Handling 'carbon footprint' in orthopaedics.

IF 1.1 4区 医学 Q3 SURGERY Annals of the Royal College of Surgeons of England Pub Date : 2024-07-01 Epub Date: 2024-04-02 DOI:10.1308/rcsann.2023.0052
S Shah, H Morris, S Thiagarajah, A Gordon, S Sharma, P Haslam, J Garcia, F Ali
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Abstract

Introduction: The National Health Service contributes 4%-5% of England and Wales' greenhouse gases and a quarter of all public sector waste. Between 20% and 33% of healthcare waste originates from a hospital's operating room, and up to 90% of waste is sent for costly and unneeded hazardous waste processing. The goal of this study was to quantify the amount and type of waste produced during a selection of common trauma and elective orthopaedic operations, and to calculate the carbon footprint of processing the waste.

Methods: Waste generated for both elective and trauma procedures was separated primarily into clean and contaminated, paper or plastic, and then weighed. The annual carbon footprint for each operation at each site was subsequently calculated.

Results: Elective procedures can generate up to 16.5kg of plastic waste per procedure. Practices such as double-draping the patient contribute to increasing the quantity of waste. Over the procedures analysed, the mean total plastic waste at the hospital sites varied from 6 to 12kg. One hospital site undertook a pilot of switching disposable gowns for reusable ones with a subsequent reduction of 66% in the carbon footprint and a cost saving of £13,483.89.

Conclusions: This study sheds new light on the environmental impact of waste produced during trauma and elective orthopaedic procedures. Mitigating the environmental impact of the operating room requires a collective drive for a culture change to sustainability and social responsibility. Each clinician can have an impact upon the carbon footprint of their operating theatre.

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处理矫形外科的 "碳足迹"。
导言:英格兰和威尔士 4%至 5%的温室气体和四分之一的公共部门废物来自国家医疗服务机构。20% 至 33% 的医疗废物来自医院的手术室,高达 90% 的废物被送往昂贵且不必要的危险废物处理机构处理。这项研究的目的是量化在选定的常见创伤和择期矫形手术中产生的废物数量和类型,并计算处理这些废物的碳足迹:方法:将择期手术和创伤手术中产生的废物主要分为清洁废物和污染废物、纸质废物和塑料废物,然后进行称重。方法:将择期手术和创伤手术产生的废物主要分为干净的和受污染的纸张或塑料,然后称重,随后计算出每个地点每项手术的年度碳足迹:结果:择期手术每次可产生多达 16.5 千克的塑料垃圾。为病人铺设双层敷料等做法增加了废物的数量。在所分析的手术过程中,各医院的平均塑料垃圾总量从 6 公斤到 12 公斤不等。一家医院试点将一次性手术服更换为可重复使用的手术服,结果减少了 66% 的碳足迹,并节省了 13,483.89 英镑的成本:这项研究揭示了创伤和择期骨科手术过程中产生的废物对环境的影响。要减轻手术室对环境的影响,就必须共同推动可持续发展文化和社会责任的转变。每位临床医生都能对手术室的碳足迹产生影响。
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来源期刊
CiteScore
2.40
自引率
0.00%
发文量
316
期刊介绍: The Annals of The Royal College of Surgeons of England is the official scholarly research journal of the Royal College of Surgeons and is published eight times a year in January, February, March, April, May, July, September and November. The main aim of the journal is to publish high-quality, peer-reviewed papers that relate to all branches of surgery. The Annals also includes letters and comments, a regular technical section, controversial topics, CORESS feedback and book reviews. The editorial board is composed of experts from all the surgical specialties.
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