Impact of the COVID-19 pandemic on provision and outcomes of emergency abdominal surgery in Irish public hospitals

Rajesh, J; Valentelyte, Gintare; McNamara, Deborah A.; Sørensen, Jan

doi:10.1007/s11845-021-02857-z

Cited by 2 publications

(1 citation statement)

References 20 publications

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“…An evidence gap in SSIs associated with laparotomy wounds and EBC of surgical wounds by acute care nurses has been identified. Since the COVID‐19 pandemic and the increased case presentations requiring emergency laparotomy procedures, 44 , 45 there is an increasing need to understand the barriers arising in acute care nurses ability to provide EBC with a novice workforce with limited experience in managing laparotomy wounds. The study will connect the literature gap between practice‐based nursing experiences in EBC for laparotomy wounds.…”

Section: Introductionmentioning

confidence: 99%

Acute care nurses' experience in providing evidence‐based care for patients with laparotomy wounds: A scoping review

Hulbert‐Lemmel,

Madhuvu,

Team

2023

International Wound Journal

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To systematically search and synthesise available literature on barriers and enablers to evidence‐based care for patients with laparotomy wounds reported by acute care nurses. Specifically, we focused on wound assessment, infection control techniques, wound products used, escalation of care, dressing application, documentation and holistic care. The Preferred Reporting Items for Systematic review and Meta‐Analyses extension for Scoping Reviews Checklist and explanation documents directed the review. The methodology framework created by Arksey and O'Malley, updated by Levac et al., and the Joanna Briggs Institute were utilised to assist the scoping review process. Data synthesis was guided by the Theoretical Domains Framework. Six qualitative and mixed methods studies were selected for the review. Most reported barriers and enablers were mapped to knowledge, skills, beliefs about consequences, environmental context and resources and beliefs about capability domains. The main barriers were limited access to and utilisation of wound assessment tools and clinical practice guidelines for wound management and suboptimal time management skills. Inconsistent management of laparotomy wounds was related to ward culture and nurses' lack of knowledge and skills in surgical wound assessment and aseptic technique during wound encounters. The reported enablers were knowledge of multi‐factorial risk factors for surgical wound recovery, valuing education and reflective practice and believing that protocols should be utilised alongside comprehensive wound assessments. Holistic wound care included patient education on the role of mobilisation and nutrition in wound healing. Acute care nurses do not routinely incorporate comprehensive, evidence‐based care recommendations for laparotomy wound management. Further research on evidence‐based care behaviours in managing laparotomy wounds is required. The results indicate a need for standardising the practice of laparotomy wound management while acknowledging the current challenges faced in the ward environment.

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Section: Introductionmentioning

confidence: 99%

Acute care nurses' experience in providing evidence‐based care for patients with laparotomy wounds: A scoping review

Hulbert‐Lemmel,

Madhuvu,

Team

2023

International Wound Journal

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A comparative study of abdominal wall hernia surgery before and after the COVID-19 pandemic: Results from a 2-year observational period

Ergenç,

Uprak

2023

IJAWHS

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BACKGROUND: Abdominal wall hernia surgery is among the most common procedures in general surgery. It is thought that postponing elective hernia surgeries due to the pandemic will increase emergency presentations of hernias, but different data have been published in the literature. OBJECTIVE: This study aimed to evaluate the effect of the coronavirus disease 2019 (COVID-19) pandemic on emergency and elective hernia operations. MATERIALS AND METHODS: Patients who underwent hernia surgery in the Istanbul Sultanbeyli State Hospital between March 2018 and March 2022 were retrospectively analyzed. March 11, 2018–March 11, 2020, and March 12, 2020–March 12, 2022, were categorized as prepandemic and pandemic periods, respectively, and were evaluated as 1-year periods. All abdominal wall hernia operations performed in the hospital were examined. RESULTS: A total of 1,644 patients underwent hernia operations. Patients’ ages ranged from 18 to 87 years; the mean age was 47.5 ± 13.6. A total of 1,319 (80%) of patients were men. There was a 50% decrease in the number of surgeries during the pandemic, but there was no significant increase in emergency surgeries (P = 0.49). Incisional and ventral hernia procedures declined dramatically over the COVID-19 pandemic compared with the prepandemic period, whereas inguinal hernia surgeries increased proportionally (P = 0.002). CONCLUSIONS: While a decrease was observed in total abdominal hernia surgeries performed during the COVID-19 pandemic compared with the prepandemic period, no significant increase was found in emergency abdominal hernia surgeries. Patients with ventral and incisional hernias can be followed up to be operated on under optimal conditions.

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Impact of the COVID-19 pandemic on provision and outcomes of emergency abdominal surgery in Irish public hospitals

Cited by 2 publications

References 20 publications

Acute care nurses' experience in providing evidence‐based care for patients with laparotomy wounds: A scoping review

Acute care nurses' experience in providing evidence‐based care for patients with laparotomy wounds: A scoping review

A comparative study of abdominal wall hernia surgery before and after the COVID-19 pandemic: Results from a 2-year observational period

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