Abstract
Objective
To evaluate the impact of coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2, on operating room (OR) efficiency for urologic procedures using the concept of fixed OR times.
Patients and Methods
Over a 24-month period, urology OR data were prospectively collected. Operations were divided into fixed and variable time points. The fixed OR times were in-roomw to anesthesia-release time, anesthesia-release to cut time, in-room to cut time, and close to wheels-out time. Data from January 1, 2019, to December 31, 2019, were pre-COVID-19 data, and data from April 1, 2020, to December 31, 2020, were post-COVID-19 data. Operations were grouped into endoscopic, implant, major open, and robotic-assisted cases. In the post-COVID-19 era, all patients had a negative polymerase chain reaction test result within 48 hours of operation. The Wilcoxon rank sum test was used to compare the fixed OR times between the pre- and post-COVID-19 eras.
Results
A total of 3189 procedures were evaluated: 2058 endoscopic operations (1124 in the pre-COVID-19 era and 934 in the post-COVID-19 era), 343 implant procedures (192 in the pre-COVID-19 era and 151 in the post-COVID-19 era), 222 major open procedures (119 in the pre-COVID-19 era and 103 in the post-COVID-19 era), and 566 robotic-assisted procedures (338 in the pre-COVID-19 era and 228 in the post-COVID-19 era). There were no fixed OR times in any of the examined groups that were negatively impacted by COVID-19. The percentage of the total OR time occupied by fixed OR variables in the pre-COVID-19 era was 40.6% for endoscopic operations, 41.1% for implant procedures, 29.8% for major open procedures, and 21.8% for robotic-assisted procedures.
Conclusion
A substantial portion of the total OR time includes fixed time points. Furthermore, COVID-19 did not have a negative impact on fixed OR times in a negative testing environment. Urologic OR efficiency should be maintained in the post-COVID-19 era.
【저자키워드】 severe acute respiratory syndrome coronavirus 2, Coronavirus disease 2019, Operating room, COVID-19coronavirus disease 2019, SARS-CoV-2severe acute respiratory syndrome coronavirus 2, CIconfidence interval, confidence interval, IQRinterquartile range, interquartile range, AGSartificial genitourinary sphincter, artificial genitourinary sphincter, ARCTanesthesia-release to cut time, anesthesia-release to cut time, CTWOclose to wheels-out time, close to wheels-out time, IRATin-room to anesthesia-release time, in-room to anesthesia-release time, IRCTin-room to cut time, in-room to cut time, ORoperating room, 【초록키워드】 COVID-19, coronavirus disease, coronavirus, Patient, group, operation, Efficiency, acute respiratory syndrome, over, variable, Wilcoxon rank sum, objective, polymerase chain, Result, was used, collected, evaluate, examined, caused, include, fixed, impacted, 48 hour, 【제목키워드】 COVID-19, Impact, respiratory, operation, room, time,