AUDIT OF COVID-19 WARD PERFORMANCE AND PRACTICE IN THE COVID-19 PANDEMIC: FUTURE DIRECTIONS FOR UNDERSTANDING: A RETROSPECTIVE STUDY

F AFRIDI; F GHAYAS; S ANWAR; MA SHEIKH

doi:10.54112/bcsrj.v2024i1.719

Authors

F AFRIDI POF Hospital Wah Cantt, Pakistan
F GHAYAS POF Hospital Wah Cantt, Pakistan
S ANWAR POF Hospital Wah Cantt, Pakistan
MA SHEIKH POF Hospital Wah Cantt, Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v2024i1.719

Keywords:

COVID-19 Emergencies, Pandemic Trends, Treatment Modalities

Abstract

A retrospective study was conducted to assess the trend of the COVID-19 pandemic in the COVID Ward emergency and COVID Ward treatment departments of the Department of COVID Ward at POF Hospital Wah Cantt from January 2021 to January 2022. Data on every patient admitted to the COVID Ward department over a year was gathered retroactively. The following demographic factors were recorded: diagnosis, COVID-19 work-up, admission specialization, and COVID-19 ward vs. conservative therapy. In total, there were 156 patients, with 108 being primarily men (70.4%). Of these patients, 90 (72%) were admitted via the clinic, and 124 (46%) were admitted in May. One hundred five patients (62.8%) had a COVID-19 PCR, 135 had a chest x-ray (90.2%), and 56 patients (31.4%) had a chest HRCT. The orthopedic COVID Ward was the most common department for operational interventions, with 88.4% of patients undergoing operative care, despite the general COVID Ward being the busiest service line with 89 total patient admissions (43.1%). The study found that the existing local protocols for patient flow and COVID-19 crisis management are effective and practical. Hospitals should be prepared to redirect their resources to high-volume specialties like orthopaedics and general COVID Wards after the later COVID-19 waves. Arteriovenous fistula formation is a simple yet crucial technique that should only be discontinued in the event of a labor shortage.

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References

Elective surgery cancellations due to the COVID-19 pandemic: global predictive modelling to inform surgical recovery plans. Journal of British Surgery 107, 1440-1449.

Budhiraja, S., Soni, A., Jha, V., Indrayan, A., Dewan, A., Singh, O., Singh, Y. P., Chugh, I., Arora, V., and Pande, R. (2020). Clinical Profile of First 1000 COVID-19 cases admitted at tertiary care hospitals and the correlates of their mortality: an Indian experience. MedRxiv, 2020.11. 16.20232223.

Chia, M. A., and Turner, A. W. (2022). Benefits of integrating telemedicine and artificial intelligence into outreach eye care: stepwise approach and future directions. Frontiers in Medicine 9, 835804.

Collaborative, C., and Morton, D. (2020). Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection. surgery 5, 7.

de Leeuw, R. A., Burger, N. B., Ceccaroni, M., Zhang, J., Tuynman, J., Mabrouk, M., Soldevila, P. B., Bonjer, H. J., Ankum, P., and Huirne, J. (2020). COVID-19 and laparoscopic surgery: scoping review of current literature and local expertise. JMIR public health and surveillance 6, e18928.

Glasbey, J. C., Nepogodiev, D., Simoes, J. F., Omar, O., Li, E., Venn, M. L., Abou Chaar, M. K., Capizzi, V., Chaudhry, D., and Desai, A. (2021). Elective cancer surgery in COVID-19–free surgical pathways during the SARS-CoV-2 pandemic: an international, multicenter, comparative cohort study. Journal of Clinical Oncology 39, 66.

James, A., De Jong, A., Jeanmougin, T., Blanie, A., Figueiredo, S., Goffin, P., Le Guen, M., Kantor, E., Cipriani, F., and Campion, S. (2022). Characteristics and outcomes of patients undergoing anesthesia while SARS-CoV-2 infected or suspected: a multicenter register of consecutive patients. BMC anesthesiology 22, 46.

Kumar, S., Bharti, A. K., and Amin, R. (2021). Decentralized secure storage of medical records using Blockchain and IPFS: A comparative analysis with future directions. Security and Privacy 4, e162.

Meara, J. G., Leather, A. J., Hagander, L., Alkire, B. C., Alonso, N., Ameh, E. A., Bickler, S. W., Conteh, L., Dare, A. J., and Davies, J. (2015). Global Surgery 2030: evidence and solutions for achieving health, welfare, and economic development. The lancet 386, 569-624.

Meisha, D. E. (2021). Comparison of compliance with infection control practices among dental students in Saudi Arabia before and during the COVID-19 pandemic. Risk management and healthcare policy, 3625-3633.

Prachand, V. N., Milner, R., Angelos, P., Posner, M. C., Fung, J. J., Agrawal, N., Jeevanandam, V., and Matthews, J. B. (2020). Medically necessary, time-sensitive procedures: scoring system to ethically and efficiently manage resource scarcity and provider risk during the COVID-19 pandemic. Journal of the American College of Surgeons 231, 281-288.

Sulis, G., Sayood, S., and Gandra, S. (2022). Antimicrobial resistance in low-and middle-income countries: current status and future directions. Expert review of anti-infective therapy 20, 147-160.

Thornton, J. (2020). Covid-19: A&E visits in England fall by 25% in week after lockdown. British Medical Journal Publishing Group.

Zar, H. J., Dawa, J., Fischer, G. B., and Castro-Rodriguez, J. A. (2020). Challenges of COVID-19 in children in low-and middle-income countries. Paediatric respiratory reviews 35, 70-74.

Zhang, A. S., Myers, M., Kee, C. J., McClary, K. N., Barton, R. S., and Massey, P. A. (2020). Adapting orthopaedic surgery training programs during the COVID-19 pandemic and future directions. Arthroscopy, Sports Medicine, and Rehabilitation 2, e683-e696.