Optimizing Surgical Care Amidst COVID-19: A Scoping Review of Practices and Policies

被引:0
|
作者
Alzerwi, Nasser A. N. [1 ]
Rayzah, Musaed [1 ]
Alnemare, Ahmad K. [2 ]
Elkhalifa, Ahmed M. E. [3 ,4 ]
机构
[1] Majmaah Univ, Coll Med, Dept Surg, Minist Educ, POB 66, Al Majmaah City 11952, Riyadh, Saudi Arabia
[2] Majmaah Univ, Coll Med, Otolaryngol Dept, Minist Educ, POB 66, Al Majmaah City 11952, Riyadh, Saudi Arabia
[3] Saudi Elect Univ, Coll Hlth Sci, Dept Publ Hlth, Riyadh 11673, Saudi Arabia
[4] Univ El Imam El Mahdi, Fac Med Lab Sci, Dept Haematol, Kosti 1158, Sudan
关键词
hospital resources; pandemic; surgery; surgical services; systematic review; PANDEMIC EXPERIENCE; THEATER EFFICIENCY; SOUTH-AFRICA; IMPACT; SERVICES; EMERGENCY; LESSONS; SURGERY; DISEASE; TRAUMA;
D O I
10.3390/healthcare12010096
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background: The coronavirus disease (COVID-19) pandemic significantly disrupted surgical care worldwide, affecting different specialties in various ways. Lockdowns, surges in COVID-19 cases, and changes in hospital policies notably impacted patient attendance, management practices, and access to surgical services. This scoping review examines the adverse impacts of the COVID-19 pandemic on surgical services and the policies adopted to address these care barriers. Methods: We conducted a comprehensive literature review using the preferred reporting items for systematic reviews and meta-analyses extension for scoping reviews (PRISMA-ScR) guidelines. Our search, spanning 31 December 2019, to 29 January 2023, focused on understanding the multifaceted impacts of COVID-19 on surgical services, particularly across different specialties. Results: An analysis of 75 articles indicated that the pandemic challenged surgeons worldwide to maintain a balance between delivering emergency and elective surgical care, and implementing safety measures against viral transmission. There was a marked decline in the surgical volume, leading to extended waitlists and decreased operating theater usage. Strategies such as prioritizing medically necessary and time-sensitive surgeries and integrating telemedicine have emerged as pivotal for ensuring the continuity of urgent care. Despite the reduced rates, essential surgeries such as appendectomies and cancer-related operations continued, yet faced hurdles, including reduced staffing, limited operating theater capacity, and complications in patient transfers. Conclusions: This review emphasizes the steep reduction in surgical service utilization at the beginning of the pandemic and emergence of new compounded barriers. Policies that designated surgeries as essential, and focused on equitable and timely access, were effective. Incorporating these findings into post-pandemic assessments and future planning is crucial to sustain adequate surgical care during similar health emergencies.
引用
收藏
页数:20
相关论文
共 50 条
  • [1] A SCOPING REVIEW OF TRENDS IN ANTIMICROBIAL RESISTANCE AMIDST THE COVID-19 PANDEMIC
    Griffin, Meggie
    Reffat, Noora
    Schwei, Rebecca
    Vicas, Aurora Pop
    Schulz, Lucas
    Pulia, MIchael
    JOURNAL OF INVESTIGATIVE MEDICINE, 2023, 71 (07) : 182 - 182
  • [2] Intersectional Information Work Practices: Surfacing Care amidst COVID-19
    Poole
    Alex H.
    Proceedings of the Association for Information Science and Technology, 2022, 59 (01) : 486 - 493
  • [3] A scoping review of bacterial resistance among inpatients amidst the COVID-19 pandemic
    Reffat, Noora
    Schwei, Rebecca J.
    Griffin, Meggie
    Pop-Vicas, Aurora
    Schulz, Lucas T.
    Pulia, Michael S.
