• R Bernardino, M Gil, V Andrade, L Severo, M Alves, A L Papoila, and L Campos Pinheiro.
• Urology Department, Central Lisbon Hospital Center, Lisbon, Portugal. Electronic address: ruimmbernardino@gmail.com.
• Actas Urol Esp (Engl Ed). 2020 Nov 1; 44 (9): 604-610.

ObjectiveTo compare the activity the Urology Department of a Portuguese Academic Hospital during the state of emergency and the equivalent period at the previous year. We compared the number of elective consultations and diagnostic urologic examinations, number and type of elective surgeries, as well as patients' demographic characteristics and main causes of presentation to Urology Emergency Department (ED) during the two mentioned periods MATERIALS AND METHODS: Data from 691 patients coming to emergency department were collected from institutional clinical software from March 18 th 2020 to May 2 nd 2020 - and from the same period the previous year. Data collected were age, sex, day of the presentation to Emergency Department, referral from other hospitals, triage color, reason of admission, diagnosis of discharge, and the need for emergency surgery or hospitalization. In order to identify associations between demographic and clinical variables with having been submitted to an emergency surgery (outcome), logistic regression models were applied.ResultsMultivariable analysis showed an association of sex with being submitted to surgery, 65.6% decrease in the odds for the male gender. The period (COVID versus non-COVID) did not show a significant association with surgery.ConclusionOur department experienced a noticeable activity reduction. We also observe a reduction in urgent causes to attend the ED considered less serious. The percentage of cases requiring emergency surgery and hospitalization was higher during COVID-period.Copyright © 2020 AEU. Publicado por Elsevier España, S.L.U. All rights reserved.

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