Aim A SARS Coronavirus 2 (COVID-19) pandemic drastically changed the way the health system works. In Croatia, lockdown measures to curb virus spread lasted from March to May 2020, and all non-essential medical procedures and patients’ visits have been cancelled. The study aimed to compare patients’ flow and interventions in the surgical department before, during and after the lockdown period. Methods This cross-sectional study analysed the workload at the Maxillofacial and Oral Surgery Department (Department), Osijek University Hospital, during the COVID-19 pandemic (March-May 2020) and four subsequent months. The same period of 2019 was compared as a control. The data were subtracted from hospitals’ electronic database. Results During COVID-19 lockdown from March to May 2020 the number of hospitalizations (306 vs. 138), surgical procedures (306 vs. 157), and scheduled outpatient visits (2009 vs. 804), dropped significantly as compared to 2019. The number of skin tumour removals was halved (from 155 in 2019 to 58 in 2019) (p<0.001), and the number of emergency patients was unchanged in the 3-month period. A significant decrease in outpatient visits and hospital admissions continued after the lockdown (p<0.001). Conclusion A decrease in the number of outpatient visits, hospitalizations, and tumour removals may result in larger proportions of patients with advanced cancers in the future. The second wave of COVID-19 pandemic is ongoing, and special effort must be paid to reduce the number of cancer patients receiving suboptimal treatment.
Wu Z, Mcgoogan J. Characteristics of and important lessons from the coronavirus disease 2019 (CO-VID-19) outbreak in China: summary of a report of 72314 cases from the Chinese Center for Disease Control and Prevention. JAMA. 2020;1239–42.
2.
Zimmermann M, Nkenke E. Approaches to the management of patients in oral and maxillofacial surgery during COVID-19 pandemic. J Craniomaxillofac Surg. 2020;521–6.
3.
Zhao Z, Gao D. Precaution of 2019 novel coronavirus infection in department of oral and maxillofacial surgery. Br J Oral Maxillofac Surg. 2020;250–3.
4.
Mick P, Murphy R. Aerosol-generating otolaryngology procedures and the need for enhanced PPE during the COVID-19 pandemic: a literature review. J Otolaryngol Head Neck Surg. 2020;29.
5.
Gallo O, Locatello L, Orlando P, Martelli F, Bruno C, Cilona M, et al. The clinical consequences of the COVID-19 lockdown: a report from an Italian referral ENT department. Laryngoscope Investig Otolaryngol. 2020;824–31.
6.
Koronavirus, Hr. 11AD;
7.
Hartnett K, Kite-Powell A, Devies J, Coletta M, Boehmer T, Adjemian J, et al. Impact of the COVID-19 pandemic on emergency department visits -United States. MMWR. :699–704.
8.
Wong L, Hawkins J, Langness J, Murrell S, Iris K, Sammann P, et al. Where are all the patients? Addressing Covid-19 fear to encourage sick patients to seek emergency care. NEJM Catal. 2020;1–12.
9.
Metzler B, Siostrzonek P, Binder R, Bauer A, Reinstadler S. Decline of acute coronary syndrome admissions in Austria since the outbreak of CO-VID-19: the pandemic response causes cardiac collateral damage. Eur Heart J. 2020;1852–3.
10.
Lazzerini M, Barbi E, Apicella A, Marchetti F, Cardinale F, Trobia G. Delayed access or provision of care in Italy resulting from fear of COVID-19. Lancet Child Adolesc Heal. 2020;10–1.
11.
Uscher-Pines L, Pines J, Kellermann A, Gillen E, Mehrotra A. Emergency department visits for nonurgent conditions: systematic literature review. Am J Manag Care. 2013;47–59.
12.
Collaborative C. Elective surgery cancellations due to the COVID-19 pandemic: global predictive modelling to inform surgical recovery plans. Br J Surg. 2020;
13.
Ho A, Kim S, Tighiouart M, Mita A, Scher K, Epstein J, et al. Quantitative survival impact of composite treatment delays in head and neck cancer. Cancer. 2018;3154–62.
14.
Bartlett D, Howe J, Chang G, Crago A, Hogg M, Karakousis G, et al. Management of cancer surgery cases during the CO-VID-19 pandemic: considerations. Ann Surg Oncol. 2020;1717–20.
15.
Kowalski L, Sanabria A, Ridge J, Ng W, De Bree R, Takes R, et al. COVID-19 pandemic: effects and evidence-based recommendations for otolaryngology and head and neck surgery practice. Head and Neck. 2020;1259–67.
16.
Practitioners specialized in oral health and coronavirus disease 2019: Professional guidelines from the French society of stomatology, maxillofacial surgery and oral surgery, to form a common front against the infectious risk. J Stomatol Oral Maxillofac Surg. 2020;155–8.
17.
Godoy G, Jones L, Anderson A, Fisher T, Seeley C, Beeson K, et al. Facial protection for healthcare workers during pandemics: a scoping review. BMJ Global Health. 2020;
18.
Gefen A, Ousey K. Update to device-related pressure ulcers: SECURE prevention. COVID-19, face masks and skin damage. J Wound Care. 2020;245–59.
19.
Cruz D, L. PPE or not PPE -that is the question. Br Dent J. 2020;753–4.
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