Articles: pandemics.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Oct 2022
[Hospital Crisis Management in the Pandemic].
Pandemics pose different challenges for hospitals than classic damage events. Crises require a specific management structure on the operational and the strategic level. Hospitals therefore need crisis management structures and processes. ⋯ They should also be established in hospitals on the operational and the strategic level. Since crisis teams in hospitals are not part of everyday work, regular training and exercises are indispensable. Furthermore, financing including training and staffing must be provided.
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The aim of this study was to demonstrate the impact of COVID-19 pandemic on the number and characteristics of head and neck cancer patients in two consecutive periods, pre-pandemic and pandemic. For this purpose, we performed a retrospective analysis of patients with primary carcinomas of head and neck mucosal sites, salivary gland tumors, as well as neck metastases. Two pre-COVID-19 years (2018-2019) and two pandemic years (2020-2021) were compared. ⋯ Despite these facts, there were no differences in TNM stages comparing two observed periods. Study results indicated that there was a statistically significant delay of surgical treatment for both cancer sites observed (oral cavity and larynx) during the COVID-19 pandemic. A survival study is necessary in the future to definitely reveal the true consequences of COVID-19 pandemic on treatment outcomes.