新冠疫情对一家三级儿科医院手术量的影响。
Impact of COVID-19 on procedure volume at a tertiary pediatric hospital.
机构信息
Department of Pediatric General & Thoracic Surgery, Seattle Children's Hospital, Seattle, WA, USA.
Department of Pediatric General & Thoracic Surgery, Seattle Children's Hospital, Seattle, WA, USA.
出版信息
Am J Surg. 2021 Jun;221(6):1259-1261. doi: 10.1016/j.amjsurg.2021.03.003. Epub 2021 Mar 5.
INTRODUCTION
In March 2020, the COVID-19 pandemic threatened to overwhelm entire healthcare systems. Here we characterize changes in surgical volumes at a regional tertiary pediatric hospital during the early phase of the COVID-19 pandemic.
METHODS
Data on all procedures performed during the state-wide ban on elective procedures (March 19th, 2020 to May 18th, 2020) that required anesthesia involvement were collected retrospectively and compared to the same time period in 2019.
RESULTS
A total of 5785 procedures were performed: 4005 (69%) in 2019, and 1780 (31%) in 2020, representing a 55% decrease in total cases. The percentage decrease was disproportionate across surgical services. Add-on cases increased from 23% to 39%, and outpatient procedures decreased from 60% to 27%.
DISCUSSION
The ban on elective procedures during the COVID-19 pandemic resulted in a significant decrease in the volume of procedures performed at a tertiary pediatric hospital that differed among surgical services.
简介
2020 年 3 月，COVID-19 大流行威胁要使整个医疗体系不堪重负。在这里，我们描述了 COVID-19 大流行早期阶段区域性三级儿科医院手术量的变化。
方法
回顾性收集了全州范围内禁止择期手术（2020 年 3 月 19 日至 5 月 18 日）期间需要麻醉参与的所有手术的数据，并与 2019 年同期进行了比较。
结果
共进行了 5785 例手术：2019 年进行了 4005 例（69%），2020 年进行了 1780 例（31%），总病例数减少了 55%。手术服务之间的降幅不成比例。附加手术从 23%增加到 39%，门诊手术从 60%减少到 27%。
讨论
COVID-19 大流行期间禁止择期手术导致三级儿科医院手术量显著减少，不同手术服务的降幅不同。
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