评估与破坏性手术出血相关的环境影响

IF 1.4 Q3 SURGERY
Mesut Kocaman , Stephen Johnston , Mosadoluwa Afolabi , Walter Danker , Fiona Adshead
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引用次数: 0

摘要

尽量减少可避免的医疗保健资源使用可以支持向更可持续的医疗保健系统迈进。很少有研究试图评估与特定外科手术相关的并发症对环境的影响。本研究的目的是评估各种手术过程中破坏性手术出血对环境的影响。方法采用回顾性数据库分析的临床和卫生保健资源使用数据,对9个手术的破坏性出血患者进行环境影响评价。可持续医疗保健联盟的排放数据来源于相关的资源利用活动,并用于计算与破坏性手术出血相关的气候、水和废物影响。结果在所研究的手术过程中,手术出血平均产生167公斤二氧化碳当量、267立方米用水和20公斤废物的环境影响。考虑到每1000例手术中破坏性出血的发生率,由于发生这种并发症的患者比例很高(44%),瓣膜手术期间出血的治疗与最高的环境影响相关。有效及时地控制手术出血事件,并将其发生率降低50%,每1000例手术可节省高达49吨的二氧化碳排放量,77,082立方米的用水量和6.3吨的废物。结论手术出血与严重的环境影响有关。这项研究展示了利用与特定医疗保健活动相关的现有资源使用数据来评估其环境影响的潜力,有助于确定外科部门可持续性改进的关键领域。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessing the environmental impact associated with disruptive surgical bleeding

Background

Minimizing avoidable healthcare resource use can support a move towards more sustainable healthcare systems. Few studies have sought to evaluate the environmental impact of complications associated with specific surgical procedures. The aim of this study was to assess the environmental impact associated with disruptive surgical bleeding across a broad range of procedures.

Methods

The environmental impact assessment was performed using clinical and healthcare resource use data from a retrospective database analysis of patients with disruptive bleeding across nine procedures. Emissions data from the Sustainable Healthcare Coalition were sourced for the relevant resource use activities and used to calculate the climate, water and waste impact associated with disruptive surgical bleeding.

Results

Across the procedures of interest, surgical bleeding was shown to incur a mean environmental impact of 167 kg CO2e, 267 m3 water use and 20 kg waste. Considering the incidence of disruptive bleeding per 1000 procedures, treatment of bleeding during valve procedures was associated with the highest environmental impact due to the high proportion of patients in which this complication occurs (44 %). Achieving effective and timely control of surgical bleeding events and reducing their incidence by 50 % could save up to 49 tons of CO₂e, 77,082 m3 of water use, and 6.3 tons of waste per 1000 surgical procedures.

Conclusions

Surgical bleeding is associated with a substantial environmental impact. This study demonstrates the potential to use existing resource use data associated with specific healthcare activities to assess their environmental impact, helping to identify key areas for improvement in the sustainability of surgical departments.
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来源期刊
CiteScore
1.30
自引率
0.00%
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0
审稿时长
66 days
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