Effect of COVID-19 on the Working of a Tertiary Care Hospital

Ayyaz, Mahmood; Butt, Usman Ismat; Umar, Muhammad; Khan, Wasim Hayat; Kashif, Malik Ramzan; Hyidar, Zulqarnain

doi:10.29271/jcpsp.2020.supp2.s164

Cited by 3 publications

(1 citation statement)

References 1 publication

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“…[8][9][10] Similarly in the studies described by our local authors there was a declining shift in the patient numbers across different departments in the other parts of country as well. [11][12][13] There was a significant reduction in the number of elective procedures with emphasis placed on patients requiring emergency services, as we also observed in our own department. 14,15 Limitations of the study: Firstly this is a single center study and might not reflect the reality of other geographical distributions in Pakistan.…”

Section: A H E a D O F P R I N Tmentioning

confidence: 55%

Impact of COVID pandemic upon radiological services in a tertiary care hospital - A clinical audit

et al. 2022

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Background and Objectives: Radiology emerged as one of the frontline clinical services in the COVID-19 pandemic. This audit study aimed to evaluate the impact of COVID-19 on the radiological services in a tertiary care hospital in terms of workload and case mix. Methods: We compared the overall workload of the radiology department between March 2019 to December 2020, emphasizing the number of CTs and Chest radiographs performed during the pandemic. The first period starting when the first confirmed case presented to our hospital and the second control period in the same months in 2019. The imaging parameters included the total number of CTs, MRIs, Ultrasounds, Radiographs, CTs from the emergency room (ER), OPD, IPD, CT chest performed for COVID-19 and other emergency indications. All parameters were calculated by taking average each month in both study periods. Results: An overall decrease was observed in the number of all primary imaging modalities during the pandemic, with ultrasound showing a maximum reduction in numbers (36.5%) followed by radiographs (29.6%) and MRIs (13.8%) compared to 2019. However, total CTs showed a minimal decrease of 1.6% with a significant leap in HRCTs performed reaching up to 80.5%. Conclusion: COVID-19 and resultant movement restrictions, although they did lead to a reduction in overall radiology work volume, were compensated by an increase in the number of studies performed through emergency and for management of COVID-19 infection. Abbreviations:COVID-19= Coronavirus disease 2019, CT = Computed Tomography, HRCT = High resolution CT, MRI = Magnetic Resonance Imaging, USG = Ultrasound, CXR = Chest Radiograph, RIS = Radiology Information system, ER = Emergency Department, IPD = In patient Department, OPD = Outpatient Department. doi: https://doi.org/10.12669/pjms.38.6.5272 How to cite this:Masood L, Gul S, Bano S, Saeed R. Impact of COVID pandemic upon radiological services in a tertiary care hospital - A clinical audit. Pak J Med Sci. 2022;38(6):---------. doi: https://doi.org/10.12669/pjms.38.6.5272 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Section: A H E a D O F P R I N Tmentioning

confidence: 55%

Impact of COVID pandemic upon radiological services in a tertiary care hospital - A clinical audit

et al. 2022

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Management of endocrine surgical disorders during COVID-19 pandemic: expert opinion for non-surgical options

et al. 2021

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Purpose The COVID-19 pandemic brought unprecedented conditions for overall health care systems by restricting resources for non-COVID-19 patients. As the burden of the disease escalates, routine elective surgeries are being cancelled. The aim of this paper was to provide a guideline for management of endocrine surgical disorders during a pandemic. Methods We used Delphi method with a nine-scale Likert scale on two rounds of voting involving 64 experienced eminent surgeons and endocrinologists who had the necessary experience to provide insight on endocrine disorder management. All voting was done by email using a standard questionnaire. Results Overall, 37 recommendations were voted on. In two rounds, all recommendations reached an agreement and were either endorsed or rejected. Endorsed statements include dietary change in primary hyperparathyroidism, Cinacalcet treatment in secondary hyperparathyroidism, alpha-blocker administration for pheochromocytoma, methimazole ± β-blocker combination for Graves’ disease, and follow-up for fine-needle aspiration results of thyroid nodules indicated as Bethesda 3–4 cytological results and papillary microcarcinoma. Conclusion This survey summarizes expert opinion for the management of endocrine surgical conditions during unprecedented times when access to surgical treatment is severely disrupted. The statements are not applicable in circumstances in which surgical treatment is possible.

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The Effect of the COVID 19 Pandemic on Elective Surgical Services in Jos, North Central, Nigeria

Ode¹,

Shitta²,

Peter³

et al. 2021

JBM

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Background. The COVID 19 pandemic affected healthcare delivery systems worldwide. There was a redistribution of health care resources in order to deal with the effects of the pandemic, with a corresponding consequence on other clinical services rendered. The extent of this effect on other non COVID 19 related services has been reported in other centres worldwide. In our own setting, health care resources are limited with suboptimal access even in normal situations. Objective. We sought to evaluate the effects of the COVID 19 pandemic on elective surgical services in our hospital. Methods. This was a cross sectional comparative study carried out at the Jos University Teaching hospital, (North central, Nigeria) of the elective surgical services rendered during the first wave of the COVID 19 pandemic lockdown covering the period April to June 2020 with a corresponding period of the preceding year 2019. Data was obtained from the hospital records department, theatres and service areas for clinic attendance, elective surgeries and ward occupancy. The paired sample t-test was used to compare the assessed variables across the three months of both years with a level of significance of P < 0.05. Results. There was mean clinic attendance of 2859.33 ± 223.36 covering the three months in 2019 as against a mean attendance of 648.67 ± 578.24 covering a similar period in 2020, P = 0.037. The elective surgical procedures carried out across the surgical specialties over the period in 2019 gave a mean of 352.33 ± 44.60 as opposed to 64.001 ± 7.32 over the corresponding period in 2020, P = 0.018. Ward occupancy over April to June 2019 was a mean 297.33 ± 18.58 across the various surgical wards and 158.33 ± 25.70 in the same period in 2020, P = 0.007. Conclusion. There was a significant reduction in the elective surgical services rendered in the hospital during the first wave of the COVID 19

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Effect of COVID-19 on the Working of a Tertiary Care Hospital

Cited by 3 publications

References 1 publication

Impact of COVID pandemic upon radiological services in a tertiary care hospital - A clinical audit

Impact of COVID pandemic upon radiological services in a tertiary care hospital - A clinical audit

Management of endocrine surgical disorders during COVID-19 pandemic: expert opinion for non-surgical options

The Effect of the COVID 19 Pandemic on Elective Surgical Services in Jos, North Central, Nigeria

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