- 期刊
Surgical Volume Change in the Early Stage of COVID-19 Pandemic: Analysis of a Tertiary Referral Center in Taiwan
比較新冠疫情前後之手術量變化：台灣某醫學中心初期觀察
摘要
Objectives: To compare the difference in the surgical volumes in the early stage of the COVID-19 pandemic from January to June 2020 and the same period in 2017, 2018, and 2019. Methods: This retrospective study was conducted in a tertiary referral center in Taipei. The average surgical volumes from January to June 2017-2019 and January to June 2020 were retrieved from the hospital’s operation scheduling management system and analyzed in this study. Results: The surgical volume decreased by 1,988 cases (7.7%) on average in the first half-year of 2020 in comparison with the first half-year of 2017, 2018, and 2019. Month-by-month comparison showed that the surgical volumes decreased by 17.9% in January 2020, which was the beginning of the epidemic, then increased by 28.3% in February 2020. However, after the global pandemic of COVID-19, it decreased by 15.8%, 18.7% in April 2020, and 11.5% in May 2020. The surgical volumes returned to the previous level in June. Regarding different specialties, the highest reductions in surgical volumes were in otorhinolaryngology, obstetrics and gynecology, and neurosurgery. The reduction of the ten most common operations was also analyzed, in which anal hemorrhoids, fistula, and total knee arthroplasty were the leading surgical reduction procedures. Conclusions: The epidemic affected the surgical volumes in the early stage of the COVID-19 pandemic. The time of impact began in March 2020 at the time of the global pandemic and was less impacted in June. Hospital administrators should always be aware of the changes in the epidemic and the surgical volume, and should dynamically support the front-line units.
並列摘要
目的：比較COVID-19大流行早期2020年1月至6月與2017年、2018年和2019年同期手術量的差異。方法：本研究為回溯性研究法，以台北市某醫學中心2017－2019年1－6月及2020年1－6月之手術量為研究對象，進行描述統計及比率數檢定。結果：2020年上半年手術量較2017年、2018年、2019年上半年平均減少1988例（7.7%）。逐月比較顯示2020年1月疫情開始時手術量下降17.9%，2020年2月增加28.3%；但在COVID-19全球大流行之後，下降了15.8%，2020年4月下降18.7%，2020年5月下降11.5%，但是手術量在6月恢復到之前的水平。就不同專業而言，手術量減少最多的是耳鼻喉科、婦產科和神經外科。分析十種最常見手術的減量，其中肛門痔瘡、瘻管和全膝關節置換術是主要的減量手術。結論：手術量在疫情早期全面性受影響，影響的時間從全球性大流行的2020年3月開始，並於6月幾乎恢復至以往的趨勢，與世界各國疫情的進展略有不同。醫院的管理者應隨時洞悉疫情及手術量變化，機動支援第一線單位，以迎接疫情帶來的挑戰。