Page 13 - REBRAME - Revista Brasileira de Medicina de Emergência

Braga L.D.M. et al.

CONCLUSÃO 8. Jonker, Pascal KC, et al. “Perioperative SARS-CoV-2
infections increase mortality, pulmonary complications, and
Os casos cirúrgicos de emergência, especialmente os thromboembolic events: a Dutch, multicenter, matched-cohort
traumáticos, apesar de terem sofrido uma redução em clinical study.” Surgery 2021; (169.2): 264-274.
número durante a pandemia, apresentaram um aumento 9. Kaufman, Elinore J., et al. “The Impact of COVID-19
da gravidade, possivelmente relacionado a uma maior infection on outcomes after injury in a state Trauma
morosidade na procura por um serviço de saúde. system.” Journal of Trauma and Acute Care Surgery 2021;
Além disso, a infecção pelo COVID-19, muitas vezes (91.3): 559-565.
mesmo assintomática, esteve relacionada a uma maior
mortalidade, tanto em cirurgias de urgência traumáticas e 10. American College of Surgeons Committee on Trauma.
não traumáticas, e a complicações especialmente fatais, “Maintaining trauma center access and care during the
principalmente as pulmonares, trombóticas e renais. COVID-19 pandemic: guidance document for trauma
Um maior período de espera entre o diagnóstico de directors.” (2020).
COVID-19 e a realização de procedimentos cirúrgicos,
bem como o adiamento, sempre que possível, dessas 11. Coimbra, Raul, et al. “European Society of Trauma
cirurgias no contexto da urgência em pacientes com and Emergency Surgery (ESTES) recommendations for
COVID-19 parecem estar relacionados a uma maior trauma and emergency surgery preparation during times
segurança. Há uma carência de estudos relacionados of COVID-19 infection.” European Journal of Trauma and
a esse tema, principalmente brasileiros, fazendo-se Emergency Surgery 2020; (46.3): 505-510.
necessária a existência de estudos mais robustos para
que ocorra uma melhor elucidação a cerca dessa questão. 12. Brasil, Ministério da Saúde. Banco de dados do Sistema
Único de Saúde-DATASUS. Disponível em http://www.
datasus.gov.br
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