Worse cholecystectomy outcomes during the COVID-19 pandemic: were staff shortages or a change in patient case-mix the culprit?

Worse cholecystectomy outcomes during the COVID-19 pandemic: were staff shortages or a change in patient case-mix the culprit?

Publication date: Oct 23, 2024

The COVID-19 pandemic has profoundly impacted the field of surgery, mostly through infectious risks, staff shortages, reduced hospital capacities, and changed patient pathways. Prompted by an increase in wound complications, we performed an in-depth analysis of an example surgical procedure. A consecutive cohort of 195 patients undergoing laparoscopic cholecystectomy was studied retrospectively. Data of patients receiving cholecystectomy before, during, and after the peak of the pandemic were compared. The potential influence of patient characteristics, pandemic phase, and staffing level (surgeons and nurse assistants) was analyzed statistically. In the primary analyses, the composite measure of a ‘textbook outcome’ was examined, which was defined as no relevant complication, hospital stay 

Concepts Keywords
Infectious Cholecystectomy outcomes
Laparoscopic COVID-19
Nurse Post-surgical outcomes
Surgery Staff shortage
Textbook

Semantics

Type Source Name
disease MESH COVID-19 pandemic
drug DRUGBANK Etoperidone
disease MESH complications

Original Article

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