{"id":178,"date":"2022-01-20T19:47:21","date_gmt":"2022-01-20T19:47:21","guid":{"rendered":"https:\/\/www.lepointensante.com\/performance\/?p=178"},"modified":"2022-01-27T21:29:47","modified_gmt":"2022-01-27T21:29:47","slug":"atelier-3-4-impact-de-la-pandemie-de-covid-19-sur-la-realisation-et-la-demande-de-chirurgies-electives-au-centre-hospitalier-universitaire-de-quebec-universite-laval","status":"publish","type":"post","link":"https:\/\/www.lepointensante.com\/performance\/2022\/01\/20\/atelier-3-4-impact-de-la-pandemie-de-covid-19-sur-la-realisation-et-la-demande-de-chirurgies-electives-au-centre-hospitalier-universitaire-de-quebec-universite-laval\/","title":{"rendered":"Atelier 3-4 Impact de la pand\u00e9mie de COVID-19 sur la r\u00e9alisation et la demande de chirurgies \u00e9lectives au Centre Hospitalier Universitaire de Qu\u00e9bec – Universit\u00e9 Laval"},"content":{"rendered":"

[et_pb_section fb_built=\u00a0\u00bb1″ custom_padding_last_edited=\u00a0\u00bboff|desktop\u00a0\u00bb admin_label=\u00a0\u00bbHero\u00a0\u00bb _builder_version=\u00a0\u00bb3.22″ use_background_color_gradient=\u00a0\u00bbon\u00a0\u00bb background_color_gradient_start=\u00a0\u00bb#ffffff\u00a0\u00bb background_color_gradient_end=\u00a0\u00bb#e7edf9″ custom_margin=\u00a0\u00bb|||\u00a0\u00bb custom_padding=\u00a0\u00bb100px||100px|\u00a0\u00bb custom_padding_tablet=\u00a0\u00bb130px||130px|\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row admin_label=\u00a0\u00bbtitle and illustration\u00a0\u00bb _builder_version=\u00a0\u00bb3.25″ background_size=\u00a0\u00bbinitial\u00a0\u00bb background_position=\u00a0\u00bbtop_left\u00a0\u00bb background_repeat=\u00a0\u00bbrepeat\u00a0\u00bb custom_margin=\u00a0\u00bb|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4″ _builder_version=\u00a0\u00bb3.25″ custom_padding=\u00a0\u00bb|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.11.1″ header_font=\u00a0\u00bbMerriweather|700|||||||\u00a0\u00bb header_font_size=\u00a0\u00bb46px\u00a0\u00bb header_line_height=\u00a0\u00bb1.3em\u00a0\u00bb custom_margin=\u00a0\u00bb||0px|\u00a0\u00bb animation_style=\u00a0\u00bbflip\u00a0\u00bb animation_direction=\u00a0\u00bbtop\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Atelier 3-4\u00a0<\/h1>\n

[\/et_pb_text][et_pb_divider color=\u00a0\u00bb#8300E9″ divider_position=\u00a0\u00bbcenter\u00a0\u00bb divider_weight=\u00a0\u00bb2px\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.1″ max_width=\u00a0\u00bb90px\u00a0\u00bb max_width_tablet=\u00a0\u00bb12%\u00a0\u00bb max_width_last_edited=\u00a0\u00bboff|desktop\u00a0\u00bb custom_margin=\u00a0\u00bb|||\u00a0\u00bb animation_style=\u00a0\u00bbflip\u00a0\u00bb animation_delay=\u00a0\u00bb50ms\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_divider][et_pb_text _builder_version=\u00a0\u00bb4.11.1″ header_font=\u00a0\u00bbMerriweather|700|||||||\u00a0\u00bb header_font_size=\u00a0\u00bb46px\u00a0\u00bb header_line_height=\u00a0\u00bb1.3em\u00a0\u00bb custom_margin=\u00a0\u00bb||0px|\u00a0\u00bb animation_style=\u00a0\u00bbflip\u00a0\u00bb animation_direction=\u00a0\u00bbtop\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Impact de la pand\u00e9mie de COVID-19 sur la r\u00e9alisation et la demande de chirurgies \u00e9lectives au Centre Hospitalier Universitaire de Qu\u00e9bec – Universit\u00e9 Laval<\/h1>\n

