Paul Shamik Kumar, Joshi Arjun, Goel Akhil, Singh Gunjan, Paul Debashish, Dhiman Mayank, Singh Mithunjeet
Classified Specialist (Anaesthesiology & Neuroanaesthesiology), Armed Forces Medical College, Pune, India.
Classified Specialist (Anaesthesiology), 153 General Hospital, C/o 56 APO, India.
Med J Armed Forces India. 2022 Jun 12;80(1):74-9. doi: 10.1016/j.mjafi.2022.04.016.
The global COVID-19 pandemic has led to major changes in the surgical caseloads in the operation theatres across the world. Elective surgeries have been curtailed to a great extent and the number of emergency surgeries has risen. We conducted a study to assess the changes in the surgical caseloads in two tertiary care hospitals in India during the pandemic and to assess the changes in anaesthesia techniques used.
A multicentre retrospective observational study conducted at two tertiary care centres located 1500 kms apart. Hospital A in a city with high incidence of COVID-19 and Hospital B with a lighter load of COVID-19 cases. Record of all major surgeries carried out between 01Jul 2020 and 31 Dec 2020 were compared with the surgeries carried out between 01 Jul 2019 and 31 Dec 2019.
There was a decrease of almost 53% in elective surgical workload in hospital A and 71% in hospital B. The decrease in the cases was not similar across all specialities. There was a significant increase in the percentage of emergency surgeries from 11.1% to 24% in hospital A and from 22.1% to 29.8% in hospital B in the year 2020. A statistically significant increase in regional anaesthesia and neuraxial blockade was noted in the year 2020 in both the hospitals.
During the COVID-19 pandemic, the number of elective surgical cases has significantly decreased in specialities like ophthalmology whereas there was no change in the surgical workload in specialities like obstetrics, oncology, orthopaedics, and neurosurgery. There was significant increase in the use of regional and neuraxial techniques of anaesthesia.
全球新冠疫情导致世界各地手术室的手术病例量发生了重大变化。择期手术在很大程度上受到限制，急诊手术数量增加。我们开展了一项研究，以评估疫情期间印度两家三级护理医院的手术病例量变化，并评估所使用麻醉技术的变化。
在相距1500公里的两家三级护理中心进行了一项多中心回顾性观察研究。一家位于新冠疫情高发城市的A医院，另一家是新冠病例负担较轻的B医院。将2020年7月1日至2020年12月31日期间进行的所有大手术记录与2019年7月1日至2019年12月31日期间进行的手术进行比较。
A医院择期手术工作量下降了近53%，B医院下降了71%。各专科的病例减少情况并不相同。2020年，A医院急诊手术的比例从11.1%显著增加到24%，B医院从22.1%增加到29.8%。2020年，两家医院区域麻醉和神经轴阻滞的使用均有统计学意义的增加。
在新冠疫情期间，眼科等专科的择期手术病例数显著减少，而产科、肿瘤学、骨科和神经外科等专科的手术工作量没有变化。区域和神经轴麻醉技术的使用显著增加。
