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Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

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Efficiency changes in orthopaedic trauma surgery and implications for resource allocation.

Siddharth Virani¹, Giles Faria¹, Philip Housden¹

¹Trauma and Orthopaedics, East Kent Hospitals University NHS Foundation Trust, Ashford, UK.

British Journal of Hospital Medicine (London, England : 2005)

|August 25, 2021

Summary

The COVID-19 pandemic reduced trauma surgery efficiency, with fewer operations per session. Increased resource allocation is vital for timely and efficient urgent trauma care.

Keywords:

Efficiency Resource allocation Trauma lists Trauma surgery

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Area of Science:

Orthopaedic Surgery
Trauma Surgery
Healthcare Management

Background:

The COVID-19 pandemic necessitated practice modifications within trauma and orthopaedic surgery departments.
Resource allocation strategies were altered in response to the pandemic's impact on surgical services.

Purpose of the Study:

To quantitatively assess the impact of resource allocation changes on trauma surgery efficiency.
To analyze the number of operations performed per trauma session before and after resource reallocation.

Main Methods:

Review of trauma lists from pre-COVID, peak COVID, and post-peak periods at a UK hospital.
Calculation of surgical efficiency defined as cases per trauma session and patient journey turnaround times.
Comparative analysis of efficiency metrics between different pandemic phases and corresponding pre-pandemic periods.

Main Results:

Mean trauma list efficiency decreased from 1.73 cases/session (Feb 2020) to 1.21 cases/session (April 2020 peak).
Efficiency in April 2020 (1.21 cases/session) was significantly lower than April 2019 (1.90 cases/session).
Efficiency improved to 1.48 cases/session in June 2020, but remained below June 2019 levels (1.82 cases/session).

Conclusions:

Pandemic-induced measures are likely to persist, impacting surgical service delivery.
Enhanced resource allocation is crucial for maintaining timely and efficient urgent trauma surgery.
Sustained or increased resource allocation is necessary to address efficiency deficits in trauma care.