRAINING)
➢ 62 centers skipped the question
In your opinion, where are the gaps in relationship to COVID-19 and surgical practise (use a scale of 1-5 where 5 is the maximum)
Grade 1
Grade 2
Grade 3
Grade 4
Grade 53%
5%
12% 12%
26%
MATERIALS (PROTECTIVE AS WELL AS STERILE SURGICAL EQUIPMENT)
➢ 62 centers skipped the question
In your opinion, where are the gaps in relationship to COVID-19 and surgical practise (use a scale of 1-5 where 5 is the maximum)
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
3%
5%
9%
13%
28%
MASKS (FILTERING FACE PIECE FFP1-2) DECONTAMINATING
➢ 62 centers skipped the question
In your opinion, where are the gaps in relationship to COVID-19 and surgical practise (use a scale of 1-5 where 5 is the maximum)
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
3%
6%
16%
14%
19%
OWN RECYCLABLE PROTECTIVE MEASURES
➢ 63 centers skipped the question
In your opinion, where are the gaps in relationship to COVID-19 and surgical practise (use a scale of 1-5 where 5 is the maximum)
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
1%
8%
15%
18%16%
ENDOSCOPY FFP MEASURES
➢ 63 centers skipped the question
In your opinion, where are the gaps in relationship to COVID-19 and surgical practise (use a scale of 1-5 where 5 is the maximum)
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
3% 3%
12%
18%
21%
THEATRE FFP MEASURES
➢ 63 centers skipped the question
In your opinion, where are the gaps in relationship to COVID-19 and surgical practise (use a scale of 1-5 where 5 is the maximum)
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
10%
3%4%
2%
4%
OTHERS
➢ 114 centers skipped the question
In your opinion, where are the gaps in relationship to COVID-19 and surgical practise (use a scale of 1-5 where 5 is the maximum)
Grade 1
Grade 2
Grade 3
Grade 4
Grade 52%
4%
11%
18% 18%
SURGICAL PROCEDURES IN GENERAL PROTECTIVE MEASURES ON COVID-19+ PATIENTS
➢ 69 centers skipped the question
In your opinion, where are the gaps in relationship to COVID-19 and surgical practise (use a scale of 1-5 where 5 is the maximum)
Grade 1
Grade 2
Grade 3
Grade 4
Grade 53% 4%
13%
18%
15%
SAFETY OF MIS ON COVID-19+ PATIENTS
➢ 69 centers skipped the question
In your opinion, where are the gaps in relationship to COVID-19 and surgical practise (use a scale of 1-5 where 5 is the maximum)
Grade 1
Grade 2
Grade 3
Grade 4
Grade 53% 3%
12%
17%
19%
EFFECT AND SAFETY OF PNEUMOPERITONEUM ON COVID-19+ PATIENTS
➢ 68 centers skipped the question
In your opinion, where are the gaps in relationship to COVID-19 and surgical practise (use a scale of 1-5 where 5 is the maximum)
Grade 1
Grade 2
Grade 3
Grade 4
Grade 53%
8%
16% 16%
12%
CONVERSION TO OPEN AFTER MIS AMONG COVID-19 PATIENTS
➢ 67 centers skipped the question
In your opinion, where are the gaps in relationship to COVID-19 and surgical practise (use a scale of 1-5 where 5 is the maximum)
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
1%
5%
17%18%
14%
POSTOPERATIVE CARE ON COVID-19+ PATIENTS
➢ 67 centers skipped the question
In your opinion, where are the gaps in relationship to COVID-19 and surgical practise (use a scale of 1-5 where 5 is the maximum)
Do you feel you need psychological support in this period? (use a scale of 1-5 where 5 is the maximum)
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
22%
12%11%
3%5%
➢ 70 centers skipped the question
Is peer support avaiable in your hospital?
Yes
No
33%
20%
➢ 69 centers skipped the question
Are there psychologists avaiable to provide staff support in relation to COVID-19?
Yes
No
34%
18%
➢ 71 centers skipped the question
Do you have an access to this service?
Yes
No
27%
25%
➢ 71 centers skipped the question
Does your center offer routine testing to staff with suspected symptoms?
Yes
No
35%
18%
➢ 70 centers skipped the question
Do you have any measures in place to protect your family?
Yes
No
29%
23%
➢ 71 centers skipped the question