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Volume 15
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10.3390/su15010237
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Article

The Influence of the COVID-19 Pandemic on Mortality of Patients Hospitalized in Surgical Services in Romania: A Cross-Sectional Study of a National Survey

by
Rodica Bîrlă
1,
Eugenia Panaitescu
2,*,
Cornelia Ceban
3,
Andra-Victoria Radu
4,
Petre Hoară
1,*,
Adrian Constantin
1,
Dan Nicolae Păduraru
5,
Anca Bordianu
4,
Daniel Alin Cristian
6 and
Silviu Constantinoiu
1
1
General Surgery Department, Clinic of General and Esophageal Surgery, “Sf. Maria” Clinical Hospital, Faculty of Medicine, “CarolDavila” University of Medicine and Pharmacy, 050474 Bucharest, Romania
2
Medical Informatics and Biostatistics Department, “Carol Davila” University of Medicine and Pharmacy, 050474 Bucharest, Romania
3
Oftalmology Department, “NicolaeTestemițanu” State University of Medicine and Pharmacy of the Republic of Moldova, 2004 Chișinău, Moldova
4
Faculty of Medicine, “Carol Davila” University of Medicine and Pharmacy, 050474 Bucharest, Romania
5
University Emergency Hospital of Bucharest, Faculty of Medicine, “Carol Davila” University of Medicine and Pharmacy, 050474 Bucharest, Romania
6
Clinical Hospital Colțea, “Carol Davila” University of Medicine and Pharmacy, 050474 Bucharest, Romania
*
Authors to whom correspondence should be addressed.
Sustainability 2023, 15(1), 237; https://doi.org/10.3390/su15010237
Submission received: 26 November 2022 / Revised: 16 December 2022 / Accepted: 21 December 2022 / Published: 23 December 2022
(This article belongs to the Special Issue Public Health and Healthcare Services Technologies and Development in Post-COVID 19 Era)
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Abstract

Surgical practice worldwide has changed rapidly in response to the coronavirus disease 2019 (COVID-19) pandemic. The study aimed to analyze the impact of the COVID-19 pandemic on mortality, in hospitalized patients, in Romanian surgical services. We have developed our research on a national survey of the consecutive records of hospitalizations, surgical interventions and deaths performed in Romania between March and August 2020. Results show that 47 surgical departments responded to the request. The admissions in the period March–August 2020 represented 52% of that from the similar period of 2019. In the studied period, the share of surgical interventions in patients admitted to non-COVID-19 centres was 98.7%, respectively 78.2% in COVID-19 support hospitals (p < 0.05), and emergency interventions of 43.4% in non-COVID-19 hospitals, respectively 84.8% in COVID-19 support hospitals (p < 0.05). Overall mortality in this period was 5.82%, compared to 3.28% in a similar period in 2019, (p < 0.05). Postoperative mortality in COVID-19-positive patients was 19%. In conclusion, in the hospitals in Romania included in the survey, the overall mortality in the studied period was higher than in a similar period in 2019. In patients with COVID-19 positive, the recorded postoperative mortality was higher than overall mortality.
Keywords: COVID-19 support hospitals; COVID-19 outbreak; COVID-19 positive patient; COVID-19 suspected patient COVID-19 support hospitals; COVID-19 outbreak; COVID-19 positive patient; COVID-19 suspected patient

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MDPI and ACS Style

Bîrlă, R.; Panaitescu, E.; Ceban, C.; Radu, A.-V.; Hoară, P.; Constantin, A.; Păduraru, D.N.; Bordianu, A.; Cristian, D.A.; Constantinoiu, S. The Influence of the COVID-19 Pandemic on Mortality of Patients Hospitalized in Surgical Services in Romania: A Cross-Sectional Study of a National Survey. Sustainability 2023, 15, 237. https://doi.org/10.3390/su15010237

AMA Style

Bîrlă R, Panaitescu E, Ceban C, Radu A-V, Hoară P, Constantin A, Păduraru DN, Bordianu A, Cristian DA, Constantinoiu S. The Influence of the COVID-19 Pandemic on Mortality of Patients Hospitalized in Surgical Services in Romania: A Cross-Sectional Study of a National Survey. Sustainability. 2023; 15(1):237. https://doi.org/10.3390/su15010237

Chicago/Turabian Style

Bîrlă, Rodica, Eugenia Panaitescu, Cornelia Ceban, Andra-Victoria Radu, Petre Hoară, Adrian Constantin, Dan Nicolae Păduraru, Anca Bordianu, Daniel Alin Cristian, and Silviu Constantinoiu. 2023. "The Influence of the COVID-19 Pandemic on Mortality of Patients Hospitalized in Surgical Services in Romania: A Cross-Sectional Study of a National Survey" Sustainability 15, no. 1: 237. https://doi.org/10.3390/su15010237

APA Style

Bîrlă, R., Panaitescu, E., Ceban, C., Radu, A.-V., Hoară, P., Constantin, A., Păduraru, D. N., Bordianu, A., Cristian, D. A., & Constantinoiu, S. (2023). The Influence of the COVID-19 Pandemic on Mortality of Patients Hospitalized in Surgical Services in Romania: A Cross-Sectional Study of a National Survey. Sustainability, 15(1), 237. https://doi.org/10.3390/su15010237

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