Interrupted Time Series Analysis of the Impact of Covid-19 on Emergency and Elective Surgeries in Iranian Hospitals; [Evaluation De L'impact De La Covid-19 Sur Les Interventions Chirurgicales D'urgence Et Programmees Dans Les Hopitaux Iraniens a L'aide De L'analyse Des Series Chronologiques Interrompues]

Interrupted Time Series Analysis of the Impact of Covid-19 on Emergency and Elective Surgeries in Iranian Hospitals; [Evaluation De L'impact De La Covid-19 Sur Les Interventions Chirurgicales D'urgence Et Programmees Dans Les Hopitaux Iraniens a L'aide De L'analyse Des Series Chronologiques Interrompues] Publisher Pubmed

Beiranvand S¹ ; Behzadifar M² ; Imaninasab MH² ; Azari S³ ; Teli BD⁴ ; Ehsanzadeh SJ⁵ ; Martini M⁶ ; Shahabi S⁷ ; Behzadifar M²

Show Affiliations

1. Department of Anaesthesiology, Faculty of Medicine, Lorestan University of Medical Sciences, Khorramabad, Iran
2. Social Determinants of Health Research Center, Lorestan University of Medical Sciences, Khorramabad, Iran
3. Hospital Management Research Center, Health Management Research Institute, University of Medical Sciences, Tehran, Iran
4. Health Management and Economics Research Center, Health Management Research Institute, Islamic Republic of Iran University of Medical Sciences, Tehran, Iran
5. English Language Department, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
6. Department of Health Sciences, University of Genoa, Genoa, Italy
7. Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran

Source: Eastern Mediterranean Health Journal Published:2025

Abstract

Background: Emergency and elective surgeries are vital for saving lives and enhancing patient wellbeing. However, COVID-19 pandemic disrupted the provision of surgical services in Iranian hospitals and globally. Aim: To investigate the impact of COVID-19 pandemic on emergency and elective surgical care in Iranian hospitals. Methods: Using an interrupted time series analysis, we evaluated the impact of the COVID-19 pandemic on emergency and elective surgeries in western Islamic Republic of Iran between January 2017 and December 2023, using February 2020 as the intervention point. We analysed the data with R software Version 4.3.2 and used a segmented regression model to analyse the pre-and post-COVID-19 trends, ensuring the reliability of results by using Durbin-Watson statistic and autocorrection techniques. P < 0.05 was considered statistically significant. Results: Pre-pandemic, the mean monthly number of emergency surgeries was 258.9. Due to the pandemic there was a significant decrease by 359.6; however, we observed a gradual recovery in surgical activity with an average increase of 15.8 surgeries above the pre-pandemic levels. The mean monthly number of elective surgeries before the pandemic was 199.5. After the onset of the pandemic, we found a significant decrease of 85.37, although there was a gradual recovery over time. Conclusion: The COVID-19 pandemic significantly impacted surgical services in Iranian hospitals, causing a reallocation of resources to COVID-19 care and postponement of non-urgent surgeries. There is a need for strategic planning and policy interventions to ensure continuity of surgical care during health emergencies. © Authors 2025.

2. Financial Protection Indexes and the Iranian Health Transformation Plan: A Systematic Review, Yale Journal of Biology and Medicine (2021)

Experts (# of related papers)

Peyman Saberian (1)

