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General Surgery: Open Access

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Impact of COVID-19 pandemic on hospital performance, trauma trends and surgical practice-early experience and challenges

Author(s): P Umar Farooq Baba*, Raheeb Ahmad Shah, Mir Mohsin and Akram Hussain

Introduction: Coronavirus disease came as a bolt from blue collapsing advanced healthcare all over the world. The main emphasis was given to the prevention of the spread of infection within the hospital and in the community. The health institutional infrastructure and resources were streamlined and exploited in such a way that the usual functioning of the facility does not slacken, with proper and adequate relocation of resources for the management of COVID-19 patients.

Study design: A one-year comparative study, comparing various hospital functioning parameters, between pre-COVID periods with COVID-19 period. The Institutional Medical Records Department and Institutional Annual Report Desk facilities were utilized for data collection.

Results: The OPD and A/E attendance reduced by 25.4% and 10.8% respectively. Total hospital admissions were reduced by 16.2%. However, the average length of hospital stay remained the same. The gross death rate, as well as net death rate, showed an increase of 15% and 24.2% respectively. There was a more than a one-third decrease in surgical procedures performed.

Conclusion: The pandemic had a definitive impact on our institutional performance parameters as well as other functional aspects like trauma patterns and operation room occupancy.

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