About: Real-time assessment of COVID-19 impact on global surgical case volumes

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About: Real-time assessment of COVID-19 impact on global surgical case volumes 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	Real-time assessment of COVID-19 impact on global surgical case volumes
Creator	Kassebaum, Nicholas Cleve, Van Evans, Faye Ewen, %~+ Harrison, M Jabaley, Craig Long, Dustin Moll, Vanessa O'reilly-Shah, Vikas Sunshine, Jacob Wil, #
Source	MedRxiv; Medline; PMC
abstract	IMPORTANCE: The COVID-19 pandemic has disrupted global surgical capacity. The impact of the pandemic in low and middle income countries has the potential to worsen already strained access to surgical care. Timely assessment of surgical volumes in these countries remains challenging. OBJECTIVE: To determine whether usage data from a globally used anesthesiology calculator mobile application can serve as a proxy for global surgical case volume and contribute to monitoring of the impact of the COVID-19 pandemic, particularly in World Bank low income countries where official data collection is not currently practical. DESIGN: Subset of data from an ongoing observational cohort study of users of the application collected from October 1, 2018 to April 18, 2020. SETTING: The mobile application is available from public sources; users download and use the application per their own clinical needs on personal mobile devices. PARTICIPANTS: No user data was excluded from the study. EXPOSURE(S): Events with impacts on surgical case volumes, including weekends, holidays, and the COVID-19 pandemic. MAIN OUTCOME(S) AND MEASURE(S): It was previously noted that application usage was decreased on weekends and during winter holidays. We subsequently hypothesized that more detailed analysis would reveal impacts of country-specific or region-specific holidays on the volume of app use. RESULTS: 4,300,975 data points from 92,878 unique users were analyzed. Physicians and other anesthesia providers comprised 85.8% of the study population. Application use was reduced on holidays and weekends and correlated with fluctuations in surgical volume. The COVID-19 pandemic was associated with substantial reductions in app use globally and regionally. There was strong cross correlation between COVID-19 case count and reductions in app use. By country, there was a median global reduction in app use to 58% of baseline (interquartile range, 46%−75%). Application use in low-income continues to decline but in high-income countries has stabilized. CONCLUSIONS AND RELEVANCE: Application usage metadata provides a real-time indicator of surgical volume. This data may be used to identify impacted regions where disruptions to surgical care are disproportionate or prolonged. A dashboard for continuous visualization of these data has been deployed.
has issue date	2020-05-08(xsd:dateTime)
bibo:doi	10.1101/2020.05.03.20086819
bibo:pmid	32511532
has license	cc-by-nc
sha1sum (hex)	58ed44aa48ad78dfddba88e3d9d85ddead6505cc
schema:url	https://doi.org/10.1101/2020.05.03.20086819
resource representing a document's title	Real-time assessment of COVID-19 impact on global surgical case volumes
has PubMed Central identifier	PMC7273300
has PubMed identifier	32511532
schema:publication	medRxiv
resource representing a document's body	covid:58ed44aa48ad78dfddba88e3d9d85ddead6505cc#body_text
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