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The effect of disruption due to COVID-19 on operating room utilization: Experience from a secondary care hospital in Riyadh, Saudi Arabia.
Althaqeel, Mamdouh F; Alshanwani, Mohammad N; Alqahtani, Khalid; Khan, Mohammad Shibly; Zeidan, Zeidan A; Mohaideen, Noorulzaman K; Albahooth, Khalid; Altassan, Walid; Alzoman, Assem S A; Alkhaldi, Abdulaziz S.
  • Althaqeel MF; Consultant Family and Community Medicine/General Hospital Director, Riyadh First Central Health Cluster, Riyadh, Saudi Arabia.
  • Alshanwani MN; Consultant Department of General Surgery, Riyadh First Central Health Cluster, Riyadh, Saudi Arabia.
  • Alqahtani K; Consultant Department of Pediatric Surgery, Riyadh First Central Health Cluster, Riyadh, Saudi Arabia.
  • Khan MS; Specialist Community Medicine, Data Warehouse Department, Riyadh First Central Health Cluster, Riyadh, Saudi Arabia.
  • Zeidan ZA; Consultant Community Medicine, Infection Control Department, Riyadh First Central Health Cluster, Riyadh, Saudi Arabia.
  • Mohaideen NK; Public Health Specialist, Data warehouse Department, Riyadh First Central Health Cluster, Riyadh, Saudi Arabia.
  • Albahooth K; Consultant Department of General Surgery, Riyadh First Central Health Cluster, Riyadh, Saudi Arabia.
  • Altassan W; Specialist Department of General Surgery, Riyadh First Central Health Cluster, Riyadh, Saudi Arabia.
  • Alzoman ASA; Consultant Anesthesia, King Salman Hospital, Riyadh First Central Health Cluster, Riyadh, Saudi Arabia.
  • Alkhaldi AS; Specialist Department of General Surgery, Riyadh First Central Health Cluster, Riyadh, Saudi Arabia.
J Family Med Prim Care ; 11(9): 5226-5230, 2022 Sep.
Article in English | MEDLINE | ID: covidwho-2144216
ABSTRACT
Introduction/

Background:

The disruption caused due to corona virus disease-2019 (Covid-19) has affected the overall health care delivery worldwide. The elective services were foremost to face the restrictions and closure, subsequently they were resumed only after adoption on newer protocols.

Aims:

We aimed to estimate the effect of COVID-19 restrictions on operative room utilization.

Methodology:

This is a retrospective descriptive study. The surgical volume indicators were calculated and a comparison was made between pre-COVID-19 (April-June 2019) and COVID-19 phase (April-June, 2020). Pre-operative covid assessment through the RT-PCR test among the cases waiting for elective surgeries.

Results:

Overall surgical volume decreased by 53%, which included 87% decrease in elective procedures and 8% decrease in emergency procedures. The overall OR utilization reduced by 63%. Highest reduction in the surgical volume was noted in bariatric surgery (no surgeries conducted in the COVID-19 phase), ophthalmology (99% reduction), and Ear, Nose and Throat surgery (ENT) surgery (92% reduction). Six patients tested positive for pre-operative RT-PCR from the sample of 261 cases posted for elective surgery during resumption phase of elective services, thereby giving the positivity rate of about 2.2%.

Conclusion:

We found a high level of reduction in the operating room utilization in a secondary care public sector hospital. The pre-operative assessment has enabled to find out the COVID-19 cases and hence preventing the unwanted spread of infection during the surgical procedures.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Observational study Language: English Journal: J Family Med Prim Care Year: 2022 Document Type: Article Affiliation country: Jfmpc.jfmpc_1707_21

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Observational study Language: English Journal: J Family Med Prim Care Year: 2022 Document Type: Article Affiliation country: Jfmpc.jfmpc_1707_21