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Journal ID : TMJ-27-12-2021-10928
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Title : Valuable Experience With Urology Emergency Measures Before And During The COVID-19 Pandemic An Experience From Tertiary Hospital

Abstract :

The coronavirus disease (COVID-19) has sparked a significant public health catastrophe, dramatically altering hospital operations. It is critical to assist people who have been infected with the virus and to treat anybody who has developed non-deferrable oncological or urgent benign diseases as a result of the pandemic. Additionally, they agreed on possible ways for reorganising urology's routine practises, as well as recommendations that should make it simpler to schedule inpatient stays and surgical operations in the future if Indonesia has a COVID-19 pandemic. In line with this, only non-deferrable and urgent benign oncological activities have been continued. We examined urgent visits requested by emergency departments (ED) from March 1st to August 30th 2020, during the COVID-19 outbreak comparing the data from January 1st 2019 to February 29th 2020 of pre-COVID-19 pandemic. To compare variables, the Mann-Whitney U and Chi-square tests were utilized. Our research indicates that during the COVID-19 pandemic, the number of people visiting the emergency room decreased (from 408 to 248). This resulted in a 24.39% decrease in visit rates from ed to 60% (p = 0.001). The frequency of visits to the ED for urgent conditions such as renal colic, acute urinary retention, hematuria, acute scrotum, genitourinary trauma, and anuria has remained constant as a result of these changes. When comparing this time of year to the previous year, urgent endourology and surgical activities have decreased (p = 0.02). The kinds of surgeries performed during COVID-19 differed from those performed at the previous year's event (p = 0.04). When a COVID-19 pandemic strikes, urgent urology practice was affected with a remarkable reduction in cases and procedures but it may also educate people on how to properly use an ED after the pandemic.

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