Mir Mohd Altaf, Chattopadhyay Debarati, Manohar Nishank, Vathulya Madhubari, Mago Vishal, Kapoor Akshay, Rao Neeraj
Department of Burns and Plastic Surgery, All India Institute of Medical Sciences, Bathinda, Punjab, India.
Department of Burns and Plastic Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
J Educ Health Promot. 2022 Jan 31;11:20. doi: 10.4103/jehp.jehp_581_21. eCollection 2022.
The objective of the study was to analyze and determine statistically significant impact of the COVID-19 on clinical load of plastic and reconstructive surgery practices.
The retrospective analysis and comparison of the number of patients visiting to outpatient clinic, number of patients admitted, number of patients operated in the plastic and reconstructive surgery department during the COVID-19 pandemic months of January 2020-June 2020 with the same months of preceding non-COVID-19 year was done. The data obtained were tabulated in Microsoft Excel spread sheet and the statistical analysis done using MedCalc statistical software.
The mean ± standard deviation of patients attended in outpatient department (OPD), admitted in inpatient department (IPD), emergency surgeries performed, and elective surgeries performed during -COVID-19 versus COVID-19 pandemic period is (651.167 ± 310.42 vs. 212.5 ± 307.591), (83.5 ± 16.263 vs. 34.333 ± 53.74), (5.167 ± 4.243 vs. 3.333 ± 4.95), and (74.333 ± 28.284 vs. 40.833 ± 60.811), respectively. The difference in means is highly significant statistically in the number of patients attended in OPD, admitted in IPD, and elective surgeries performed during pre-COVID versus COVID period; however, the difference in the means is not statistically significant in the number of emergency surgeries performed during pre-COVID versus COVID period.
The COVID-19 pandemic has significantly reduced the number of patients attended in OPD, admitted in IPD, and elective surgeries performed in the department of plastic surgery. However, there is a reduction in number of emergency surgeries but statistically insignificant. The strategy is to use telemedicine portal e-Sanjeevani services for OPD, encourage admission of patients with reverse transcription polymerase chain reaction negative for COVID-19, and perform reconstructive and esthetic plastic surgery operative procedures using COVID-19 appropriate precautions.
本研究的目的是分析并确定新型冠状病毒肺炎（COVID-19）对整形与重建外科临床工作量的统计学显著影响。
对2020年1月至2020年6月COVID-19大流行期间整形与重建外科门诊就诊患者数量、住院患者数量、手术患者数量与前一个非COVID-19年份相同月份的数据进行回顾性分析和比较。将获得的数据录入Microsoft Excel电子表格，并使用MedCalc统计软件进行统计分析。
COVID-19期间与COVID-19大流行期间相比，门诊（OPD）就诊患者、住院部（IPD）收治患者、急诊手术和择期手术的均值±标准差分别为（6,51.167±310.42对212.5±307.591）、（83.5±16.263对34.333±53.74）、（5.167±4.243对3.333±4.95）和（74.333±28.284对40.833±60.811）。COVID-19之前与COVID-19期间相比，OPD就诊患者数量、IPD收治患者数量和择期手术数量的均值差异具有高度统计学意义；然而，COVID-19之前与COVID-19期间相比，急诊手术数量的均值差异无统计学意义。
COVID-19大流行显著减少了整形科门诊就诊患者数量、住院部收治患者数量和择期手术数量。然而，急诊手术数量有所减少，但无统计学意义。策略是利用远程医疗门户e-Sanjeevani服务进行门诊诊疗，鼓励收治COVID-19逆转录聚合酶链反应阴性的患者，并在采取适当的COVID-19预防措施的情况下进行重建和美容整形手术操作。
