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オガワ シンペイ
OGAWA Shinpei
小川 真平 所属 医学部 医学科（東京女子医科大学病院） 職種 准教授 |
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| 論文種別 | 原著 |
| 言語種別 | 日本語 |
| 査読の有無 | 査読あり |
| 表題 | Effects of an increase in emergency cases with difficulties in transport to hospital during the COVID-19 pandemic on postoperative short-term outcomes of colorectal perforation: A study based on the National Clinical Database. |
| 掲載誌名 | 正式名：Annals of gastroenterological surgery 略 称：Ann Gastroenterol Surg ISSNコード：24750328/24750328 |
| 掲載区分 | 国内 |
| 巻・号・頁 | 9(3),505-517頁 |
| 著者・共著者 | OGAWA Shimpei,ENDO Hideki,YOSHIDA Masahiro,TSURU Tomomitsu,ITABASHI MichioiYAMAMOTO, Hiroyuki,KAKEJI Yoshihiro,UENO Hideki,SHIRABE Ken,HIBI Taizo,TAKETOMI Akinobu,IKEDA Norihiko,MORI Masaki |
| 担当区分 | 筆頭著者 |
| 発行年月 | 2025/05 |
| 概要 | AIM:During the COVID-19 pandemic, there were delays in transport of emergency cases to hospital by ambulance due to increased difficulties in obtaining hospital acceptance. The aim of this study was to examine if this had a negative effect on postoperative short-term outcomes in patients with colorectal perforation.METHODS:The National Clinical Database (NCD) includes >95% of surgical cases in Japan. Postoperative 30-day mortality, surgical mortality, and postoperative complications (Clavien-Dindo grade ≥3) were examined in 17 770 cases of colorectal perforation registered from 2019 to 2022 in the NCD. These outcomes were compared for cases with new COVID-19 infection and emergency cases with difficulties in transport to hospital. Months were considered to have significantly high or low mortality or complication rates, if the 95% confidence interval (CI) of the standardized mortality (morbidity) ratio (SMR) did not contain 1.RESULTS:Postoperative 30-day mortality occurred in 1826 cases (10.3%), surgical mortality in 2382 cases (13.4%), and postoperative complications in 5276 cases (29.7%). Significantly higher SMRs were found for 30-day mortality in November 2020 (1.44 [95% CI: 1.07-1.89]) and February 2021 (1.54 [95% CI: 1.14-2.03]), and for postoperative complications in June 2020 (1.27 [95% CI: 1.07-1.50]). In 2022, there were marked increases in new COVID-19 cases and in emergency cases with difficulties in transport to hospital, but no month had a significantly high SMR.CONCLUSIONS:Emergency cases with difficulties in transport markedly increased during the COVID-19 pandemic but had little effect on short-term outcomes of colorectal perforation. |
| DOI | 10.1002/ags3.12887 |
| PMID | 40385336 |