Russian Journal of Pediatric Surgery, Anesthesia and Intensive CareRussian Journal of Pediatric Surgery, Anesthesia and Intensive CareРоссийский вестник детской хирургии, анестезиологии и реаниматологии2219-40612587-6554Eco-Vector153410.17816/psaic1534Original Study ArticlesОригинальные исследованияResearch ArticleInfluence of the novel coronavirus infection pandemic on the structure of visits and hospitalization of children with emergency surgical pathologyВлияние пандемии новой коронавирусной инфекции на структуру обращений и госпитализации детей с неотложной хирургической патологией新型冠状病毒感染大流行对紧急外科病变儿童求医和入院情况的影响https://orcid.org/0000-0002-6067-5136BolotovYury N.БолотовЮрий НиколаевичBolotovYury N.
Russian Federation

MD, Cand. Sci. (Med.), Assistant of the Department of Pediatric Surgery with the Course of FVE

к.м.н., ассистент кафедры детской хирургии с курсом ДПО

MD, Cand. Sci. (Med.), Assistant of the Department of Pediatric Surgery with the Course of FVE

b-y-n@rambler.ruhttps://orcid.org/0000-0002-8405-60223113-6982MinaevSergey V.МинаевСергей ВикторовичMinaevSergey V.
Russian Federation

MD, Dr. Sci. (Med.), Professor, Head of the Department of Pediatric Surgery with a Course of DPO

д-р мед. наук, профессор, заведующий кафедрой детской хирургии с курсом ДПО

MD, Dr. Sci. (Med.), Professor, Head of the Department of Pediatric Surgery with a Course of DPO

sminaev@yandex.ruhttps://orcid.org/0000-0002-3638-48815718-1425IsaevaAlesya V.ИсаеваАлеся ВасильевнаIsaevaAlesya V.
Russian Federation

Cand. Sci. (Med.), Associate Professor of the Department of Pediatric Surgery with a FVE Course

к.м.н., доцент кафедры детской хирургии с курсом ДПО

Cand. Sci. (Med.), Associate Professor of the Department of Pediatric Surgery with a FVE Course

isaeva_alesya@mail.ruhttps://orcid.org/0000-0001-5020-232X1762-8310GrigorovaAlina N.ГригороваАлина НиколаевнаGrigorovaAlina N.
Russian Federation

Cand. Sci. (Med.), Assistant of the Department of Surgical Diseases of Childhood

к.м.н., ассистент кафедры хирургических болезней детского возраста

Cand. Sci. (Med.), Assistant of the Department of Surgical Diseases of Childhood

alina.mashchenko@mail.ruhttps://www.facebook.com/profile.php?id=100016382449091https://orcid.org/0009-0004-4981-2461AlievaKhady I.АлиеваХяди ИсропиловнаAlievaKhady I.
Russian Federation

Student

студентка 6-го курса

Student

iamkhadi@mail.ruhttps://orcid.org/0009-0003-8310-156XKhamkhoevaZarida I.ХамхоеваЗарида ИсаевнаKhamkhoevaZarida I.
Russian Federation

Student

студентка 6-го курса

Student

Yesenina88@bk.ruStavropol State Medical UniversityСтавропольский государственный медицинский университетStavropol State Medical UniversityKuban State Medical UniversityКубанский государственный медицинский университетKuban State Medical University28092023201020231333533602906202318092023Copyright ©; 2023, Eco-VectorCopyright ©; 2023, Эко-ВекторCopyright ©; 2023,2023Eco-VectorЭко-Векторhttps://creativecommons.org/licenses/by-nc-nd/4.0https://rps-journal.ru/jour/article/view/1534

BACKGROUND: The new coronavirus pandemic has dramatically impacted our lives. This study aimed to analyze the structural changes in providing emergency surgical care to children during the COVID-19 pandemic.

AIM: The purpose of this work was to analyze.

MATERIALS AND METHODS: We compared the number of people seeking emergency surgical care in the emergency department during the period of strict coronavirus restrictions to the same period the previous year (2019) and the number of patients hospitalized for emergency surgical treatment.

RESULTS: Compared with the pre-COVID period, the number of visits from children with suspected acute surgical pathology (acute appendicitis, purulent-inflammatory diseases of soft tissues, and injuries of the abdomen and chest) decreased by more than twofold (from 527 to 241 patients, p < 0.01). A similar trend was observed with hospitalizations, which significantly decreased from 139 to 66 children (p < 0.01).

CONCLUSIONS: The data revealed referral and hospitalization characteristics of children with acute surgical pathology. Thus, the new coronavirus pandemic has significantly impacted the delivery of emergency surgical care to children.

Актуальность. Пандемия новой коронавирусной инфекции оказала влияние на многие сферы нашей жизни.

Цель — анализ структурных изменений в оказании неотложной хирургической помощи детям во время пандемии COVID-19.

Материалы и методы. Нами проведен сравнительный анализ обращаемости за неотложной хирургической помощью в приемное отделение краевой больницы в период жестких коронавирусных ограничений по сравнению с аналогичным периодом предыдущего (2019) года, а также количество госпитализаций в стационар пациентов, нуждающихся в хирургическом лечении по экстренным показаниям.

Результаты. Количество обращений детей с подозрением на острую хирургическую патологию (острый аппендицит, гнойно-воспалительные заболевания мягких тканей, травмы живота и грудной клетки) достоверно снизилось более чем в 2 раза по сравнению с доковидным периодом (с 527 до 241 пациентов, p < 0,01). Аналогичная тенденция прослеживалась и в отношении госпитализаций в стационар, которые достоверно сократились со 139 до 66 детей (p < 0,01).

Выводы. Таким образом, пандемия новой коронавирусной инфекции COVID-19 значительно повлияла на оказание помощи детям. Исследование показало ряд особенностей обращаемости и госпитализации детей в стационар с острой хирургической патологией.

论证。新型冠状病毒感染大流行影响到我们生活的许多方面。

该研究的目的是对在COVID-19大流行期间为儿童提供紧急外科护理的结构性变化进行分析。

材料与方法。与上一年（2019年）同期相比，对严重冠状病毒限制期间地区医院急诊部的紧急外科护理需求进行了比较分析。同时，还分析了有外科治疗紧急指征的患者入院的人数。

结果。与新冠疫情前相比，疑似急性外科病变（急性阑尾炎、软组织化脓性炎症、腹部和胸部损伤）患儿求医的人数明显减少了1倍以上（从527个人减少到241个人，p < 0.01）。入院人数也呈现出类似的趋势。入院患儿人数从139个人大幅降至66个人（p<0.01）。

结论。因此，新型冠状病毒感染（COVID-19）大流行对儿童护理工作产生了重大影响。研究显示了，患有紧急外科病变的儿童求医和入院情况有许多特殊之处。

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