Article ; Online: Experience from a Singapore tertiary hospital with restructuring of a vascular surgery practice in response to national and institutional policies during the COVID-19 pandemic.
2020 Volume 72, Issue 4, Page(s) 1166–1172
Abstract: ... in response to COVID-19. We also describe in detail, with relevant data, how our vascular surgery practice has ... of vascular surgical cases that were performed during the COVID-19 pandemic and compare it with preceding ... changed because of these policies and COVID-19. We show that with a segregated team model, the vascular ...
| Abstract | Singapore was one of the first countries to be affected by COVID-19, with the index patient diagnosed on January 23, 2020. For 2 weeks in February, we had the highest number of COVID-19 cases behind China. In this article, we summarize the key national and institutional policies that were implemented in response to COVID-19. We also describe in detail, with relevant data, how our vascular surgery practice has changed because of these policies and COVID-19. We show that with a segregated team model, the vascular surgery unit can still function while reducing risk of cross-contamination. We explain the various strategies adopted to reduce outpatient and inpatient volume. We provide a detailed breakdown of the type of vascular surgical cases that were performed during the COVID-19 pandemic and compare it with preceding months. We discuss our operating room and personal protective equipment protocols in managing a COVID-19 patient and share how we continue surgical training amid the pandemic. We also discuss the challenges we might face in the future as COVID-19 regresses. |
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| MeSH term(s) | Ambulatory Care/legislation & jurisprudence ; Ambulatory Care/organization & administration ; Betacoronavirus/pathogenicity ; COVID-19 ; Coronavirus Infections/diagnosis ; Coronavirus Infections/epidemiology ; Coronavirus Infections/therapy ; Coronavirus Infections/virology ; Delivery of Health Care, Integrated/legislation & jurisprudence ; Delivery of Health Care, Integrated/organization & administration ; Health Policy/legislation & jurisprudence ; Health Services Needs and Demand/legislation & jurisprudence ; Health Services Needs and Demand/organization & administration ; Hospital Departments/legislation & jurisprudence ; Hospital Departments/organization & administration ; Host-Pathogen Interactions ; Humans ; Infection Control/legislation & jurisprudence ; Infection Control/organization & administration ; Occupational Health/legislation & jurisprudence ; Pandemics ; Patient Care Team/legislation & jurisprudence ; Patient Care Team/organization & administration ; Patient Safety/legislation & jurisprudence ; Pneumonia, Viral/diagnosis ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/therapy ; Pneumonia, Viral/virology ; Policy Making ; Program Evaluation ; SARS-CoV-2 ; Singapore/epidemiology ; Tertiary Care Centers/legislation & jurisprudence ; Tertiary Care Centers/organization & administration ; Vascular Surgical Procedures/legislation & jurisprudence ; Workload/legislation & jurisprudence |
| Keywords | covid19 |
| Language | English |
| Publishing date | 2020-05-23 |
| Publishing country | United States |
| Document type | Journal Article |
| ZDB-ID | 605700-7 |
| ISSN | 1097-6809 ; 0741-5214 |
| ISSN (online) | 1097-6809 |
| ISSN | 0741-5214 |
| DOI | 10.1016/j.jvs.2020.05.026 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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