<\/h1>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=\u00a0\u00bb3_5,1_5,1_5″ _builder_version=\u00a0\u00bb4.11.1″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb3_5″ _builder_version=\u00a0\u00bb4.11.1″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.11.1″ text_font=\u00a0\u00bb||||||||\u00a0\u00bb text_font_size=\u00a0\u00bb20px\u00a0\u00bb text_line_height=\u00a0\u00bb1.8em\u00a0\u00bb custom_margin=\u00a0\u00bb25px|||\u00a0\u00bb animation_style=\u00a0\u00bbflip\u00a0\u00bb animation_direction=\u00a0\u00bbtop\u00a0\u00bb animation_delay=\u00a0\u00bb100ms\u00a0\u00bb hover_enabled=\u00a0\u00bb0″ global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0″]<\/p>\n

Contexte :<\/strong> Le nombre de patients qui attendent depuis plus de 6 mois pour une chirurgie a approximativement tripl\u00e9 depuis le d\u00e9but de la pand\u00e9mie au Qu\u00e9bec. Le d\u00e9lestage et la modulation des activit\u00e9s hospitali\u00e8res \u00e9lectives pendant la pand\u00e9mie ont pu contribuer \u00e0 cette augmentation (backlog). En parall\u00e8le, une r\u00e9duction dans le nombre de nouvelles demandes pour des chirurgies \u00e9lectives a \u00e9t\u00e9 observ\u00e9e, puisque certains patients qui auraient consult\u00e9 un m\u00e9decin en l\u2019absence de la pand\u00e9mie ne l\u2019ont pas fait (demande latente).
<\/strong><\/p>\n

Objectifs :<\/strong> Cette \u00e9tude vise \u00e0 pr\u00e9dire le backlog et la demande latente pour certaines chirurgies \u00e9lectives durant les premi\u00e8res vagues de la pand\u00e9mie au Centre Hospitalier Universitaire de Qu\u00e9bec – Universit\u00e9 Laval (CHU de QC).
<\/strong><\/p>\n

M\u00e9thodologie :<\/strong> Le nombre de chirurgies \u00e9lectives n\u2019ayant pas \u00e9t\u00e9 r\u00e9alis\u00e9 (backlog) ou demand\u00e9 (demande latente) a \u00e9t\u00e9 d\u00e9fini comme la diff\u00e9rence entre le nombre de chirurgies qui aurait \u00e9t\u00e9 r\u00e9alis\u00e9 ou demand\u00e9 en l\u2019absence de la pand\u00e9mie et le nombre de chirurgies qui a r\u00e9ellement \u00e9t\u00e9 r\u00e9alis\u00e9 ou demand\u00e9 entre le 01\/03\/2020 et le 30\/09\/2021 au CHU de QC.<\/p>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=\u00a0\u00bb1_5″ _builder_version=\u00a0\u00bb4.11.1″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_image src=\u00a0\u00bbhttp:\/\/www.lepointensante.com\/performance\/wp-content\/uploads\/sites\/26\/2022\/01\/Aurelie-Cote-Sergent.jpg\u00a0\u00bb title_text=\u00a0\u00bbAur\u00e9lie C\u00f4t\u00e9-Sergent\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.1″ custom_margin=\u00a0\u00bb|||\u00a0\u00bb custom_margin_tablet=\u00a0\u00bb90px|||\u00a0\u00bb custom_margin_last_edited=\u00a0\u00bboff|desktop\u00a0\u00bb always_center_on_mobile=\u00a0\u00bboff\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_image][et_pb_text _builder_version=\u00a0\u00bb4.11.1″ text_font=\u00a0\u00bb||||||||\u00a0\u00bb text_text_color=\u00a0\u00bb#7e7f93″ text_font_size=\u00a0\u00bb18px\u00a0\u00bb header_font=\u00a0\u00bb||||||||\u00a0\u00bb header_3_font=\u00a0\u00bbMerriweather|700|||||||\u00a0\u00bb header_3_text_color=\u00a0\u00bb#4646c4″ header_3_font_size=\u00a0\u00bb36px\u00a0\u00bb header_3_line_height=\u00a0\u00bb1.4em\u00a0\u00bb hover_enabled=\u00a0\u00bb0″ locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0″]<\/p>\n

