Reflections on the implementation of an acute general surgical COVID-19 roster at North Shore Hospital, Auckland – a prospective observational study

IF 1.5 4区医学 Q3 SURGERY

ANZ Journal of Surgery Pub Date : 2025-03-05 DOI:10.1111/ans.19402

Jamie-Lee Rahiri MBChB, PhD, Rebecca Teague MBChB, Teresa Holm MBChB, PhD, Jason Tuhoe MBChB, FRNZCGP, Jonathan Koea MBChB, MD, FRACS

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引用次数: 0

Abstract

Background

Nearly 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.

Methods

A 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.

Results

A 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.

Conclusion

While 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.

Abstract Image

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对奥克兰北岸医院实施急性普通外科COVID-19名册的思考——一项前瞻性观察研究

背景：在新冠肺炎（COVID-19）抵达新西兰近5年后，我们吸取了许多教训。在新西兰奥克兰北岸医院（NSH），为2020年的第一次封锁建立了一份普通外科COVID-19危机名册（CCR）。本研究总结了我们对CCR的前瞻性监测，并为调整我们的名册以应对未来的大流行提供了一个框架。方法：对所有急性普外科入院患者（2020年3月30日至2020年4月26日）进行前瞻性观察性回顾，并与2019年同期入院患者进行比较。结果：CCR期间共有443例患者入院NSH，而2019年为552例（-19.8%,P = 0.001）。急性胆囊切除术的发生率增加（+54.5%,P = 0.002），而与结节/囊肿切除术相关的手术发生率增加（-83.3%，P）。结论：虽然在实施我们的大流行名单期间，患者的安全没有受到损害，但我们主张我们的名单应该进行调整和改进，包括Māori卫生专业知识、前瞻性监测数据专家委员会以及我们的护理和专职卫生人员，如果我们将来寻求使用该CCR。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

ANZ Journal of Surgery 医学-外科

CiteScore

2.50

自引率

11.80%

发文量

720

审稿时长

2 months

期刊介绍： ANZ Journal of Surgery is published by Wiley on behalf of the Royal Australasian College of Surgeons to provide a medium for the publication of peer-reviewed original contributions related to clinical practice and/or research in all fields of surgery and related disciplines. It also provides a programme of continuing education for surgeons. All articles are peer-reviewed by at least two researchers expert in the field of the submitted paper.