Keywords
Abbreviations:
APSA (American Pediatric Surgical Association), COVID-19 (Coronavirus Disease 2019), OR (Operating Room), PPE (Personal Protective Equipment)1. Background
2. Methods
Berman L., Newton C., Powell D. APSA Quality and Safety Committee COVID-19 Data Sharing Database, https://www.pedsurglibrary.com/apsa/view/PedSurg%20Resource/1884034/all/COVID_19_for_Pediatric_Surgeons#2; 2020 [accessed April 16 2020,.2020].
3. Results
Reported COVID-19 Burden and Practices by Pediatric Surgical Institutions June 2020- October 2020 | |||||||
---|---|---|---|---|---|---|---|
# pediatric patients with COVID-19+ admitted in hospital | # pediatric COVID-19+ with operations since March 2020 | # adverse events after operation while asymptomatic and COVID-19+ | |||||
Total N (Sum across all institutions) | 6355 | 284 | 0 | ||||
Percent of institutions reporting non-op management for appendicitis (June 2020) | Percent of institutions reporting non-op management for appendicitis (Sept 2020) | Delay elective cases in COVID-19+ children (% yes) | Delay case until: | Retest even if asymptomatic? (% yes) | |||
> 4 weeks | <= 4 weeks | Up to 2 weeks | Un-determined date | ||||
19% | 9% | 100% | 36% | 36% | 18% | 9% | 82% |
PPE for COVID-19 positive operations (laparoscopic and open) | Employee Screening | |||||
---|---|---|---|---|---|---|
Policy | N95 with eye protection | N95, no eye protection required | Surgical mask with eye protection | Screening Survey only | Screening and Temperature checks | Social Distancing in Common areas |
% reporting | 90% | 0% | 10%* | 55% | 45% | 100% |
4. Discussion
Control CfD. Clinical Questions: FAQ, https://www.cdc.gov/coronavirus/2019-ncov/hcp/faq.html#; 2020 [accessed Oct 2 2020.2020].
Control CfD. Duration of Isolation and Precautions for Adults, https://www.cdc.gov/coronavirus/2019-ncov/hcp/duration-isolation.html; 2020 [accessed 10/2/2020].
5. Conclusions
Level of Evidence
Declarations of Competing Interest
References
- Factors associated with surgical mortality and complications among patients with and without coronavirus disease 2019 in Italy.JAMA Surg. 2020; 155: 691-702
- Universal testing for COVID-19 in essential orthopaedic surgery reveals a high percentage of asymptomatic infections.J Bone Joint Surg Am. 2020; 102: 1379-1388
- Characterization of initial North American Pediatric Surgical Response to the COVID-19 pandemic.J Pediatr Surg. 2020; 55: 1431-1435
- Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 Infection: an international cohort study.The Lancet. 2020; 396: 27-38
Berman L., Newton C., Powell D. APSA Quality and Safety Committee COVID-19 Data Sharing Database, https://www.pedsurglibrary.com/apsa/view/PedSurg%20Resource/1884034/all/COVID_19_for_Pediatric_Surgeons#2; 2020 [accessed April 16 2020,.2020].
Control CfD. Clinical Questions: FAQ, https://www.cdc.gov/coronavirus/2019-ncov/hcp/faq.html#; 2020 [accessed Oct 2 2020.2020].
Control CfD. Duration of Isolation and Precautions for Adults, https://www.cdc.gov/coronavirus/2019-ncov/hcp/duration-isolation.html; 2020 [accessed 10/2/2020].
- SAGES and EAES recommendations for minimally invasive surgery during COVID-19 pandemic.Surg Endosc. 2020; 34: 2327-2331
Collaborative C. Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study. Lancet 2020;396(10243):27–38.
- Limiting operations for acute appendicitis in children: lessons learned from the U.S. epicenter of the COVID-19 pandemid.J Pediatr Surg. 2020;
- Increase in pediatric perforated appendicitis in the New York City metropolitan region at the epicenter of the COVID-19 outbreak.Ann. Surg. 2020;
- Development of pediatric surgical decision-making guidelines for COVID-19 in a New York City children's hospital.J Pediatr Surg. 2020; 55: 1427-1430