Changes in travel-related carbon emissions associated with modernization of services for patients with acute myocardial infarction: a case study

Zander, Alexis; Niggebrugge, Aphrodite; Pencheon, David; Lyratzopoulos, Georgios

doi:10.1093/pubmed/fdq048

Cited by 21 publications

(13 citation statements)

References 12 publications

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“…29 Other clinical innovations, however, may increase patient travel. Replacing thrombolysis in local hospitals with interventional cardiological procedures in more distant, larger hospitals will increase ambulance CO 2 emissions, 30 highlighting conflicts that can arise between protecting the patient and the environment. 23…”

Section: Resultsmentioning

confidence: 99%

Environmental sustainability in hospitals – a systematic review and research agenda

McGain

Naylor

2014

J Health Serv Res Policy

161

171

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There remain significant gaps in the evidence base on hospital sustainability. Assessments of environmental impacts and natural resource use are beginning to be produced, both at the level of individual hospitals and at the health system level. These are an important start, but in many areas do not yet provide sufficiently detailed information to guide decision-making. There are many areas where the interests of patients and the environment coincide, but others where tensions exist. Rising resource costs and climate change mitigation measures are likely to create an increasing stimulus for research on hospital sustainability. Such research will benefit from inter-disciplinary coordination across research funders and countries.

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Section: Resultsmentioning

confidence: 99%

Environmental sustainability in hospitals – a systematic review and research agenda

McGain

Naylor

2014

J Health Serv Res Policy

161

171

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“…This study illustrates how methods developed for use in other sectors can be implemented in the healthcare setting. While previous studies have considered emissions arising from particular components of a healthcare pathway, 23–26 this study is, we believe, the first carbon footprint of a pathway to also include both the direct and indirect emissions attributable to the treatment itself. This study, therefore, provides a methodological template for future evaluation of the emissions of other treatments and care pathways.…”

Section: Discussionmentioning

confidence: 99%

The carbon footprints of home and in‐center maintenance hemodialysis in the United Kingdom

Connor

Lillywhite

Cooke

2011

Hemodialysis International

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Climate change presents a global health threat. However, the provision of healthcare, including dialysis, is associated with greenhouse gas emissions. The aim of this study was to determine the carbon footprints of the differing modalities and treatment regimes used to deliver maintenance hemodialysis (HD), in order to inform carbon reduction strategies at the level of both individual treatments and HD programs. This was a component analysis study adhering to PAS2050. Emissions factors were applied to data that were collected for building energy use, travel and procurement. Thrice weekly in-center HD has a carbon footprint of 3.8 ton CO2 Eq per patient per year. The majority of emissions arise within the medical equipment (37%), energy use (21%), and patient travel (20%) sectors. The carbon footprint of providing home HD varies with the regime. For standard machines: 4 times weekly (4 days, 4.5 hours), 4.3 ton CO2 Eq; 5 times weekly (5 days, 4 hours), 5.1 ton CO2 Eq ; short daily (6 days, 2 hours), 5.2 ton CO2 Eq; nocturnal (3 nightly, 7 hours), 3.9 ton CO2 Eq; and nocturnal (6 nightly, 7 hours), 7.2 ton CO2 Eq. For NxStage equipment: short daily (5.5 days, 3 hours), 1.8 ton CO2 Eq; 6 nightly nocturnal (2.1 ton CO2 Eq). The carbon footprint of HD is influenced more by the frequency of treatments than by their duration. The anticipated rise in the prevalence of home HD patients, dialyzing more frequently and for longer than in-center patients, will increase the emissions associated with HD programs (despite reductions in patient travel emissions). Emerging technologies, such as NxStage, might offer a solution to this problem.

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“…The emissions attributable to the travel of staff and patients have been included to maintain consistency with previous studies undertaken within the health care setting, [6][7][8] including the NHS England Carbon Footprinting Study, 5 although PAS2050 would suggest the exclusion of those emissions associated with the travel of employees and consumers. 19 Exclusions To maintain consistency with PAS2050, 19 the following sources of GHG emissions were excluded from the analysis: buildings and construction; sterilisation procedures; human inputs into processes; the capital cost of machinery used repeatedly; food and beverages for staff; scientific research; staff training; business services; and immaterial emissions sources (those anticipated to be o1% of the total emissions).…”

Section: Boundary Settingmentioning

confidence: 99%

“…Carbon footprinting studies with varying methodological approaches and complexity are now being reported within the medical literature. [6][7][8][9][10][11][12][13] The importance of sustainability within the delivery of ophthalmic care has been considered previously, 14,15 and the emissions attributable to small incision cataract surgery have been argued to be smaller than those arising from phacoemulsification. 16 Cataract surgery is a commonly performed surgical procedure within the NHS in England with over 300 000 operations undertaken annually making it an ideal target for reducing emissions.…”

Section: Introductionmentioning

confidence: 99%

The carbon footprint of cataract surgery

Morris

Wright

Somner

et al. 2013

Eye

152

160

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Background Climate change is predicted to be one of the largest global health threats of the 21st century. Health care itself is a large contributor to carbon emissions. Determining the carbon footprint of specific health care activities such as cataract surgery allows the assessment of associated emissions and identifies opportunities for reduction. Aim To assess the carbon footprint of a cataract pathway in a British teaching hospital. Methods This was a component analysis study for one patient having first eye cataract surgery in

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Changes in travel-related carbon emissions associated with modernization of services for patients with acute myocardial infarction: a case study

Cited by 21 publications

References 12 publications

Environmental sustainability in hospitals – a systematic review and research agenda

Environmental sustainability in hospitals – a systematic review and research agenda

The carbon footprints of home and in‐center maintenance hemodialysis in the United Kingdom

The carbon footprint of cataract surgery

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