Publication date: Sep 10, 2025
Extended delays in non-elective surgeries have been associated with suboptimal outcomes. The SARS-CoV-2 pandemic forced healthcare systems to adapt their setups for unscheduled procedures, leading, in our institution, to a reorganization from a setup with two dedicated operating rooms (ORs) at a central facility without dedicated teams to a temporary one with both dedicated teams and ORs during lockdown phase. This study evaluates the impact of this transitions on the time to surgery considering unscheduled procedures. We considered three periods: a historical cohort from the year preceding the first French lockdown, the lockdown period, and a post-lockdown era covering the four weeks immediately afterward. The ideal time to surgery (iTTS) was retrospectively determined using the non-elective surgery triage classification. The primary outcome focused on the proportion of patients operated after their iTTS. Over study periods, 435 patients underwent non-scheduled surgery: 137,198 and 100 in the historical cohort, the lockdown, and post-lockdown period respectively. The proportion of out-timed patients was significantly lower during lockdown period than in the historical cohort (36. 5% vs. 55. 3%, P
| Concepts | Keywords |
|---|---|
| Organizational | Cohort |
| Pandemic | Dedicated |
| Surgery | Delays |
| Triage | Elective |
| Historical | |
| Lockdown | |
| Non | |
| Ors | |
| Period | |
| Procedures | |
| Setups | |
| Surgery | |
| Surgical | |
| Teams | |
| Unscheduled |
Semantics
| Type | Source | Name |
|---|---|---|
| disease | IDO | facility |