Context The COVID-19 pandemic and subsequent lockdowns adversely affected global healthcare services to varying extents. To accommodate its added burden, emergency services were affected along-with elective surgeries. Aims To quantify and analyze the trends of essential surgeries and bellwether procedures during the waxing and waning of the pandemic, across various hospitals in India. Settings and Design Multi-centric retrospective study. Methods and Material A research consortium led by World Health Organization (WHO) Collaboration Center (WHOCC) for Research in Surgical Care Delivery in Low-and Middle-Income countries, India, conducted this study with 5 centers. All surgeries performed during April 2020 (Wave I), November 2020 (Recovery I), and April 2021 (Wave II) were compared with those performed in April 2019 (pre-pandemic period). Statistical Analysis Used Microsoft Excel 2019 and SPSS Version 20. Results The total number of surgeries reduced by 77% during Wave I, which improved to a 52% reduction in Recovery I compared to the pre-pandemic period. However, surgeries were reduced again during Wave II to 68%, but the reduction was less compared to Wave I. Emergency and essential surgeries were affected along with the elective ones but to a lesser extent. Conclusions The present study has quantified the effects of the pandemic on surgical-care delivery across a timeline and documented a reduction in overall surgical volumes during the peaks of the pandemic (Wave I and II) with minimal improvement as the surge of COVID-19 cases declined (Recovery II). The surgical volumes improved during the second wave compared to the first one which may be attributable to better preparedness. Cesarean sections were affected the least.

中文翻译：

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COVID-19 大流行期间外科护理服务的趋势：印度的一项多中心研究（IndSurg Collaboration）。

背景 COVID-19 大流行和随后的封锁对全球医疗保健服务产生了不同程度的不利影响。为了适应额外的负担，紧急服务和择期手术都受到了影响。目标 量化和分析印度各医院在疫情盛衰期间的基本手术和领头手术的趋势。设置和设计 多中心回顾性研究。方法和材料 由印度世界卫生组织 (WHO) 中低收入国家外科护理研究合作中心 (WHOCC) 领导的一个研究联盟与 5 个中心共同开展了这项研究。将 2020 年 4 月（第一波）、2020 年 11 月（恢复一期）和 2021 年 4 月（第二波）期间进行的所有手术与 2019 年 4 月（大流行前时期）进行的手术进行比较。统计分析使用 Microsoft Excel 2019 和 SPSS 20 版。结果 第一波期间手术总数减少了 77%，与大流行前相比，恢复一期减少了 52%。然而，第二波手术再次减少至68%，但与第一波相比，减少幅度较小。紧急和必要手术与择期手术一样受到影响，但程度较小。结论 本研究量化了大流行对整个时间线内外科护理服务的影响，并记录了大流行高峰期（第一波和第二波）期间总体手术量的减少，但随着 COVID-19 病例激增而改善甚微下降（恢复 II）。与第一波相比，第二波期间的手术量有所改善，这可能归因于更好的准备。剖腹产受影响最小。