Özet:

Purpose: The purpose of this study is to examine whether the time of surgery before and after pandemic has changed in our elderly patients who have been diagnosed with a column break, and whether this condition has caused an increase in mortality. Patients and Method: Patients operated with the diagnosis of necklace between March 2019 and March 2020 were the pre-pandemic period, and patients operated with the diagnosis of necklace between April 2020 and April 2021 were considered the pandemic period. Both groups were exceeded in terms of age, gender, duration to surgery, duration of stay in the hospital and one year mortality. The findings: When all the factors affecting mortality were studied, it was shown that the time passed until the surgery significantly increased the mortality. The average waiting time for the operation was 27.6 ± 19.4 hours in all patients, while 25.7 ± 19.1 hours in Group 1 and 29.6 ± 19.6 hours in Group 2, with a significant difference between the two groups. (p is 0.043 ) The cut-off value of the surgical waiting time caused by mortality was calculated as "23.35" hours. While there was no significant increase in mortality in Group 1 (p=0.340), the increase in surgical delays in Group 2 significantly affected the mortality (p=0.027). Result: This study has shown that the increase in the delay in the application for surgery for more than 23.35 hours in the elderly population has been directly linked to one-year mortality, and the increase in the waiting time for surgery in pandemic conditions is also considered to be one of the factors that directly negatively affect mortality.