Observational studyANZ journal of surgery2025
Reflections on the implementation of an acute general surgical COVID-19 roster at North Shore Hospital, Auckland - a prospective observational study.
Observational study in ANZ journal of surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundNearly 5 years after the arrival of coronavirus disease (COVID-19) in New Zealand (NZ), many lessons have been learned. At North Shore Hospital (NSH) in Auckland, NZ, a general surgical COVID-19 Crisis Roster (CCR) was established for the first lockdown in 2020. This study summarizes the prospective monitoring of our CCR and offers a framework for adapting our roster for future pandemics.
methodsA prospective observational review of all acute general surgical admissions (from 30 March 2020 to 26 April 2020) was performed and compared with admissions over the same period in 2019.
resultsA total of 443 patients were admitted to NSH during the CCR period compared with 552 patients in 2019 (-19.8%, P = 0.001). The rate of acute cholecystectomies increased (+54.5%, P = 0.002) whilst operations related to carbuncle/cyst excision (-83.3%, P < 0.02), endoscopy (-62.5%, P = 0.04), and surgical interventions for postoperative complications (-72.2%, P = 0.03) decreased. No significant differences in the rate of (re)admissions for postoperative complications or grade of complication were observed (P = 0.66). Within the context of no surgical team members contracting COVID-19, the cancellation of outpatient clinics, and elective operating lists, the CCR was deemed feasible and easy to implement.
conclusionWhile patient safety was not compromised during the implementation of our pandemic roster, we advocate that our roster should be adapted and improved to include Māori health expertise, a prospective monitoring data expert committee and our nursing and allied health staff should we seek to use this CCR in future.
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