ArticleInternational orthopaedics2020
Operating room efficiency and timing during coronavirus disease 2019 outbreak in a referral orthopaedic hospital in Northern Italy.
Article in International orthopaedics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.
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Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Orthopaedic, trauma surgery, and Covid-2019 pandemic: clinical panorama and future prospective in Europe.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Pooled it
- Impact of the Covid-19 Pandemic on Orthopaedic and Trauma Surgery - A Systematic Review of the Current Literature.In vivo (Athens, Greece)Pooled it
- Performance indicators for evaluating and optimising hospital services during COVID-19: a scoping review.BMJ open · 2026Article
- [Operating room management in a tertiary care center before and during the COVID-19 pandemic].Chirurgie (Heidelberg, Germany) · 2026Article
- The impact of the SARS-CoV-2 pandemic-related lockdowns on orthopedic trauma emergencies at a level-one trauma center.Archives of orthopaedic and trauma surgery · 2023Article
- Impact of COVID-19 on clinical outcomes following total shoulder arthroplasty.Seminars in arthroplasty · 2023Article
- Turnover Time Between Elective Operative Cases: Does the Witching Hour Exist for the Operating Room?World journal of surgery · 2022Article
- Outcomes of Patients Receiving a Kidney Transplant or Remaining on the Transplant Waiting List at the Epicentre of the COVID-19 Pandemic in Europe: An Observational Comparative Study.Pathogens (Basel, Switzerland) · 2022Article
- 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 · 2022Article
- Impact of Severe Acute Respiratory Syndrome Coronavirus 2-Induced COVID-19 on Fixed Operating Room Times in Urologic Operations.Mayo Clinic proceedings. Innovations, quality & outcomes · 2022Article
- Influence of COVID-19 Protocols on the Efficiency of Trauma Theater: Retrospective Observational Study.Interactive journal of medical research · 2022Article
- Stress, anxiety, and burnout of orthopaedic surgeons in COVID-19 pandemic.International orthopaedics · 2022Article
- A seven week observational analysis of clinical activities in a North Italian orthopaedic hospital during the second wave of SARS-CoV-2 pandemic: far from usual volumes, but different from the first wave.International orthopaedics · 2021Observational
- Do standards of care and early outcomes of periprosthetic fractures change during the COVID-19 pandemic? A multicentre study.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2021Article
- Clinical Activities, Contaminations of Surgeons and Cooperation with Health Authorities in 14 Orthopedic Departments in North Italy during the Most Acute Phase of Covid-19 Pandemic.International journal of environmental research and public health · 2021Article
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5 authors.
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No grant is acknowledged in the PubMed record.
Abstract
purposeThe SARS-CoV-2 outbreak affected health care systems at different levels with important consequences on health, economy, and social structures. This paper aims to analyse the impact on surgical block utilisation and efficiency in an orthopaedics reference centre in Northern Italy.
methodsThe timeframe chosen for the current analysis was April 2020, to be compared with the corresponding period in 2019. Number and type of procedures, first case delay, occupancy rate, and turnover time were used as indicators to benchmark the activities.
resultsThe overall number of surgical procedures decreased by 57%, from 537 in 2019 to 230 in the same timeframe in 2020. Orthopaedic procedures predominated in 2019, with 434 cases (80.8%), while in 2020, trauma was the leading activity, with 200 cases (86.9%). Orthopaedic surgery had a relative decrement of 93% while trauma has relatively increased by 94%. Mean first case delay in orthopaedic room (OR) was two hours and 36 minutes (SD 01:40:21) in 2020 compared with only 19 minutes (SD 00:02:15) in 2019. OR occupancy rate was 59% in 2020 compared with 89% in 2019. Turnover time raised from 21 minutes in 2019 to 53 min in 2020.
conclusionsThese data clearly show the deep impact of COVID-19 pandemic on OR facilities. Efficiency indicators fell dramatically in April 2020 compared with the corresponding period in 2019. This scenario will deeply affect both the waiting lists and the economic burden of the hospital. Regaining efficiency and maintaining the quality and safety of the process while restoring elective orthopaedic surgery are among the main challenges that surgeons will face in the next time.
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