key: cord-0932452-unm5yamp
authors: Hosomi, Risa; Lefor, Alan Kawarai
title: An invited commentary on “Acute Care Surgery during the COVID-19 pandemic in Spain: changes in volume, causes and complications. A multicentre retrospective cohort study”
date: 2020-08-19
journal: Int J Surg
DOI: 10.1016/j.ijsu.2020.08.015
sha: 614b8bb2a5b60f60cb922bd3a50783b8cf8b65bd
doc_id: 932452
cord_uid: unm5yamp

nan

We read with great interest the paper "Acute Care Surgery during the COVID-19 pandemic (declared 11 March 2020) in Spain: changes in volume, causes and complications.

A multicentre retrospective cohort study" by Valderrama et al (1) . The world has undergone drastic change due to the COVID-19 pandemic. This study identifies a number of significant issues of great interest to the surgical community and focuses on effects of the pandemic on the practice of acute care surgery. The study was conducted at three tertiary care facilities in Spain in March/April of 2020. There are two groups, a control group (1). In a large multicenter study of 1128 patients with confirmed COVID-19 infections, another group found significantly higher mortality in these patients (2) . It is noteworthy that 51.2% of these patients had pulmonary complications.

Morbidity rates did increase significantly during the pandemic in the Valderrama study (1) although the difference was not significant in a multi-variate analysis.

Overall the authors report fewer operations taking place during the pandemic 

Acute Care Surgery during the COVID-19 pandemic in Spain: changes in volume, causes and complications. A multicentre retrospective cohort study

Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study