A fast tract to foregut surgery: Pandemic-driven protocol development.
Am J Surg
; 225(3): 481-484, 2023 03.
Article
in English
| MEDLINE | ID: covidwho-2165049
ABSTRACT
BACKGROUND:
COVID-19 has overwhelmed many health care systems which has affected the landscape of elective surgery. A pandemic driven protocol was developed to perform foregut surgeries as a Same Day Surgery (SDS) discharge for all comers to reduce resource utilization.METHODS:
Retrospective review of all patients who underwent elective laparoscopic foregut surgery (hiatal hernia, paraesophageal hernia, heller myotomy, and fundoplication) from 8/1/2020-1/31/2022 by a single surgeon after the implementation of a SDS protocol. Patients were compared to a pre-pandemic cohort, from 8/1/2019-4/30/2020, when overnight admission was standard practice.RESULTS:
There were 36 pre-pandemic patients, and 41 pandemic patients successfully discharged the same day of surgery. We failed to detect a statistically significant difference between the two groups regarding 30-day ED visit rate (p-value of 0.4557) and 30-day readmission rate (p-value of 0.6790).CONCLUSION:
The creation of a SDS protocol for foregut surgery is a safe way to deliver much needed care to the community while decreasing resource utilization.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Laparoscopy
/
COVID-19
/
Hernia, Hiatal
Type of study:
Cohort study
/
Experimental Studies
/
Observational study
/
Prognostic study
/
Randomized controlled trials
Limits:
Humans
Language:
English
Journal:
Am J Surg
Year:
2023
Document Type:
Article
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