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The Archives of Bone and Joint Surgery، جلد ۱۰، شماره ۴، صفحات ۳۵۳-۳۵۷
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عنوان انگلیسی The Effect of the COVID-19 Pandemic on Theatre Efficiency, Lessons to be Learned for Subsequent Waves
چکیده انگلیسی مقاله Background: This study aims to demonstrate the impact of the COVID-19 pandemic on providing trauma services at our district general hospital. We aim to identify the impact on specific areas of theatre delay to help optimize theatre efficiency and generate better protocols and improve patient flow for future pandemic waves.Methods: Patients who underwent orthopaedic trauma surgery at our hospital between July-August 2019 (preCOVID-19) and 2020 (first UK wave of COVID-19) were identified retrospectively and grouped by year of operation. Type of operation was recorded, including time for sending, anaesthetic induction, surgical preparation, operating time, and time for transfer to recovery. The two groups were compared for analysis.Results: Case numbers were similar in both 2019 and 2020 (215vs.213 operations), with a similar proportion being hip fractures (39.1% and 36.6%), respectively. Median sending time (40vs.23 minutes, P < 0.00001) and induction time (13vs.8 minutes, P< 0.00001) were increased in 2020, a 74% and 63% increase compared to 2019, respectively. Median surgical preparation time (35vs.37 minutes, P=0.06) and operating time (56vs.50 minutes, P=0.16) were not statistically significant. Transfer time in 2020 (16vs.13 minutes, P< 0.00001) was significantly increased. Overall case time increased in 2020 (2:40vs.2:11, P< 0.00001) by 29 minutes.Conclusion: COVID-19 had a significant impact on theatre efficiency in our hospital, causing multiple points of delay. As hospitals across the UK restart crucial elective services, focus should be given to maximizing theatre efficiency by providing rapid access COVID-19 testing for patients undergoing emergency surgery. We have proposed and implemented several steps for better theatre utilization. Level of evidence: IIIBackground: This study aims to demonstrate the impact of the COVID-19 pandemic on providing trauma services at our district general hospital. We aim to identify the impact on specific areas of theatre delay to help optimize theatre efficiency and generate better protocols and improve patient flow for future pandemic waves.Methods: Patients who underwent orthopaedic trauma surgery at our hospital between July-August 2019 (preCOVID-19) and 2020 (first UK wave of COVID-19) were identified retrospectively and grouped by year of operation. Type of operation was recorded, including time for sending, anaesthetic induction, surgical preparation, operating time, and time for transfer to recovery. The two groups were compared for analysis.Results: Case numbers were similar in both 2019 and 2020 (215vs.213 operations), with a similar proportion being hip fractures (39.1% and 36.6%), respectively. Median sending time (40vs.23 minutes, P < 0.00001) and induction time (13vs.8 minutes, P< 0.00001) were increased in 2020, a 74% and 63% increase compared to 2019, respectively. Median surgical preparation time (35vs.37 minutes, P=0.06) and operating time (56vs.50 minutes, P=0.16) were not statistically significant. Transfer time in 2020 (16vs.13 minutes, P< 0.00001) was significantly increased. Overall case time increased in 2020 (2:40vs.2:11, P< 0.00001) by 29 minutes.Conclusion: COVID-19 had a significant impact on theatre efficiency in our hospital, causing multiple points of delay. As hospitals across the UK restart crucial elective services, focus should be given to maximizing theatre efficiency by providing rapid access COVID-19 testing for patients undergoing emergency surgery. We have proposed and implemented several steps for better theatre utilization. Level of evidence: III
کلیدواژه‌های انگلیسی مقاله COVID-19, Orthopaedics, Theatre efficiency, Theatre utilization, Trauma
نویسندگان مقاله | Rustam Karanjia
Ashford and St. Peter’s Hospitals NHS Foundation Trust


| Kashif Memon
Ashford and St. Peter’s Hospitals NHS Foundation Trust


| Daniel Rossiter
Ashford and St. Peter’s Hospitals NHS Foundation Trust


| Ali Narvani
Ashford and St. Peter’s Hospitals NHS Foundation Trust


| Ruth Varney
Ashford and St. Peter’s Hospitals NHS Foundation Trust


| Mohamed A. Imam
1Ashford and St. Peter’s Hospitals NHS Foundation Trust 2 Intelligent Health Research Group, University of East London, London, UK
نشانی اینترنتی https://abjs.mums.ac.ir/article_18661.html
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نوع مقاله منتشر شده RESEARCH PAPER
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