Id |
Subject |
Object |
Predicate |
Lexical cue |
T106 |
0-7 |
Sentence |
denotes |
RESULTS |
T107 |
8-135 |
Sentence |
denotes |
Surgical activity during the pandemic was dramatically reduced compared to that during the months before the pandemic (Fig. 2). |
T108 |
136-245 |
Sentence |
denotes |
The number of elective surgical procedures during March was reduced to 20, 47% fewer than the previous month. |
T109 |
246-308 |
Sentence |
denotes |
No lung transplant was performed during the COVID-19 pandemic. |
T110 |
309-318 |
Sentence |
denotes |
Figure 2: |
T111 |
320-378 |
Sentence |
denotes |
Elective surgical activity before and during the pandemic. |
T112 |
379-414 |
Sentence |
denotes |
COVID-19: coronavirus disease 2019. |
T113 |
415-529 |
Sentence |
denotes |
In total, 35 patients were referred for surgical procedures during the COVID-19 pandemic from 1 March to 24 April. |
T114 |
530-688 |
Sentence |
denotes |
One patient admitted for a lung cancer staging mediastinoscopy started to show fever and respiratory symptoms compatible with COVID-19 h before the operation. |
T115 |
689-808 |
Sentence |
denotes |
A diagnostic PCR was performed for SARS-CoV-2; the test results were positive; the surgical intervention was cancelled. |
T116 |
809-850 |
Sentence |
denotes |
The patient died of SARS-CoV-2 pneumonia. |
T117 |
851-970 |
Sentence |
denotes |
Of the 34 patients who finally underwent thoracic surgery, 12 were women and 22 were men; the average age was 60 years. |
T118 |
971-1013 |
Sentence |
denotes |
A majority (25) were patients with cancer. |
T119 |
1014-1218 |
Sentence |
denotes |
Among the comorbidities, the most frequent was hypertension (11) followed by dyslipidaemia (10), chronic obstructive pulmonary disease (5), diabetes (5), kidney failure (2) and cardiovascular disease (2). |
T120 |
1219-1588 |
Sentence |
denotes |
The most frequent operations, described in Table 3, were anatomical lobectomy (11) and wedge segmentectomy (8); followed by mediastinoscopy (4), bullectomy (3), pleural biopsy (2), lung biopsy (2), extrapleural pneumonectomy (1), anatomical sublobar resection (1), and 2 emergency thoracotomies, 1 for control of thoracic trauma damage and another due to mediastinitis. |
T121 |
1589-1630 |
Sentence |
denotes |
The average length of stay was 4.72 days. |
T122 |
1631-1690 |
Sentence |
denotes |
The patients had the following postoperative complications: |
T123 |
1691-1835 |
Sentence |
denotes |
1 patient had non-surgical bleeding; 1, acute renal failure; 1, pneumothorax; and 1, atrial fibrillation, all of which were resolved favourably. |
T124 |
1836-2000 |
Sentence |
denotes |
The patient who had thoracic trauma presented with fever and pulmonary infiltrates 7 days after the operation and was diagnosed with bilateral SARS-CoV-2 pneumonia. |
T125 |
2001-2048 |
Sentence |
denotes |
Two patients died within 30 days after surgery: |
T126 |
2049-2117 |
Sentence |
denotes |
1 was diagnosed with COVID-19 and the other died of advanced cancer. |
T127 |
2118-2126 |
Sentence |
denotes |
Table 3: |
T128 |
2128-2191 |
Sentence |
denotes |
Outcomes of postoperative patients during the COVID-19 pandemic |
T129 |
2192-2280 |
Sentence |
denotes |
Procedure N (%) Period Hospitalization (days) Postoperative complicationsa Deathsb |
T130 |
2281-2323 |
Sentence |
denotes |
Prescreening period Post-screening period |
T131 |
2324-2462 |
Sentence |
denotes |
1–19 March 20 March– 5 April Diagnostic PCR COVID-19 6–24 April Screening PCR COVID-19 Diagnostic PCR COVID-19 Yes Type T COVID+ |
T132 |
2463-2544 |
Sentence |
denotes |
Total % 34 22 (65%) 2 (6%) (−) (+) 10 (29%) All negative 4.72 4 2 1 |
T133 |
2545-2615 |
Sentence |
denotes |
Elective surgery Mediastinoscopy 4 (12) 2 0 2 2 1 0 0 0 |
T134 |
2616-2676 |
Sentence |
denotes |
Pleural biopsy 2 (6) 1 0 1 1 5.5 1 Bleeding 1 0 |
T135 |
2677-2724 |
Sentence |
denotes |
Lung biopsy 2 (6) 2 0 0 0 4 0 0 0 |
T136 |
2725-2799 |
Sentence |
denotes |
Wedge segmentectomy 8 (24) 7 0 1 (9 days)c 1 1 3.9 1 AKI 1 1 |
T137 |
2800-2870 |
Sentence |
denotes |
Anatomical sublobar resection 1 (3) 1 0 0 0 None 3 0 0 0 |
T138 |
2871-2934 |
Sentence |
denotes |
Anatomical lobectomy 11 (32) 6 0 5 5 5.3 1 AF 0 0 |
T139 |
2935-2997 |
Sentence |
denotes |
Extrapleural pneumonectomy 1 (3) 1 0 0 0 8 0 0 0 |
T140 |
2998-3065 |
Sentence |
denotes |
Urgent surgeryd Bullectomy 3 (9) 1 2 1 0 0 8.3 0 0 0 |
T141 |
3066-3177 |
Sentence |
denotes |
Emergency surgerye Thoracic trauma damage control 1 (3) 1 0 1 (7 days)c 0 0 (−)f 1 Pneumonia 0 0 |
T142 |
3178-3230 |
Sentence |
denotes |
Mediastinitis 1 (3) 0 0 1 1 (−)f 0 0 0 |
T143 |
3231-3291 |
Sentence |
denotes |
a Early postoperative complications during hospitalization. |
T144 |
3292-3408 |
Sentence |
denotes |
