Utilizing an office based laboratory (OBL) during the COVID-19 pandemic for vascular surgical patients

Suzanna Fitzpatrick1, Eleanor Dunlap1, Shannon Hawkins2

  • 1University of Maryland Medical Center, 22 South Greene Street, Baltimore, MD, United States.

Insights

The Office-Based Laboratory (OBL) system effectively prioritized vascular patients during the COVID-19 pandemic. This approach prevented surgical backlogs and maintained essential care for chronically ill populations.

Area of Science:

  • Vascular Surgery
  • Healthcare Management
  • Public Health

Background:

  • The COVID-19 pandemic necessitated healthcare system adjustments, including patient prioritization and resource allocation.
  • Urgent decision-making was required to balance immediate patient needs with the preservation of acute care resources.

Purpose of the Study:

  • To report on a single center's Office-Based Laboratory (OBL) system for prioritizing vascular patients during the pandemic.
  • To assess the OBL's effectiveness in preserving acute care resources and personnel.
  • To evaluate the impact of continued OBL care on surgical procedure backlogs.

Main Methods:

  • Review of three months of patient data from a single center's OBL.
  • Implementation of a tiered system for vascular patient prioritization.
  • Analysis of OBL patient care rates compared to pre-pandemic levels.

Main Results:

  • The OBL system successfully continued providing urgent care to a large intercity population at pre-pandemic rates.
  • Prioritizing vascular patients in the OBL prevented an insurmountable backup of surgical procedures.
  • Acute care resources and personnel were preserved by managing non-urgent cases effectively.

Conclusions:

  • The OBL model proved effective in managing vascular patient care during the COVID-19 pandemic.
  • Continued OBL operations prevented surgical backlogs, facilitating the resumption of elective surgeries.
  • This system highlights the importance of adaptable healthcare models for maintaining essential services during public health crises.