    JOURNAL OF GLOBAL ANTIMICROBIAL RESISTANCE, 2024, 38 : 49 - 65
  • [4] Challenges for maintaining surgical care practices in the COVID-19 pandemic: an integrative review
    de Souza Maciel Ferreira, Jose Erivelton
    Cavalcante, Tahissa Frota
    Jansen, Raphaella Castro
    Oliveira Damasceno, Daniel Freitas
    de Oliveira, Lidia Rocha
    Nascimento da Silva, Maria Jocelane
    Rodrigues, Ana Paula
    INVESTIGACION Y EDUCACION EN ENFERMERIA, 2022, 40 (01):
  • [5] Dental education practices during COVID-19: A scoping review
    Kerkstra, Robin L.
    Rustagi, Khyati A.
    Grimshaw, Alyssa A.
    Minges, Karl E.
    JOURNAL OF DENTAL EDUCATION, 2022, 86 (05) : 546 - 573
  • [6] Restricted visitation policies in acute care settings during the COVID-19 pandemic: a scoping review
    Stephana J. Moss
    Karla D. Krewulak
    Henry T. Stelfox
    Sofia B. Ahmed
    Melanie C. Anglin
    Sean M. Bagshaw
    Karen E. A. Burns
    Deborah J. Cook
    Christopher J. Doig
    Alison Fox-Robichaud
    Robert Fowler
    Laura Hernández
    Michelle E. Kho
    Maia Kredentser
    Kira Makuk
    Srinivas Murthy
    Daniel J. Niven
    Kendiss Olafson
    Ken Kuljit S. Parhar
    Scott B. Patten
    Oleksa G. Rewa
    Bram Rochwerg
    Bonnie Sept
    Andrea Soo
    Krista Spence
    Sean Spence
    Sharon Straus
    Andrew West
    Jeanna Parsons Leigh
    Kirsten M. Fiest
    Critical Care, 25
  • [7] The Impact of COVID-19 on Primary Care: A Scoping Review
    Khalil-Khan, Alam
    Khan, Moien A. B.
    CUREUS JOURNAL OF MEDICAL SCIENCE, 2023, 15 (01)
  • [8] Restricted visitation policies in acute care settings during the COVID-19 pandemic: a scoping review
    Moss, Stephana J.
    Krewulak, Karla D.
    Stelfox, Henry T.
    Ahmed, Sofia B.
    Anglin, Melanie C.
    Bagshaw, Sean M.
    Burns, Karen E. A.
    Cook, Deborah J.
    Doig, Christopher J.
    Fox-Robichaud, Alison
    Fowler, Robert
    Hernandez, Laura
    Kho, Michelle E.
    Kredentser, Maia
    Makuk, Kira
    Murthy, Srinivas
    Niven, Daniel J.
    Olafson, Kendiss
    Parhar, Ken Kuljit S.
    Patten, Scott B.
    Rewa, Oleksa G.
    Rochwerg, Bram
    Sept, Bonnie
    Soo, Andrea
    Spence, Krista
    Spence, Sean
    Straus, Sharon
    West, Andrew
    Leigh, Jeanna Parsons
    Fiest, Kirsten M.
    CRITICAL CARE, 2021, 25 (01)
  • [9] A scoping review of the impact of COVID-19 pandemic on surgical practice
    Soltany, Amjad
    Hamouda, Mohammed
    Ghzawi, Ansam
    Sharaqi, Ahmed
    Negida, Ahmed
    Soliman, Shaimaa
    Benmelouka, Amira Yasmine
    ANNALS OF MEDICINE AND SURGERY, 2020, 57 : 24 - 36
  • [10] Spiritual care in patients hospitalized with COVID-19: scoping review
    Dantas, Ana Clara
    de Medeiros Araujo, Jessica Naiara
    Coutinho Borges, Barbara Ebilizarda
    da Silva, Amanda Barbosa
    da Silva Medeiros, Hanna Priscilla
    de Carvalho, Leandro Melo
    Vitor, Allyne Fortes
    REV RENE, 2022, 23