Aur\u00e9lie C\u00f4t\u00e9-Sergent<\/h3>\n

M. Sc., Agente de programmation, de planification et de recherche<\/em>
Collaboration entre le Centre d’op\u00e9rationnalisation du Co\u00fbt par parcours de soins et services (CO-CPSS) et le Centre Hospitalier de Qu\u00e9bec – Universit\u00e9 Laval<\/em><\/p>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=\u00a0\u00bb1_5″ _builder_version=\u00a0\u00bb4.11.1″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_image src=\u00a0\u00bbhttp:\/\/www.lepointensante.com\/performance\/wp-content\/uploads\/sites\/26\/2022\/01\/Caroline-Cotnoir-Majeau.jpg\u00a0\u00bb title_text=\u00a0\u00bbCaroline Cotnoir-Majeau\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.1″ custom_margin=\u00a0\u00bb|||\u00a0\u00bb custom_margin_tablet=\u00a0\u00bb90px|||\u00a0\u00bb custom_margin_last_edited=\u00a0\u00bboff|desktop\u00a0\u00bb always_center_on_mobile=\u00a0\u00bboff\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_image][et_pb_text _builder_version=\u00a0\u00bb4.11.1″ text_font=\u00a0\u00bb||||||||\u00a0\u00bb text_text_color=\u00a0\u00bb#7e7f93″ text_font_size=\u00a0\u00bb18px\u00a0\u00bb header_font=\u00a0\u00bb||||||||\u00a0\u00bb header_3_font=\u00a0\u00bbMerriweather|700|||||||\u00a0\u00bb header_3_text_color=\u00a0\u00bb#4646c4″ header_3_font_size=\u00a0\u00bb36px\u00a0\u00bb header_3_line_height=\u00a0\u00bb1.4em\u00a0\u00bb hover_enabled=\u00a0\u00bb0″ locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0″]<\/p>\n

Caroline Cotnoir-Majeau<\/strong><\/h3>\n

MBA, Agente de programmation, de planification et de recherche<\/em>
Collaboration entre le Centre d’op\u00e9rationnalisation du Co\u00fbt par parcours de soins et services (CO-CPSS) et le Centre Hospitalier de Qu\u00e9bec – Universit\u00e9 Laval<\/em><\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\u00a0\u00bb4.11.1″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4″ _builder_version=\u00a0\u00bb4.11.1″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.11.1″ text_font=\u00a0\u00bb||||||||\u00a0\u00bb text_font_size=\u00a0\u00bb20px\u00a0\u00bb text_line_height=\u00a0\u00bb1.8em\u00a0\u00bb custom_margin=\u00a0\u00bb25px|||\u00a0\u00bb animation_style=\u00a0\u00bbflip\u00a0\u00bb animation_direction=\u00a0\u00bbtop\u00a0\u00bb animation_delay=\u00a0\u00bb100ms\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Les donn\u00e9es sur les chirurgies proviennent de la base de donn\u00e9es de gestion des informations cliniques et les donn\u00e9es op\u00e9rationnelles proviennent du syst\u00e8me de paie de l\u2019\u00e9tablissement. Le nombre de chirurgies qui aurait \u00e9t\u00e9 r\u00e9alis\u00e9 ou demand\u00e9 en l\u2019absence de la pand\u00e9mie a \u00e9t\u00e9 pr\u00e9dit en utilisant un mod\u00e8le de r\u00e9gression de Poisson (par code d\u2019intervention, pour ceux ayant un volume annuel minimal de \u2265100 pr\u00e9pand\u00e9mie) qui tient compte de certains indicateurs de temps et de la capacit\u00e9 op\u00e9rationnelle des blocs op\u00e9ratoires (chirurgies r\u00e9alis\u00e9es seulement). Les chirurgies r\u00e9alis\u00e9es (01\/01\/2017-29\/02\/2020) et demand\u00e9es (01\/01\/2015-29\/02\/2020) avant le d\u00e9but de la pand\u00e9mie ont permis de calibrer les mod\u00e8les de r\u00e9gressions.<\/p>\n

