Establishing a South African national framework for COVID-19 surgical prioritisation
| dc.contributor.author | Chu, K. M. | en_ZA |
| dc.contributor.author | Owolabi, E. O. | en_ZA |
| dc.contributor.author | Smith, M. | en_ZA |
| dc.contributor.author | Hardcastle, T. C. | en_ZA |
| dc.contributor.author | Maswime, S. | en_ZA |
| dc.contributor.author | Geduld, H. | en_ZA |
| dc.contributor.author | Gopalan, P. D. | en_ZA |
| dc.contributor.author | Marco, J. | en_ZA |
| dc.contributor.author | Mendelson, M. | en_ZA |
| dc.contributor.author | Biccard, B. M. | en_ZA |
| dc.contributor.author | Cairncross, L. | en_ZA |
| dc.date.accessioned | 2021-07-15T05:40:02Z | |
| dc.date.available | 2021-07-15T05:40:02Z | |
| dc.date.issued | 2021-03-23 | |
| dc.description | CITATION: Chu, K. M. et al. 2021. Establishing a South African national framework for COVID-19 surgical prioritisation. South African Medical Journal, 111(5):426-431, doi:10.7196/SAMJ.2021.v111i5.15603. | |
| dc.description | The original publication is available at http://www.samj.org.za | |
| dc.description.abstract | Background. Since the start of the COVID-19 pandemic, surgical operations have been drastically reduced in South Africa (SA). Guidelines on surgical prioritisation during COVID-19 have been published, but are specific to high-income countries. There is a pressing need for context-specific guidelines and a validated tool for prioritising surgical cases during the COVID-19 pandemic. In March 2020, the South African National Surgical Obstetric Anaesthesia Plan Task Team was asked by the National Department of Health to establish a national framework for COVID-19 surgical prioritisation. Objectives. To develop a national framework for COVID-19 surgical prioritisation, including a set of recommendations and a risk calculator for operative care. Methods. The surgical prioritisation framework was developed in three stages: (i) a literature review of international, national and local recommendations on COVID-19 and surgical care was conducted; (ii) a set of recommendations was drawn up based on the available literature and through consensus of the COVID-19 Task Team; and (iii) a COVID-19 surgical risk calculator was developed and evaluated. Results. A total of 30 documents were identified from which recommendations around prioritisation of surgical care were used to draw up six recommendations for preoperative COVID-19 screening and testing as well as the use of appropriate personal protective equipment. Ninety-nine perioperative practitioners from eight SA provinces evaluated the COVID-19 surgical risk calculator, which had high acceptability and a high level of concordance (81%) with current clinical practice. Conclusions. This national framework on COVID-19 surgical prioritisation can help hospital teams make ethical, equitable and personalised decisions whether to proceed with or delay surgical operations during this unprecedented epidemic. | en_ZA |
| dc.description.uri | http://www.samj.org.za/index.php/samj/article/view/13237 | |
| dc.description.version | Publisher's version | |
| dc.format.extent | 6 pages | |
| dc.identifier.citation | Chu, K. M. et al. 2021. Establishing a South African national framework for COVID-19 surgical prioritisation. South African Medical Journal, 111(5):426-431, doi:10.7196/SAMJ.2021.v111i5.15603. | |
| dc.identifier.issn | 2078-5135 (online) | |
| dc.identifier.issn | 0256-9574 (print) | |
| dc.identifier.other | doi:10.7196/SAMJ.2021.v111i5.15603 | |
| dc.identifier.uri | http://hdl.handle.net/10019.1/110725 | |
| dc.language.iso | en_ZA | en_ZA |
| dc.publisher | Health & Medical Publishing Group | |
| dc.rights.holder | Authors retain copyright | |
| dc.subject | Surgery, elective -- South Africa -- Planning | en_ZA |
| dc.subject | Covid-19 (Disease) -- Prevention -- South Africa | en_ZA |
| dc.subject | Emergency management -- South Africa | en_ZA |
| dc.subject | Public health -- South Africa | en_ZA |
| dc.subject | Epidemics -- Safety measures -- South Africa | en_ZA |
| dc.subject | Surgery, elective -- Standards | en_ZA |
| dc.title | Establishing a South African national framework for COVID-19 surgical prioritisation | en_ZA |
| dc.type | Article | en_ZA |