Our Impact on Global Warming: A Carbon Footprint Analysis of Orthopaedic Operations.

IF 4.4 1区 医学 Q1 ORTHOPEDICS Journal of Bone and Joint Surgery, American Volume Pub Date : 2024-11-06 Epub Date: 2024-09-19 DOI:10.2106/JBJS.24.00212
Annette Eidmann, Felicitas Geiger, Tizian Heinz, Axel Jakuscheit, Denitsa Docheva, Konstantin Horas, Ioannis Stratos, Maximilian Rudert
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Abstract

Background: The health-care sector and particularly the surgical sector are major contributors to the exacerbation of the global climate crisis. Little is known about the carbon emissions caused by surgical procedures. Therefore, the aim of this study was to estimate the carbon footprint associated with common orthopaedic surgical procedures.

Methods: Eight surgical procedures (total hip arthroplasty, total knee arthroplasty, knee arthroscopy, anterior cruciate ligament reconstruction, shoulder arthroscopy, elective foot surgery, revision hip arthroplasty, and revision knee arthroplasty) were selected for analysis. The inventory process was performed according to the Greenhouse Gas Protocol for all activity occurring in the operating room.

Results: The carbon footprint (in CO2 equivalents, CO2e) ranged between 53.5 kg for knee arthroscopy and 125.9 kg for revision knee arthroplasty. Energy consumption accounted for 57.5% of all emissions, followed by other indirect emissions (38.8%) and direct emissions (3.7%). The largest single contributors were the supply chain (34.6%) and energy consumption for ventilation, heating, and air conditioning (32.7%).

Conclusions: Orthopaedic surgical procedures produce considerable amounts of CO2. Reduction in and greening of energy consumption, as well as the decarbonization of the supply chain, would have the greatest impact in reducing the carbon footprint of orthopaedic surgical procedures.

Clinical relevance: Orthopaedic surgical procedures contribute to the climate crisis by emitting relevant amounts of CO2. It should therefore be imperative for all orthopaedic surgeons to endeavor to find solutions to mitigate the environmental impact of their practice.

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我们对全球变暖的影响:骨科手术的碳足迹分析。
背景:医疗保健行业,尤其是外科手术行业是加剧全球气候危机的主要因素。人们对外科手术造成的碳排放知之甚少。因此,本研究旨在估算与常见骨科外科手术相关的碳足迹:方法:选择八种外科手术(全髋关节置换术、全膝关节置换术、膝关节镜检查、前交叉韧带重建术、肩关节镜检查、选择性足部手术、翻修髋关节置换术和翻修膝关节置换术)进行分析。根据《温室气体议定书》对手术室的所有活动进行了盘点:结果:膝关节镜手术和翻修膝关节置换手术的碳足迹(以二氧化碳当量计)分别为 53.5 千克和 125.9 千克。能源消耗占总排放量的 57.5%,其次是其他间接排放量(38.8%)和直接排放量(3.7%)。最大的单一排放源是供应链(34.6%)以及通风、供暖和空调能耗(32.7%):结论:骨科手术过程会产生大量的二氧化碳。结论:骨科手术过程会产生大量的二氧化碳,减少能源消耗和绿色能源消耗以及供应链的低碳化将对减少骨科手术过程的碳足迹产生最大的影响:矫形外科手术会排放大量二氧化碳,从而加剧气候危机。因此,所有骨科外科医生都必须努力寻找解决方案,以减轻其工作对环境的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
8.90
自引率
7.50%
发文量
660
审稿时长
1 months
期刊介绍: The Journal of Bone & Joint Surgery (JBJS) has been the most valued source of information for orthopaedic surgeons and researchers for over 125 years and is the gold standard in peer-reviewed scientific information in the field. A core journal and essential reading for general as well as specialist orthopaedic surgeons worldwide, The Journal publishes evidence-based research to enhance the quality of care for orthopaedic patients. Standards of excellence and high quality are maintained in everything we do, from the science of the content published to the customer service we provide. JBJS is an independent, non-profit journal.
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