Show simple item record

dc.contributor.authorPrasad, Nikhil K
dc.contributor.authorEnglum, Brian R
dc.contributor.authorTurner, Douglas J
dc.contributor.authorLake, Rachel
dc.contributor.authorSiddiqui, Tariq
dc.contributor.authorMayorga-Carlin, Minerva
dc.contributor.authorSorkin, John D
dc.contributor.authorLal, Brajesh Ken_US
dc.date.accessioned2021-06-25T12:33:39Z
dc.date.available2021-06-25T12:33:39Z
dc.date.issued2021-06-19
dc.identifier.urihttp://hdl.handle.net/10713/16088
dc.description.abstractBackground: The COVID-19 pandemic has resulted in over 225,000 excess deaths in the United States. A moratorium on elective surgery was placed early in the pandemic to reduce risk to patients and staff and preserve critical care resources. This report evaluates the impact of the elective surgical moratorium on case volumes and intensive care unit (ICU) bed utilization. Methods: This retrospective review used a national convenience sample to correlate trends in the weekly rates of surgical cases at 170 Veterans Affairs Hospitals around the United States from January 1 to September 30, 2020 to national trends in the COVID-19 pandemic. We reviewed data on weekly number of procedures performed and ICU bed usage, stratified by level of urgency (elective, urgent, emergency), and whether an ICU bed was required within 24 hours of surgery. National data on the proportion of COVID-19 positive test results and mortality rates were obtained from the Center for Disease Control website. Results: 198,911 unique surgical procedures performed during the study period. The total number of cases performed from January 1 to March 16 was 86,004 compared with 15,699 from March 17 to May 17. The reduction in volume occurred before an increase in the percentage of COVID-19 positive test results and deaths nationally. There was a 91% reduction from baseline in the number of elective surgeries performed allowing 78% of surgical ICU beds to be available for COVID-19 positive patients. Conclusion: The moratorium on elective surgical cases was timely and effective in creating bed capacity for critically ill COVID-19 patients. Further analyses will allow targeted resource allocation for future pandemic planning.en_US
dc.description.urihttps://doi.org/10.1016/j.jss.2021.05.028en_US
dc.description.urihttp://www.ncbi.nlm.nih.gov/pmc/articles/pmc8213966/en_US
dc.language.isoenen_US
dc.publisherElsevier Inc.en_US
dc.relation.ispartofJournal of Surgical Researchen_US
dc.rightsCopyright © 2021 Elsevier Inc. All rights reserved.en_US
dc.subjectcritical care resources conservationen_US
dc.subjectelective surgery moratoriumen_US
dc.subject.lcshSurgery, Electiveen_US
dc.subject.meshCOVID-19en_US
dc.subject.meshHealth Resourcesen_US
dc.subject.meshHospitals, Veteransen_US
dc.titleA Nation-wide Review of Elective Surgery and COVID-Surge Capacityen_US
dc.typeArticleen_US
dc.identifier.doi10.1016/j.jss.2021.05.028
dc.identifier.pmid34157490
dc.source.volume267
dc.source.beginpage211
dc.source.endpage216
dc.source.countryUnited States


Files in this item

Thumbnail
Name:
Publisher version

This item appears in the following Collection(s)

Show simple item record