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Prevalence of surgery cancelation and challenges in restarting elective surgery in the pandemic: A cross-sectional study

OBJECTIVES: The COVID-19 pandemic caused primary disruption of health services, especially to elective surgery. As the pandemic goes in waves of high and low infection rates in a country, restarting elective surgery must be dynamic while balancing patients’ needs, staff safety and the hospital capac...

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Autores principales: Giwangkancana, Gezy, Anzhari, Raja Akhmad, Indriasari
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9221740/
https://www.ncbi.nlm.nih.gov/pubmed/35765516
http://dx.doi.org/10.1016/j.pcorm.2022.100271
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author Giwangkancana, Gezy
Anzhari, Raja Akhmad
Indriasari
author_facet Giwangkancana, Gezy
Anzhari, Raja Akhmad
Indriasari
author_sort Giwangkancana, Gezy
collection PubMed
description OBJECTIVES: The COVID-19 pandemic caused primary disruption of health services, especially to elective surgery. As the pandemic goes in waves of high and low infection rates in a country, restarting elective surgery must be dynamic while balancing patients’ needs, staff safety and the hospital capacity. We aim to report the prevalence of elective surgery and minimally invasive procedures cancelation due to positive Covid-19 screening and describe steps in restarting elective cases after the third wave of Covid-19 infection. METHODS: This study was a descriptive cross-sectional study in Indonesia's tertiary referral and teaching hospital from January to September 2021. Subjects were patients scheduled for elective surgery or minimally invasive procedures from our outpatient clinic. Subjects were screened for SARS-CoV-2 using real-time polymerase chain reaction (rRT-PCR) 24-48 hours before scheduled surgery or intervention. Data was taken from the hospital information system and the central operating theatre online surgical list. Statistical analysis is presented in percentage. RESULTS: There were 5286 subjects identified for the study, and 3088 were included with an available PCR result from the outpatient department. The average elective cancelation rate was 7.4%, and the highest cancelation was on August 2021, with 14.7%. All subjects with positive results were asymptomatic, with more than 90% cycle time rRT-PCR above 30. CONCLUSION: Elective surgery cancelation can reflect a trend in community infection, and monitoring its values is crucial for saving elective surgery plans during a pandemic.
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spelling pubmed-92217402022-06-24 Prevalence of surgery cancelation and challenges in restarting elective surgery in the pandemic: A cross-sectional study Giwangkancana, Gezy Anzhari, Raja Akhmad Indriasari Perioper Care Oper Room Manag Article OBJECTIVES: The COVID-19 pandemic caused primary disruption of health services, especially to elective surgery. As the pandemic goes in waves of high and low infection rates in a country, restarting elective surgery must be dynamic while balancing patients’ needs, staff safety and the hospital capacity. We aim to report the prevalence of elective surgery and minimally invasive procedures cancelation due to positive Covid-19 screening and describe steps in restarting elective cases after the third wave of Covid-19 infection. METHODS: This study was a descriptive cross-sectional study in Indonesia's tertiary referral and teaching hospital from January to September 2021. Subjects were patients scheduled for elective surgery or minimally invasive procedures from our outpatient clinic. Subjects were screened for SARS-CoV-2 using real-time polymerase chain reaction (rRT-PCR) 24-48 hours before scheduled surgery or intervention. Data was taken from the hospital information system and the central operating theatre online surgical list. Statistical analysis is presented in percentage. RESULTS: There were 5286 subjects identified for the study, and 3088 were included with an available PCR result from the outpatient department. The average elective cancelation rate was 7.4%, and the highest cancelation was on August 2021, with 14.7%. All subjects with positive results were asymptomatic, with more than 90% cycle time rRT-PCR above 30. CONCLUSION: Elective surgery cancelation can reflect a trend in community infection, and monitoring its values is crucial for saving elective surgery plans during a pandemic. Elsevier Inc. 2022-09 2022-06-23 /pmc/articles/PMC9221740/ /pubmed/35765516 http://dx.doi.org/10.1016/j.pcorm.2022.100271 Text en © 2022 Elsevier Inc. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Article
Giwangkancana, Gezy
Anzhari, Raja Akhmad
Indriasari
Prevalence of surgery cancelation and challenges in restarting elective surgery in the pandemic: A cross-sectional study
title Prevalence of surgery cancelation and challenges in restarting elective surgery in the pandemic: A cross-sectional study
title_full Prevalence of surgery cancelation and challenges in restarting elective surgery in the pandemic: A cross-sectional study
title_fullStr Prevalence of surgery cancelation and challenges in restarting elective surgery in the pandemic: A cross-sectional study
title_full_unstemmed Prevalence of surgery cancelation and challenges in restarting elective surgery in the pandemic: A cross-sectional study
title_short Prevalence of surgery cancelation and challenges in restarting elective surgery in the pandemic: A cross-sectional study
title_sort prevalence of surgery cancelation and challenges in restarting elective surgery in the pandemic: a cross-sectional study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9221740/
https://www.ncbi.nlm.nih.gov/pubmed/35765516
http://dx.doi.org/10.1016/j.pcorm.2022.100271
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