Patients undergoing emergency abdominal surgery spent less time in hospital during COVID-19, without any negative impact on outcomes, according to a new study from RCSI National Clinical Programme in Surgery and the Health Outcomes Research Centre at RCSI.
The findings support national policy to separate non-emergency and emergency abdominal surgery (EAS) in Irish hospitals.
At the onset of the COVID-19 pandemic, admissions for emergency general surgery reduced throughout Europe and elsewhere. In Irish hospitals, as in other countries, all non-emergency surgery was cancelled and emergency surgery was only performed in cases where there was an acute threat to life or well-being. The changes brought about by the pandemic resulted in a public health system that prioritised emergency surgery.
This RCSI study analysed data from patients admitted for EAS to 24 Irish hospitals, before and during the pandemic, between 2018 and 2020. The research aimed to understand the impact of the pandemic on patients having emergency surgery by analysing a range of factors including the numbers of patients admitted, the illnesses they were admitted with, length of hospital stay and patient outcomes.
The findings reveal that there was an almost 20% decrease in EAS during the pandemic but no difference in the illnesses requiring admission nor in the commonest surgical procedures being performed. The average length of stay in hospital reduced by five days during the first wave of COVID-19 in February–June 2020 and by 3.5 days during the second wave of COVID-19 in July–November 2020.
The findings indicate that the separation of non-emergency from emergency surgery that was necessitated by the pandemic, improved hospital efficiencies while preserving patient outcomes after emergency abdominal surgery.