R\u00e9sultats :<\/strong> Entre mars 2020 et septembre 2021, le nombre de chirurgies \u00e9lectives non r\u00e9alis\u00e9 est pass\u00e9 de 1 487 \u00e0 23 658, tandis que le nombre de chirurgies \u00e9lectives non demand\u00e9 est pass\u00e9 de 1 307 \u00e0 18 876. Autrement dit, en l\u2019absence de la pand\u00e9mie, 23 658 chirurgies \u00e9lectives suppl\u00e9mentaires auraient \u00e9t\u00e9 r\u00e9alis\u00e9es et 18 876 chirurgies \u00e9lectives suppl\u00e9mentaires auraient \u00e9t\u00e9 ajout\u00e9es \u00e0 la liste d\u2019attente de l\u2019\u00e9tablissement. Les chirurgies en ophtalmologie ont \u00e9t\u00e9 le plus touch\u00e9es par la pand\u00e9mie : au mois de septembre 2021, 27,9% et 9,4% des chirurgies non r\u00e9alis\u00e9es et 20,8% et 9,1% des chirurgies non demand\u00e9es \u00e9taient li\u00e9es aux proc\u00e9dures de phakofragmentation et d\u2019excision du vitre, respectivement.<\/p>\n

Il faudrait approximativement 32 900 et 22 900 heures de travail aux blocs op\u00e9ratoires pour compl\u00e9ter toutes les chirurgies \u00e9lectives non r\u00e9alis\u00e9es ou non demand\u00e9es, respectivement.<\/p>\n

Conclusions :<\/strong> Les r\u00e9sultats de cette \u00e9tude sugg\u00e8rent que le nombre de patients en attente d\u2019une chirurgie \u00e9lective pourrait continuer \u00e0 augmenter dans les prochaines ann\u00e9es, puisqu\u2019un important retard dans la r\u00e9alisation et la demande de chirurgies \u00e9lectives a pu \u00eatre observ\u00e9 pendant la pand\u00e9mie. Les autorit\u00e9s publiques devront donc identifier certaines strat\u00e9gies qui permettront de r\u00e9duire ce backlog et cette demande latente, qui pourraient s\u2019accentuer davantage dues aux nouvelles vagues de COVID-19.<\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1″ admin_label=\u00a0\u00bbSpeakers\u00a0\u00bb _builder_version=\u00a0\u00bb3.22″ custom_padding=\u00a0\u00bb90px||90px|\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb animation_intensity_zoom=\u00a0\u00bb10%\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"

Atelier 3-4\u00a0Impact de la pand\u00e9mie de COVID-19 sur la r\u00e9alisation et la demande de chirurgies \u00e9lectives au Centre Hospitalier Universitaire de Qu\u00e9bec – Universit\u00e9 Laval Contexte : Le nombre de patients qui attendent depuis plus de 6 mois pour une chirurgie a approximativement tripl\u00e9 depuis le d\u00e9but de la pand\u00e9mie au Qu\u00e9bec. Le d\u00e9lestage et […]<\/p>\n","protected":false},"author":766,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"1080","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-178","post","type-post","status-publish","format-standard","hentry","category-non-classe"],"_links":{"self":[{"href":"https:\/\/www.lepointensante.com\/performance\/wp-json\/wp\/v2\/posts\/178","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.lepointensante.com\/performance\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.lepointensante.com\/performance\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.lepointensante.com\/performance\/wp-json\/wp\/v2\/users\/766"}],"replies":[{"embeddable":true,"href":"https:\/\/www.lepointensante.com\/performance\/wp-json\/wp\/v2\/comments?post=178"}],"version-history":[{"count":4,"href":"https:\/\/www.lepointensante.com\/performance\/wp-json\/wp\/v2\/posts\/178\/revisions"}],"predecessor-version":[{"id":276,"href":"https:\/\/www.lepointensante.com\/performance\/wp-json\/wp\/v2\/posts\/178\/revisions\/276"}],"wp:attachment":[{"href":"https:\/\/www.lepointensante.com\/performance\/wp-json\/wp\/v2\/media?parent=178"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.lepointensante.com\/performance\/wp-json\/wp\/v2\/categories?post=178"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.lepointensante.com\/performance\/wp-json\/wp\/v2\/tags?post=178"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}