The effect of disruption due to COVID-19 on operating room utilization: Experience from a secondary care hospital in Riyadh, Saudi Arabia
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: W...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | Journal of Family Medicine and Primary Care |
| Subjects: | |
| Online Access: | http://www.jfmpc.com/article.asp?issn=2249-4863;year=2022;volume=11;issue=9;spage=5226;epage=5230;aulast=Althaqeel |
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| author | Mamdouh F Althaqeel Mohammad N Alshanwani Khalid Alqahtani Mohammad Shibly Khan Zeidan A Zeidan Noorulzaman K Mohaideen Khalid Albahooth Walid Altassan Assem S A. Alzoman Abdulaziz S Alkhaldi |
| author_facet | Mamdouh F Althaqeel Mohammad N Alshanwani Khalid Alqahtani Mohammad Shibly Khan Zeidan A Zeidan Noorulzaman K Mohaideen Khalid Albahooth Walid Altassan Assem S A. Alzoman Abdulaziz S Alkhaldi |
| author_sort | Mamdouh F Althaqeel |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-13T10:55:00Z |
| format | Article |
| id | doaj.art-caebdd0a60a74e55bb7ddecf8acf2e1a |
| institution | Directory Open Access Journal |
| issn | 2249-4863 |
| language | English |
| last_indexed | 2024-04-13T10:55:00Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Family Medicine and Primary Care |
| spelling | doaj.art-caebdd0a60a74e55bb7ddecf8acf2e1a2022-12-22T02:49:33ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632022-01-011195226523010.4103/jfmpc.jfmpc_1707_21The effect of disruption due to COVID-19 on operating room utilization: Experience from a secondary care hospital in Riyadh, Saudi ArabiaMamdouh F AlthaqeelMohammad N AlshanwaniKhalid AlqahtaniMohammad Shibly KhanZeidan A ZeidanNoorulzaman K MohaideenKhalid AlbahoothWalid AltassanAssem S A. AlzomanAbdulaziz S AlkhaldiIntroduction/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.http://www.jfmpc.com/article.asp?issn=2249-4863;year=2022;volume=11;issue=9;spage=5226;epage=5230;aulast=Althaqeelcovid-19 disruptionelective surgery cancellationoperating room utilizationrt–pcrsaudi arabia |
| spellingShingle | Mamdouh F Althaqeel Mohammad N Alshanwani Khalid Alqahtani Mohammad Shibly Khan Zeidan A Zeidan Noorulzaman K Mohaideen Khalid Albahooth Walid Altassan Assem S A. Alzoman Abdulaziz S Alkhaldi The effect of disruption due to COVID-19 on operating room utilization: Experience from a secondary care hospital in Riyadh, Saudi Arabia Journal of Family Medicine and Primary Care covid-19 disruption elective surgery cancellation operating room utilization rt–pcr saudi arabia |
| title | The effect of disruption due to COVID-19 on operating room utilization: Experience from a secondary care hospital in Riyadh, Saudi Arabia |
| title_full | The effect of disruption due to COVID-19 on operating room utilization: Experience from a secondary care hospital in Riyadh, Saudi Arabia |
| title_fullStr | The effect of disruption due to COVID-19 on operating room utilization: Experience from a secondary care hospital in Riyadh, Saudi Arabia |
| title_full_unstemmed | The effect of disruption due to COVID-19 on operating room utilization: Experience from a secondary care hospital in Riyadh, Saudi Arabia |
| title_short | The effect of disruption due to COVID-19 on operating room utilization: Experience from a secondary care hospital in Riyadh, Saudi Arabia |
| title_sort | effect of disruption due to covid 19 on operating room utilization experience from a secondary care hospital in riyadh saudi arabia |
| topic | covid-19 disruption elective surgery cancellation operating room utilization rt–pcr saudi arabia |
| url | http://www.jfmpc.com/article.asp?issn=2249-4863;year=2022;volume=11;issue=9;spage=5226;epage=5230;aulast=Althaqeel |
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