The Aftermath of COVID-19 Lockdown- Why and How Should We Be Ready?

Deora, Harsh; Sadashiva, Nishanth; Tripathi, Manjul; Yagnick, Nishant S.; Mohindra, Sandeep; Batish, Aman; Patil, Ninad Ramesh; Aggarwal, Ashish; Jangra, Kiran; Bhagat, Hemant; Panda, Nidhi; Panigrahi, Manas; Behari, Sanjay; Chandra, Parijat; Shukla, Dhaval; Singh, Lokendra; Math, Suresh Bada; Gupta, Sunil Kumar

doi:10.4103/0028-3886.293471

Cited by 13 publications

(4 citation statements)

References 28 publications

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Section: Discussionmentioning

confidence: 99%

“…21,22 These recommendations largely describe using a segregated clean hospital area for non-COVID-19 patients, using presurgical COVID-19 testing to clear patients for admission, limiting the number of patient accompaniers for admissions, and limiting the length of hospital stay. 23,24 This research has the potential to be used to estimate the effect of COVID-19 on other elective surgeries of known prevalence, or more generally to model the disruption of the overall surgical capacity in LMICs. The findings of this research are relevant to patient groups, providers, and policy-makers involved in addressing the backlog for elective surgery that has likely developed during the global pandemic.…”

Section: Discussionmentioning

confidence: 99%

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Impact of COVID-19 on Elective Cleft Surgery in Low- and Middle-income Countries

Burg

Agrawal

Desai

et al. 2021

Plastic and Reconstructive Surgery - Global Open

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Background: The COVID-19 pandemic disrupted health systems worldwide, including in low- and middle-income countries (LMICs). Many countries limited the delivery of elective surgery. To date, COVID-19’s impact on elective surgery in LMICs has been unquantified. We use operative data from a large international non-government cleft organization to compare case volume for 2019 and 2020 to quantify the impact of COVID-19. Methods: Smile Train supports a partner network of over 1100 partners globally to deliver treatment to children with cleft lip and cleft palate (CLP). Treatment data is documented into a proprietary digital platform, Smile Train Express. We compared monthly treatment data for 2019 to 2020, by country, and by World Bank Income group to describe the effect that the COVID-19 pandemic has had on CLP surgery in LMICs. Results: Our analysis shows 25,444 (31.4%) fewer primary operations performed between January and December 2020 than in the same period in 2019 with the most significant decline in procedures observed in April 2020. Many countries resumed elective surgery for CLP procedures from May onward and volume approximated that of pre-pandemic baseline by November of 2020. Conclusions: The emergence of the COVID-19 pandemic had a large impact on health systems and service delivery across the world. We find that this is evident in the delivery of CLP surgery in LMICs. The impact is characterized by a dramatic decrease in surgery rates in April of 2020 with a recovery of surgical volume from July 2020 onwards. The rate of surgical rate recovery is consistent across World Bank Income groups.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Impact of COVID-19 on Elective Cleft Surgery in Low- and Middle-income Countries

Burg

Agrawal

Desai

et al. 2021

Plastic and Reconstructive Surgery - Global Open

View full text Add to dashboard Cite

show abstract

“…In contrast, Saether et al [32] recommend a "first come, first serve" approach to reduce long waiting times. Over the last months, diverse suggestions from different medical disciplines came up [33,34]. Our developed model for patient selection according to prioritization through urgency and severity showed, that above all, consideration of severity for both single incident and chronic diseases plays a decisive role.…”

Section: Discussionmentioning

confidence: 99%

Effects of the First COVID-19 Lockdown on Ophthalmological Patient Care

Schuh

Kassumeh

Schmelter

et al. 2021

Klin Monbl Augenheilkd

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Purpose To determine the effect of lockdown on medical care, with the example of ophthalmology. Methods Patients in a period during the first lockdown were compared to a non-lockdown period, with a total of 12 259 patients included in an observational study. Changes in different areas (elective, emergency, inpatients, surgeries) and eye care subspecialties were compared. Emergency patients were analyzed according to severity and urgency. Patients showing hints requiring treatment for urgent cardiovascular diseases were determined. Differences in patients who would have suffered severe vision loss without treatment were identified and the QALY (quality-adjusted life years) loss was determined accordingly. A model to prioritize patient visits after the end of lockdown or in future lockdown scenarios was developed. Data were collected at the University Eye Hospital LMU Munich and patient files were reviewed individually by ophthalmologists. Results The average patient number decreased by − 59.4% (p < 0.001), with a significant loss in all areas (elective, emergency, inpatients, surgeries; p < 0.001). There was a decline of − 39.6% for patients at high risk/high severity. Patients with indications of a risk factor of future stroke declined significantly (p = 0.003). QALY loss at the university eye hospital was 171, which was estimated to be 3160 – 24 143 for all of Germany. Working up high losses of outpatients during these 8 weeks of projected lockdown in Germany would take 7 – 23 weeks under normal circumstances, depending on ophthalmologist density. The prioritization model can reduce morbidity by up to 78%. Conclusion There was marked loss of emergency cases and patients with chronic diseases. Making up for the losses in examinations and treatments will theoretically take weeks to months. To reduce the risk of morbidity, we recommend a prioritization model for rescheduling and future lockdown scenarios.

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“…The COVID-19 pandemic has shown how vulnerable healthcare system resources are and highlights the need and opportunities to organize and deliver healthcare services, e.g., telehealth. Further, considering the global lockdown of healthcare systems due to the COVID-19 pandemic, the proliferation of waiting lists may be exponentially higher than in previous years [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Decentralizing healthcare in Norway to improve patient-centered outpatient clinic management of rheumatoid arthritis – a conceptual model

et al. 2021

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A growing population of older adults and improved effective treatments for inflammatory rheumatic diseases will increase the demand for more healthcare resources that already struggle with staggering outpatient clinic waiting times. Transformative delivery care models that provide sustainable healthcare services are urgently needed to meet these challenges. In this mini-review article, a proposed Lifelong Treatment Model for a decentralized follow-up of outpatient clinic patients living with rheumatoid arthritis is presented and discussed.Our conceptual model follows four steps for a transformative care delivery model supported by an Integrated Practice Unit; (1) Diagnosis, (2) Treatment, (3) Patient Empowered Disease Management, and (4) Telehealth. Through an Integrated Practice Unit, a multidisciplinary team could collaborate with patients with rheumatoid arthritis to facilitate high-value care that addresses most important outcomes of the patients; (1) Early Remission, (2) Decentralization, (3) Improved Quality of Life, and (4) Lifelong Sustain Remission.The article also addresses the growing challenges for the healthcare delivery system today for patients with rheumatoid arthritis and proposes how to reduce outpatient clinic visits without compromising quality and safety.

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The Aftermath of COVID-19 Lockdown- Why and How Should We Be Ready?

Cited by 13 publications

References 28 publications

Impact of COVID-19 on Elective Cleft Surgery in Low- and Middle-income Countries

Impact of COVID-19 on Elective Cleft Surgery in Low- and Middle-income Countries

Effects of the First COVID-19 Lockdown on Ophthalmological Patient Care

Decentralizing healthcare in Norway to improve patient-centered outpatient clinic management of rheumatoid arthritis – a conceptual model

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