About: Operating room efficiency and timing during coronavirus disease 2019 outbreak in a referral orthopaedic hospital in Northern Italy

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About: Operating room efficiency and timing during coronavirus disease 2019 outbreak in a referral orthopaedic hospital in Northern Italy Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Operating room efficiency and timing during coronavirus disease 2019 outbreak in a referral orthopaedic hospital in Northern Italy
Creator	Faraldi, Martina Lombardi, Giovanni Andreata, Mauro Bucci, Eugenia Zagra, Luigi
Source	Medline; PMC
abstract	PURPOSE: The 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. METHODS: The 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. RESULTS: The 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. CONCLUSIONS: These 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.
has issue date	2020-08-16(xsd:dateTime)
bibo:doi	10.1007/s00264-020-04772-x
bibo:pmid	32803358
has license	no-cc
sha1sum (hex)	4293be72525c92b5c3dbd16ff8ec81ad0b73df98
schema:url	https://doi.org/10.1007/s00264-020-04772-x
resource representing a document's title	Operating room efficiency and timing during coronavirus disease 2019 outbreak in a referral orthopaedic hospital in Northern Italy
has PubMed Central identifier	PMC7429121
has PubMed identifier	32803358
schema:publication	Int Orthop
resource representing a document's body	covid:4293be72525c92b5c3dbd16ff8ec81ad0b73df98#body_text
is schema:about of	named entity 'indicators' named entity 'hospital' named entity 'Northern Italy' named entity 'STRUCTURES' named entity 'REFERENCE' named entity 'SURGICAL' named entity 'TURNOVER' named entity 'CENTRE' named entity 'DIFFERENT' named entity 'IMPORTANT' covid:arg/4293be72525c92b5c3dbd16ff8ec81ad0b73df98 named entity 'health' named entity 'The' named entity 'efficiency' named entity 'SARS-CoV-2' named entity 'turnover time' named entity 'Northern Italy' named entity 'SARS-CoV-2 outbreak' named entity 'coronavirus disease 2019' named entity 'orthopaedic surgery' named entity 'Italy' named entity 'key performance indicators' named entity 'COVID' named entity 'surgical procedures' named entity 'face shield' named entity 'SARS-CoV-2 outbreak' named entity 'SARS-CoV-2' named entity 'COVID' named entity 'COVID' named entity 'COVID-19 pandemic' named entity 'La Jolla' named entity 'ICU' named entity 'not-for-profit' named entity 'SARS-CoV-2' named entity 'epidemic' named entity 'surgical procedures' named entity 'SARS-CoV-2' named entity 'health care' named entity 'SARS-CoV-2' named entity 'surgical procedure' named entity 'March 2020' named entity 'pandemics' named entity 'April 2020' named entity 'major surgery' named entity 'COVID' named entity 'turnover time' named entity 'SARS-CoV-2' named entity 'Northern Italy' named entity 'elective procedures' named entity 'COVID' named entity '65:12' named entity 'surgical services' named entity 'intensive care units' named entity 'nasopharyngeal swab' named entity 'statistical analysis' named entity 'major surgery' named entity 'Northern Italy' named entity 'COVID' named entity 'COVID' named entity '10 million people' named entity 'SARS' named entity 'Injury severity score' named entity 'emergency room' named entity 'hub-spoke' named entity 'SARS-CoV-2 outbreak' named entity 'COVID' named entity 'April 2020' named entity 'COVID' named entity 'hospital network' named entity 'standard deviation' named entity 'ICU' named entity 'standard deviation' named entity 'Regional Health Authorities' named entity 'statistically significant' named entity 'trauma surgery' named entity 'major surgery' named entity 'comorbidities'

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