[COVID-19 Pandemic: Impact and rapid reaction of Urology]

Actas Urol Esp (Engl Ed). 2020 Sep;44(7):450-457. doi: 10.1016/j.acuro.2020.04.006. Epub 2020 Apr 24.
[Article in Spanish]

Abstract

The COVID-19 pandemic caused by the SARS-CoV-2 virus has caused tens of thousands of deaths in Spain and has managed to breakdown the healthcare system hospitals in the Community of Madrid, largely due to its tendency to cause severe pneumonia, requiring ventilatory support. This fact has caused our center to collapse, with 130% of its beds occupied by COVID-19 patients, thus causing the absolute cessation of activity of the urology service, the practical disappearance of resident training programs, and the incorporation of a good part of the urology staff into the group of medical personnel attending these patients. In order to recover from this extraordinary level of suspended activity, we will be obliged to prioritize pathologies based on purely clinical criteria, for which tables including the relevance of each pathology within each area of urology are being proposed. Technology tools such as online training courses or surgical simulators may be convenient for the necessary reestablishment of resident education.

Keywords: Coronavirus; Pandemic; Prioritization; SARS-CoV-2; Triage; Urological cancer; Urology.

Publication types

  • Review

MeSH terms

  • Ambulatory Care / statistics & numerical data
  • Bed Conversion / statistics & numerical data
  • Bed Occupancy / statistics & numerical data*
  • Betacoronavirus*
  • COVID-19
  • Coronavirus Infections / epidemiology*
  • Coronavirus Infections / therapy
  • Humans
  • Internship and Residency
  • Pandemics
  • Patient Care Team / organization & administration
  • Patient Isolation
  • Pneumonia, Viral / epidemiology*
  • Pneumonia, Viral / therapy
  • SARS-CoV-2
  • Spain / epidemiology
  • Urologic Surgical Procedures / statistics & numerical data
  • Urologists / supply & distribution
  • Urology / education
  • Urology / organization & administration
  • Urology / statistics & numerical data*
  • Urology Department, Hospital / organization & administration
  • Urology Department, Hospital / statistics & numerical data*
  • Ventilators, Mechanical
  • Withholding Treatment / statistics & numerical data