Impact of COVID-19 on procedure volume at a tertiary pediatric hospital

Am J Surg. 2021 Jun;221(6):1259-1261. doi: 10.1016/j.amjsurg.2021.03.003. Epub 2021 Mar 5.

Abstract

Introduction: In March 2020, the COVID-19 pandemic threatened to overwhelm entire healthcare systems. Here we characterize changes in surgical volumes at a regional tertiary pediatric hospital during the early phase of the COVID-19 pandemic.

Methods: Data on all procedures performed during the state-wide ban on elective procedures (March 19th, 2020 to May 18th, 2020) that required anesthesia involvement were collected retrospectively and compared to the same time period in 2019.

Results: A total of 5785 procedures were performed: 4005 (69%) in 2019, and 1780 (31%) in 2020, representing a 55% decrease in total cases. The percentage decrease was disproportionate across surgical services. Add-on cases increased from 23% to 39%, and outpatient procedures decreased from 60% to 27%.

Discussion: The ban on elective procedures during the COVID-19 pandemic resulted in a significant decrease in the volume of procedures performed at a tertiary pediatric hospital that differed among surgical services.

Keywords: COVID-19; Pediatric; Surgery; Volume.

MeSH terms

  • COVID-19 / epidemiology*
  • COVID-19 / prevention & control
  • Child
  • Hospitals, Pediatric / statistics & numerical data*
  • Humans
  • Retrospective Studies
  • State Government
  • Surgical Procedures, Operative / legislation & jurisprudence
  • Surgical Procedures, Operative / statistics & numerical data*
  • Tertiary Care Centers / statistics & numerical data*
  • Washington