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Related Experiment Video

Updated: Oct 15, 2025

Subcostal Specimen Removal in Completely Portal Robotic Lobectomy

Subcostal Specimen Removal in Completely Portal Robotic Lobectomy

Published on: April 19, 2024

Elective surgery resource utilization.

David A Magno-Padron¹, Kathleen A Holoyda¹, Whitney Moss

¹Division of Plastic Surgery, University of Utah School of Medicine, Salt Lake City, UT, USA.

Langenbeck'S Archives of Surgery

|October 25, 2021

Summary

Elective outpatient surgeries use minimal hospital resources, contrary to concerns during the COVID-19 pandemic. Data shows these procedures are safe and do not strain critical care capacity.

Keywords:

COVID Coronavirus Elective surgery Resource utilization Ventilator use

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Area of Science:

Health Services Research
Surgical Outcomes
Resource Allocation

Background:

The COVID-19 pandemic led to the cessation of elective surgeries due to concerns about hospital resource utilization.
Data-driven decisions are crucial for future resource conservation strategies in healthcare.

Purpose of the Study:

To quantify the hospital resource utilization of elective outpatient surgeries.
To provide evidence for informed decision-making regarding resource allocation during healthcare crises.

Main Methods:

Retrospective cohort study using the American College of Surgeons National Surgical Quality Improvement Program database (2017-2018).
Analysis of patient characteristics and post-operative outcomes as surrogates for resource consumption.
Stratification of surgeries by elective and non-elective, and outpatient vs. inpatient status.

Main Results:

Over 1.9 million surgeries were analyzed; 79.8% were elective.
Elective outpatient surgeries demonstrated lower rates of prolonged ventilation, reoperation, and readmission compared to inpatient procedures.
These surgeries consumed a small fraction of overall hospital resources, including relative value units.

Conclusions:

Elective outpatient surgeries utilize negligible hospital resources.
These procedures should not be deemed a significant threat to resources, even during high demand from critically ill patients.
Findings support the continuation of elective outpatient surgeries without compromising critical care capacity.