南非夸祖鲁-纳塔尔省彼得马里茨堡三级外科服务受 COVID-19 大流行决策的影响。
Effect of COVID-19 pandemic decisions on tertiary-level surgical services in Pietermaritzburg, KwaZulu-Natal Province, South Africa.
机构信息
Discipline of Anaesthesiology and Critical Care, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa.
出版信息
S Afr Med J. 2020 Dec 14;0(0):13182.
BACKGROUND
The COVID-19 pandemic has led to the implementation of restrictive policies on theatre procedures, with profound impacts on service delivery and theatre output.
OBJECTIVES
To quantify these effects at a tertiary hospital in KwaZulu-Natal Province, South Africa.
METHODS
A retrospective review of morbidity and mortality data was conducted. The effects on emergency and elective caseload, intensive care unit (ICU) admissions from theatre, theatre cancellations and regional techniques were noted.
RESULTS
Theatre caseload decreased by 30% from January to April 2020 (p=0.02), ICU admissions remained constant, and theatre cancellations were proportionally reduced, as were the absolute number of regional techniques.
CONCLUSIONS
The resulting theatre case deficit was 1 260 cases. It will take 315 days to clear this deficit if four additional surgeries are performed per day.
背景
COVID-19 大流行导致对剧院手术程序实施了限制政策，对服务提供和剧院产出产生了深远影响。
目的
在南非夸祖鲁-纳塔尔省的一家三级医院量化这些影响。
方法
对发病率和死亡率数据进行回顾性审查。注意急诊和择期病例量、从剧院转入重症监护病房（ICU）的人数、剧院取消和区域技术的影响。
结果
2020 年 1 月至 4 月，剧院手术量下降了 30%（p=0.02），ICU 入院人数保持不变，剧院取消的比例和绝对数量的区域技术也相应减少。
结论
由此产生的剧院手术病例缺口为 1260 例。如果每天增加 4 例手术，需要 315 天才能填补这一缺口。
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