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Acute social isolation and postoperative surgical outcomes. Lessons learned from COVID-19 pandemic

Mohamed A Abd El Aziz1, Giacomo Calini1, Solafah Abdalla1

  • 1Unit of Colon and Rectal Surgery, Department of Surgery, Mayo Clinic, Rochester, MN, USA.

Minerva Surgery
|July 20, 2022
PubMed

Insights

Restricting hospital visitors during the COVID-19 pandemic did not negatively impact short-term surgical outcomes for colorectal surgery patients. Readmission rates and length of stay remained similar, indicating the policy

Area of Science:

  • Surgical Outcomes
  • Infectious Disease Control
  • Hospital Policy

Background:

  • The COVID-19 pandemic necessitated changes in hospital visitation policies to mitigate infection spread.
  • Evaluating the impact of these evolving policies on patient outcomes is crucial.

Purpose of the Study:

  • To assess the effect of a no visitor allowed (NVA) policy compared to a visitor allowed (VA) policy on short-term surgical outcomes in colorectal surgery patients.
  • To determine if restricting visitors impacts 30-day readmission rates and length of stay.

Main Methods:

  • A retrospective study included adult patients undergoing colorectal surgery between January 1, 2020, and May 12, 2020.
  • Patients were categorized into the no visitor allowed (NVA) or visitor allowed (VA) groups based on hospital admission date.
  • Primary outcomes analyzed were 30-day readmission rate and length of stay (LOS).

Main Results:

  • A total of 439 patients were analyzed; 128 (29.2%) were in the NVA group and 311 (70.8%) in the VA group.
  • No significant differences were observed in 30-day readmission rates (10.3% vs. 7.8%) or median LOS (4 days vs. 3 days) between the NVA and VA groups.
  • Patients in the NVA group were more likely to undergo emergency surgery and have longer operation times, but other baseline characteristics were comparable.

Conclusions:

  • Restricting inpatient visitors for colorectal surgery patients during the pandemic was not associated with increased postoperative complications or readmission rates.
  • Length of stay was similar between groups, suggesting the policy can be safely implemented during health crises.
  • Further research is recommended to validate these findings in broader surgical populations.
Abstract

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