Impact of Measures Taken to Contain COVID-19 on Hospital Surgical Care Services and Clinical Outcomes

NCT06285838 | Completed

• 1 other identifier: 2020/2706
• Study Type: observational
• Target: 11,000
• Locations: 1 country
• Sites: 1

Brief Summary

Swift and decisive actions on the part of healthcare and hospital authorities are required to effectively contain the current COVID-19 pandemic. These measures firstly allow personnel and facilities leeway to provide surge capabilities to meet anticipated increased demands on the healthcare service. In addition, by deferring none urgent hospital visits, admissions and investigations, such measures support social distancing and aid attempts to control disease transmission. Deferring perceived non-urgent patient services may however lead to unintended delayed diagnoses and exacerbation of current patient conditions and lead to increased emergency admissions and surgeries. A policy decision was made that essential surgical services pertaining to cancer and urgent cardiovascular surgery were allowed but that surgeons had the option to postpone what is assessed to be less urgent cases. Increasingly patients also postpone their surgeries or visits because of anxieties over the developing situation. Elective surgical services at the Outram Campus were thus significantly reduced from January 2020 as part of the measures to contain the COVID-19 outbreak. The surgical philosophy during this period was that a judicious policy that allowed surgeons to proceed with surgery deemed critical but to postpone those deemed less so will at the system level, avoid poor outcomes for patients who required surgery and yet successfully re-allocate resources required to address the unfolding pandemic.

Conditions

COVID-19

Keywords

impact of measures; hospital surgical care services

Outcome Measures

Primary Outcomes (1)

• Impact of measures taken to contain COVID-19 on hospital surgical care services and clinical outcomes

  Study seeks to assess the effect of the measures taken to contain COVID 19 on patients who need surgical services measured by patient outcomes, such as, length of hospital stay (LOS), ICU stay, APACHE score, stage of cancer at surgery.

  4 years

Eligibility Criteria

• Age: 21 Years - 100 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

All patients coming to SGH for surgeries

You may qualify if:

• Patients who had the following surgeries during the period 01 Jan 2017 to 31 December 2020.
• From the identified surgical procedure type as shown Surgeries for the following cancer-related procedures.
• Breast Cancer
• Colon Cancer
• Liver
• Rectum
• Selected non-cancer surgeries.
• Abdominal Wall
• Gall bladder
• Patients from SGH and its releated institute NCC Only local Singapore citizens

Sponsors & Collaborators

• Singapore Health Services: lead

Study Sites (1)

Singapore Health Services Pte ltd

Singapore, 169856, Singapore

Location

Related Publications (1)

• Mazingi D, Navarro S, Bobel MC, Dube A, Mbanje C, Lavy C. Exploring the Impact of COVID-19 on Progress Towards Achieving Global Surgery Goals. World J Surg. 2020 Aug;44(8):2451-2457. doi: 10.1007/s00268-020-05627-7.

  PMID: 32488665 BACKGROUND

MeSH Terms

Conditions

COVID-19

Condition Hierarchy (Ancestors)

Pneumonia, Viral; Pneumonia; Respiratory Tract Infections; Infections; Virus Diseases; Coronavirus Infections; Coronaviridae Infections; Nidovirales Infections; RNA Virus Infections; Lung Diseases; Respiratory Tract Diseases

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Deputy Director

Study Record Dates

• First Submitted: February 28, 2024
• First Posted: February 29, 2024
• Study Start: July 17, 2020
• Primary Completion: November 30, 2023
• Study Completion: January 20, 2024
• Last Updated: February 29, 2024

Record last verified: 2024-02

Data Sharing

• IPD Sharing: Will not share

Locations

SG (1)