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S Afr Med J ; 0(0): 13182, 2020 12 14.
Article in English | MEDLINE | ID: covidwho-984482

ABSTRACT

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.


Subject(s)
COVID-19 , Elective Surgical Procedures/statistics & numerical data , Infection Control , Surgery Department, Hospital , Tertiary Healthcare , Adult , COVID-19/epidemiology , COVID-19/prevention & control , Emergency Service, Hospital/organization & administration , Emergency Service, Hospital/statistics & numerical data , Female , Health Policy , Humans , Infection Control/methods , Infection Control/organization & administration , Male , Mortality , Needs Assessment , Organizational Innovation , Safety Management/trends , South Africa/epidemiology , Surgery Department, Hospital/organization & administration , Surgery Department, Hospital/statistics & numerical data , Tertiary Healthcare/organization & administration , Tertiary Healthcare/trends
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