Impact of Enhanced in-Hospital Infection Prevention During the COVID-19 Pandemic on Postoperative Pneumonia in Older Surgical Patients
Jae-Woo Ju,1 Jiwon You,1 Hyunsook Hong,2 Chang Kyung Kang,3 Won Ho Kim,1,4 Ho-Jin Lee1,4 1Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul, Republic of Korea; 2Medical Research Collaborating Center, Seoul National University Hospital, Seoul, Republic of Korea...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2023-05-01
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| Series: | International Journal of General Medicine |
| Subjects: | |
| Online Access: | https://www.dovepress.com/impact-of-enhanced-in-hospital-infection-prevention-during-the-covid-1-peer-reviewed-fulltext-article-IJGM |
| _version_ | 1797821708489457664 |
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| author | Ju JW You J Hong H Kang CK Kim WH Lee HJ |
| author_facet | Ju JW You J Hong H Kang CK Kim WH Lee HJ |
| author_sort | Ju JW |
| collection | DOAJ |
| description | Jae-Woo Ju,1 Jiwon You,1 Hyunsook Hong,2 Chang Kyung Kang,3 Won Ho Kim,1,4 Ho-Jin Lee1,4 1Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul, Republic of Korea; 2Medical Research Collaborating Center, Seoul National University Hospital, Seoul, Republic of Korea; 3Department of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea; 4Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine, Seoul, Republic of KoreaCorrespondence: Ho-Jin Lee, Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea, Tel +82-2-2072-0039, Fax +82-2-747-8363, Email zenerdiode03@gmail.comPurpose: We aimed to investigate the impact of enhanced in-hospital infection prevention during the coronavirus disease 2019 (COVID-19) pandemic on postoperative pneumonia in older surgical patients.Patients and Methods: We retrospectively reviewed the electronic medical records of consecutive patients ≥ 70 years who underwent elective surgery between 2017 and 2021 at our institution. All perioperative variables were retrieved from the electronic medical records. The primary outcome was new-onset postoperative pneumonia during the hospitalization period. Since February 2020, our institution implemented a series of policies to enhance infection prevention, hence patients were divided into groups according to whether they underwent surgery before or during the COVID-19 pandemic. An interrupted time series analysis was performed to evaluate the difference between pre- and post-intervention slopes of the primary outcome.Results: Among the 29,387 patients included in the study, 10,547 patients underwent surgery during the COVID-19 pandemic. Although there was a decreasing trend of the monthly incidence rate of postoperative pneumonia compared to before the COVID-19 pandemic, there was no statistical significance in the trend (slope before COVID-19 period: β-coefficient, − 0.007; 95% CI, − 0.022 to 0.007).Conclusion: Our study revealed that enhanced in-hospital infection prevention implemented to manage the COVID-19 pandemic did not significantly affect the decreasing trend of postoperative pneumonia at our institution.Keywords: coronavirus, COVID-19, healthcare-associated pneumonia, pandemic, pneumonia, severe acute respiratory syndrome coronavirus 2 |
| first_indexed | 2024-03-13T09:56:45Z |
| format | Article |
| id | doaj.art-830ee84a9b5648c898528a7b65041b40 |
| institution | Directory Open Access Journal |
| issn | 1178-7074 |
| language | English |
| last_indexed | 2024-03-13T09:56:45Z |
| publishDate | 2023-05-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | International Journal of General Medicine |
| spelling | doaj.art-830ee84a9b5648c898528a7b65041b402023-05-23T18:52:22ZengDove Medical PressInternational Journal of General Medicine1178-70742023-05-01Volume 161943195183916Impact of Enhanced in-Hospital Infection Prevention During the COVID-19 Pandemic on Postoperative Pneumonia in Older Surgical PatientsJu JWYou JHong HKang CKKim WHLee HJJae-Woo Ju,1 Jiwon You,1 Hyunsook Hong,2 Chang Kyung Kang,3 Won Ho Kim,1,4 Ho-Jin Lee1,4 1Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul, Republic of Korea; 2Medical Research Collaborating Center, Seoul National University Hospital, Seoul, Republic of Korea; 3Department of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea; 4Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine, Seoul, Republic of KoreaCorrespondence: Ho-Jin Lee, Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea, Tel +82-2-2072-0039, Fax +82-2-747-8363, Email zenerdiode03@gmail.comPurpose: We aimed to investigate the impact of enhanced in-hospital infection prevention during the coronavirus disease 2019 (COVID-19) pandemic on postoperative pneumonia in older surgical patients.Patients and Methods: We retrospectively reviewed the electronic medical records of consecutive patients ≥ 70 years who underwent elective surgery between 2017 and 2021 at our institution. All perioperative variables were retrieved from the electronic medical records. The primary outcome was new-onset postoperative pneumonia during the hospitalization period. Since February 2020, our institution implemented a series of policies to enhance infection prevention, hence patients were divided into groups according to whether they underwent surgery before or during the COVID-19 pandemic. An interrupted time series analysis was performed to evaluate the difference between pre- and post-intervention slopes of the primary outcome.Results: Among the 29,387 patients included in the study, 10,547 patients underwent surgery during the COVID-19 pandemic. Although there was a decreasing trend of the monthly incidence rate of postoperative pneumonia compared to before the COVID-19 pandemic, there was no statistical significance in the trend (slope before COVID-19 period: β-coefficient, − 0.007; 95% CI, − 0.022 to 0.007).Conclusion: Our study revealed that enhanced in-hospital infection prevention implemented to manage the COVID-19 pandemic did not significantly affect the decreasing trend of postoperative pneumonia at our institution.Keywords: coronavirus, COVID-19, healthcare-associated pneumonia, pandemic, pneumonia, severe acute respiratory syndrome coronavirus 2https://www.dovepress.com/impact-of-enhanced-in-hospital-infection-prevention-during-the-covid-1-peer-reviewed-fulltext-article-IJGMcoronaviruscovid-19healthcare-associated pneumoniapandemicpneumoniasevere acute respiratory syndrome coronavirus 2 |
| spellingShingle | Ju JW You J Hong H Kang CK Kim WH Lee HJ Impact of Enhanced in-Hospital Infection Prevention During the COVID-19 Pandemic on Postoperative Pneumonia in Older Surgical Patients International Journal of General Medicine coronavirus covid-19 healthcare-associated pneumonia pandemic pneumonia severe acute respiratory syndrome coronavirus 2 |
| title | Impact of Enhanced in-Hospital Infection Prevention During the COVID-19 Pandemic on Postoperative Pneumonia in Older Surgical Patients |
| title_full | Impact of Enhanced in-Hospital Infection Prevention During the COVID-19 Pandemic on Postoperative Pneumonia in Older Surgical Patients |
| title_fullStr | Impact of Enhanced in-Hospital Infection Prevention During the COVID-19 Pandemic on Postoperative Pneumonia in Older Surgical Patients |
| title_full_unstemmed | Impact of Enhanced in-Hospital Infection Prevention During the COVID-19 Pandemic on Postoperative Pneumonia in Older Surgical Patients |
| title_short | Impact of Enhanced in-Hospital Infection Prevention During the COVID-19 Pandemic on Postoperative Pneumonia in Older Surgical Patients |
| title_sort | impact of enhanced in hospital infection prevention during the covid 19 pandemic on postoperative pneumonia in older surgical patients |
| topic | coronavirus covid-19 healthcare-associated pneumonia pandemic pneumonia severe acute respiratory syndrome coronavirus 2 |
| url | https://www.dovepress.com/impact-of-enhanced-in-hospital-infection-prevention-during-the-covid-1-peer-reviewed-fulltext-article-IJGM |
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