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Revista mexicana de anestesiología
Print version ISSN 0484-7903
Abstract
SANTIAGO-LOPEZ, Janaí; LEON-RAMIREZ, Víctor and AGUIRRE-LOPEZ, Diana Larissa. Metrics of efficient use of operating rooms during the SARS-CoV-2 (COVID-19) pandemic. Rev. mex. anestesiol. [online]. 2023, vol.46, n.3, pp.191-196. Epub Sep 08, 2023. ISSN 0484-7903. https://doi.org/10.35366/111075.
Introduction:
the COVID-19 pandemic has induced a transformation in the way hospitals function, causing a decrease in the time and efforts dedicated to surgical activity, which in turn has caused delays in the surgery schedule of most hospitals. This represents a major public health problem, significantly compromising the principle of equity that inspires public health systems throughout the world. To address this problem, it would be of the utmost importance to put in place initiatives to measure and improve surgical efficiency.
Objective:
evaluate indicators of efficiency in the use of operating rooms during the COVID-19 pandemic.
Material and methods:
a descriptive, longitudinal retrospective study was conducted on 3554 patients scheduled for surgery during a one-year period of the COVID-19 pandemic. Indicators of efficiency in they use of operating rooms were measured. The data was processed using SPSS v-25.0.
Results:
a total of 3,554 surgeries were scheduled, 1,309 of them emergency surgeries, 1,979 elective surgeries, and 266 deferred surgeries. The following parameters were estimated: Starting time of the procedure (42.32 ± 37.04 min); opportunity for emergency surgeries (104.69 ± 102.55 min); starting time of anesthesia (10.11 ± 9.85 min); starting time of surgery (40.03 ± 24.68 min); time of admission to post-anesthesia care unit/intensive care unit (PACU/ICU) (15.35 ± 29.94 min); turnover or replacement time (177.97 ± 174.33 min); active surgery time (27.70%).
Conclusions:
the COVID-19 pandemic negatively impacted the indicators of efficient use of operating rooms, posing new challenges for the management and organization of surgical work.
Keywords : operating room; indicators; efficiency; health management; Mexico.