PMC:7543325 / 9802-16717 JSONTXT 14 Projects

Annnotations TAB TSV DIC JSON TextAE

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.