%0期刊文章%@ 2561- 9128% I JMIR出版物%V 5%卡塔尔世界杯8强波胆分析 N 1% P e29045 %T COVID-19大流行对新加坡肝胆和胰腺手术服务的影响:回顾性定量研究%A Teo，哲浩Timothy %A Huey,Cheong Wei Terence %A Low,Jee Keem %A Junnarkar,Sameer Padmakumar %A Shelat,Vishalkumar G %+普通外科，陈托生医院，11 Jln Tan Tock Seng，新加坡，308433，新加坡，65 98557225,timothy.teo@mohh.com.sg %K审计%K冠状病毒%K COVID-19 %K大流行%K手术%K影响%K癌症%K肝脏，胰腺%K资源%K选择性手术%D 2022 %7 23.5.2022 %9原始论文%J JMIR periopermed %G英文%X背景:在COVID-19大流行的高峰期，由于卫生保健资源的配给，肝胰胆管(HPB)部门不得不重新组织其手术病例量。我们报告了一项评估COVID-19对HPB部门和HPB外科肿瘤实践影响的本地审计。目的:本研究的目的是回顾COVID-19大流行对HPB部门择期和急诊手术病例的影响。次要目的是调查对HPB外科肿瘤手术病例量的影响。方法:我们对2019年1月至6月(基线)和2020年(COVID-19)的HPB单元手术病例量进行了比较审计。对全麻下的选择性和急诊病例进行审计。选择性病例包括疝气和胆囊手术以及肝脏和胰腺切除术。急诊病例包括一般手术适应症胆囊切除术和剖腹手术。 We excluded endoscopies and procedures done under local anesthesia. The retrospective data collected during the 2 time periods were compared. This study was registered in the Chinese Clinical Trial Registry (ChiCTR2000040265). Results: The elective surgical case volume decreased by 41.8% (351 cases in 2019 compared to 204 cases in 2020) during the COVID-19 pandemic. The number of hernia operations decreased by 63.9% (155 in 2019 compared to 56 in 2020; P<.001) and cholecystectomies decreased by 40.1% (157 in 2019 compared to 94 in 2020; P=.83). The liver and pancreatic resection volume increased by 16.7% (30 cases in 2019 compared to 35 cases in 2020; P=.004) and 111.1% (9 cases in 2019 compared to 19 cases in 2020; P=.001), respectively. The emergency surgical workload decreased by 40.9% (193 cases in 2019 compared to 114 cases in 2020). The most significant reduction in the emergency workload was observed in March (41 to 23 cases, a 43.9% reduction; P=.94), April (35 to 8 cases, a 77.1% reduction; P=.01), and May (32 to 14 cases, a 56.3% reduction; P=.39); however, only April had a statistically significant reduction in workload (P=.01). Conclusions: The reallocation of resources due to the COVID-19 pandemic did not adversely impact elective HPB oncology work. With prudent measures in place, essential surgical services can be maintained during a pandemic. Trial Registration: Chinese Clinical Trial Registry (ChiCTR2000040265); https://tinyurl.com/ms9kpr6x %M 35486909 %R 10.2196/29045 %U https://periop.www.mybigtv.com/2022/1/e29045 %U https://doi.org/10.2196/29045 %U http://www.ncbi.nlm.nih.gov/pubmed/35486909