Adapting an emergency general surgery service in response to the COVID-19 pandemic

Autor: P Hickland, Liam Convie, J M Clements, K McElvanna, Damian McKay
Rok vydání: 2021
Předmět:
Adult
Male
medicine.medical_specialty
Coronavirus disease 2019 (COVID-19)
Restructuring
020209 energy
02 engineering and technology
Conservative Treatment
Patient Readmission
03 medical and health sciences
Patient safety
0302 clinical medicine
Ambulatory care
Pandemic
0202 electrical engineering
electronic engineering
information engineering
medicine
Humans
Hospital Mortality
Prospective Studies
Emergency Treatment
Pandemics
Referral and Consultation
Aged
Retrospective Studies
Service (business)
Infection Control
SARS-CoV-2
business.industry
General surgery
COVID-19
General Medicine
Middle Aged
Ambulatory Surgical Procedure
Ambulatory Surgical Procedures
General Surgery
Ambulatory
Female
030211 gastroenterology & hepatology
Surgery
Patient Safety
Emergency Service
Hospital
business
Surgery Department
Hospital
Follow-Up Studies
Zdroj: The Annals of The Royal College of Surgeons of England. 103:487-492
ISSN: 1478-7083
0035-8843
DOI: 10.1308/rcsann.2021.0042
Popis: Introduction In response to the COVID-19 pandemic, our emergency general surgery (EGS) service underwent significant restructuring, including establishing an enhanced ambulatory service and undertaking nonoperative management of selected pathologies. The aim of this study was to compare the activity of our EGS service before and after these changes. Methods Patients referred by the emergency department were identified prospectively over a 4-week period beginning from the date our EGS service was reconfigured (COVID) and compared with patients identified retrospectively from the same period the previous year (Pre-COVID), and followed up for 30 days. Data were extracted from handover documents and electronic care records. The primary outcomes were the rate of admission, ambulation and discharge. Results There were 281 and 283 patients during the Pre-COVID and COVID periods respectively. Admission rate decreased from 78.7% to 41.7%, while there were increased rates of ambulation from 7.1% to 17.3% and discharge from 6% to 22.6% (all pConclusions Restructuring of our EGS service in response to COVID-19 facilitated an increased use of ambulatory services and imaging, achieving a decrease of 952 inpatient bed days in this critical period, while maintaining patient safety.
Databáze: OpenAIRE
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