b Mortality within 30 days after surgery was divided in T (total mortality) and COVID+ (mortality due to COVID-19). |
T145 |
3409-3473 |
Sentence |
denotes |
c Days after surgery PCR SARS-CoV-2 test results were positive. |
T146 |
3474-3514 |
Sentence |
denotes |
d Urgent surgery: not life-threatening. |
T147 |
3515-3554 |
Sentence |
denotes |
e Emergency surgery: life-threatening. |
T148 |
3555-3608 |
Sentence |
denotes |
f Still hospitalized at the writing of this article. |
T149 |
3609-3788 |
Sentence |
denotes |
AF: atrial fibrillation; AKI: acute kidney injury; COVID-19: coronavirus disease 2019; PCR: polymerase chain reaction; SARS-CoV-2: severe acute respiratory syndrome coronavirus 2. |
T150 |
3789-3884 |
Sentence |
denotes |
On 1 March, the first patient with COVID-19 was diagnosed at 12 de Octubre University Hospital. |
T151 |
3885-4075 |
Sentence |
denotes |
Elective surgical interventions were carried out regularly in the thoracic surgery department until 19 March: a total of 19 elective procedures, 1 urgent procedure and 1 emergency procedure. |
T152 |
4076-4172 |
Sentence |
denotes |
During this period, 2 patients developed symptoms of COVID-19 and had positive PCR test results. |
T153 |
4173-4323 |
Sentence |
denotes |
Diagnostic imaging was performed (1 chest CT and 1 chest X-ray); the results of both imaging texts were compatible with SARS-CoV-2 pneumonia [13, 14]. |
T154 |
4324-4458 |
Sentence |
denotes |
Given the severity of the pandemic at that time and the limited resources, our centre was forced to delay several surgical procedures. |
T155 |
4459-4536 |
Sentence |
denotes |
Starting 20 March, we only performed urgent or emergency surgical procedures. |
T156 |
4537-4614 |
Sentence |
denotes |
Only 2 procedures were carried out for pneumothorax with persistent air leak. |
T157 |
4615-4699 |
Sentence |
denotes |
One started with respiratory symptoms but the results of the PCR test were negative. |
T158 |
4700-4818 |
Sentence |
denotes |
Starting 6 April, we added non-delayed oncological surgical procedures according to previously described criteria [7]. |
T159 |
4819-5052 |
Sentence |
denotes |
In total, between 6 and 24 April, only asymptomatic patients with negative PCR test results who met tumour resectability criteria, completed quarantine, and had chest CT results that were not suspicious for COVID-19 were operated on. |
T160 |
5053-5163 |
Sentence |
denotes |
We performed 9 electives surgical procedures and 1 emergency thoracotomy procedure for mediastinitis drainage. |
T161 |
5164-5263 |
Sentence |
denotes |
More than 60% of the elective operations were lung resections in patients diagnosed with carcinoma. |
T162 |
5264-5472 |
Sentence |
denotes |
During this last period, all patients underwent the COVID-19 screening protocol; no SARS-CoV-2 infections were detected before the operation and neither of them, as of this writing, has developed the disease. |
T163 |
5473-5592 |
Sentence |
denotes |
In total, 2 of the 34 patients (5.88%) who underwent surgery during the COVID-19 pandemic were diagnosed with COVID-19. |
T164 |
5593-5745 |
Sentence |
denotes |
One of the 2 had thoracic trauma with multiple rib fractures and right haemothorax and required an emergency thoracotomy for damage control on 15 March. |
T165 |
5746-5993 |
Sentence |
denotes |
On the seventh postoperative day, the patient started showing symptoms of fever and pulmonary infiltrates on a CT scan, so he was tested with SARS-CoV-2 PCR, the results of which were positive; he was diagnosed with bilateral SARS-CoV-2 pneumonia. |
T166 |
5994-6072 |
Sentence |
denotes |
The course of the patient’s disease was difficult: he required a tracheostomy. |
T167 |
6073-6180 |
Sentence |
denotes |
As of this writing, the patient has been discharged from the intensive care unit but is still hospitalized. |
T168 |
6181-6307 |
Sentence |
denotes |
The results of the latest test for SARS-CoV-2 were negative; he has been decannulated, and he does not require oxygen therapy. |
T169 |
6308-6420 |
Sentence |
denotes |
The second patient was a 79-year-old man who underwent a wedge segmentectomy of the left upper lobe on 16 March. |
T170 |
6421-6657 |
Sentence |
denotes |
He had a history of a right upper lobectomy, radical nephrectomy for renal carcinoma, aortic aneurysm, atrial fibrillation, hypertension and ischaemic heart disease, classified as American Society of Anesthesiologists classification IV. |
T171 |
6658-6795 |
Sentence |
denotes |
The patient was discharged after the operation but returned to the emergency room on the 9th postoperative day with respiratory symptoms. |
T172 |
6796-6847 |
Sentence |
denotes |
He was diagnosed with bilateral COVID-19 pneumonia. |
T173 |
6848-6915 |
Sentence |
denotes |
The patient required hospital admission and died despite treatment. |