COVID-19 pandemic, as experienced in the surgical service of a district hospital in Spain

Table 2 Dynamic scale of hospital response scenarios during the pandemic and impact on surgical activity[11]

Scenario	I (almost normal)	II (initial alert)	III (moderate alert)	IV (high-level alert)	V (emergency)
% of hospital beds occupied by COVID-19 patients	< 5	5-25	25-50	50-75	> 75
Hospital resources	No impact	No impact, but precautionary reserve of resources	Some impact on resources, with precautionary reserve of beds	Some impact on resources and on healthcare personnel	Significant impact with limited access to beds and ventilatory support
Surgical activity	Normal	Emergencies, cancer pathologies and preferential benign pathologies	Emergencies and cancer pathologies for which a 3-mo delay would worsen the prognosis	Only emergencies	Only non-deferrable emergency attention. Status assessment by the hospital’s ethics committee

COVID-19: Coronavirus disease 2019.