Style	Citing Format
MLA	Beiranvand S, et al.. "Interrupted Time Series Analysis of the Impact of Covid-19 on Emergency and Elective Surgeries in Iranian Hospitals; [Evaluation De L'impact De La Covid-19 Sur Les Interventions Chirurgicales D'urgence Et Programmees Dans Les Hopitaux Iraniens a L'aide De L'analyse Des Series Chronologiques Interrompues]." Eastern Mediterranean Health Journal, vol. 31, no. 3, 2025, pp. 166-175.
APA	Beiranvand S, Behzadifar M, Imaninasab MH, Azari S, Teli BD, Ehsanzadeh SJ, Martini M, Shahabi S, Behzadifar M (2025). Interrupted Time Series Analysis of the Impact of Covid-19 on Emergency and Elective Surgeries in Iranian Hospitals; [Evaluation De L'impact De La Covid-19 Sur Les Interventions Chirurgicales D'urgence Et Programmees Dans Les Hopitaux Iraniens a L'aide De L'analyse Des Series Chronologiques Interrompues]. Eastern Mediterranean Health Journal, 31(3), 166-175.
Chicago	Beiranvand S, Behzadifar M, Imaninasab MH, Azari S, Teli BD, Ehsanzadeh SJ, Martini M, Shahabi S, Behzadifar M. "Interrupted Time Series Analysis of the Impact of Covid-19 on Emergency and Elective Surgeries in Iranian Hospitals; [Evaluation De L'impact De La Covid-19 Sur Les Interventions Chirurgicales D'urgence Et Programmees Dans Les Hopitaux Iraniens a L'aide De L'analyse Des Series Chronologiques Interrompues]." Eastern Mediterranean Health Journal 31, no. 3 (2025): 166-175.
Harvard	Beiranvand S et al. (2025) 'Interrupted Time Series Analysis of the Impact of Covid-19 on Emergency and Elective Surgeries in Iranian Hospitals; [Evaluation De L'impact De La Covid-19 Sur Les Interventions Chirurgicales D'urgence Et Programmees Dans Les Hopitaux Iraniens a L'aide De L'analyse Des Series Chronologiques Interrompues]', Eastern Mediterranean Health Journal, 31(3), pp. 166-175.
Vancouver	Beiranvand S, Behzadifar M, Imaninasab MH, Azari S, Teli BD, Ehsanzadeh SJ, et al.. Interrupted Time Series Analysis of the Impact of Covid-19 on Emergency and Elective Surgeries in Iranian Hospitals; [Evaluation De L'impact De La Covid-19 Sur Les Interventions Chirurgicales D'urgence Et Programmees Dans Les Hopitaux Iraniens a L'aide De L'analyse Des Series Chronologiques Interrompues]. Eastern Mediterranean Health Journal. 2025;31(3):166-175.
BibTex	@article{ author = {Beiranvand S and Behzadifar M and Imaninasab MH and Azari S and Teli BD and Ehsanzadeh SJ and Martini M and Shahabi S and Behzadifar M}, title = {Interrupted Time Series Analysis of the Impact of Covid-19 on Emergency and Elective Surgeries in Iranian Hospitals; [Evaluation De L'impact De La Covid-19 Sur Les Interventions Chirurgicales D'urgence Et Programmees Dans Les Hopitaux Iraniens a L'aide De L'analyse Des Series Chronologiques Interrompues]}, journal = {Eastern Mediterranean Health Journal}, volume = {31}, number = {3}, pages = {166-175}, year = {2025} }
RIS	TY - JOUR AU - Beiranvand S AU - Behzadifar M AU - Imaninasab MH AU - Azari S AU - Teli BD AU - Ehsanzadeh SJ AU - Martini M AU - Shahabi S AU - Behzadifar M TI - Interrupted Time Series Analysis of the Impact of Covid-19 on Emergency and Elective Surgeries in Iranian Hospitals; [Evaluation De L'impact De La Covid-19 Sur Les Interventions Chirurgicales D'urgence Et Programmees Dans Les Hopitaux Iraniens a L'aide De L'analyse Des Series Chronologiques Interrompues] JO - Eastern Mediterranean Health Journal VL - 31 IS - 3 SP - 166 EP - 175 PY - 2025 ER -

Style

Citing Format

MLA

Beiranvand S, et al.. "Interrupted Time Series Analysis of the Impact of Covid-19 on Emergency and Elective Surgeries in Iranian Hospitals; [Evaluation De L'impact De La Covid-19 Sur Les Interventions Chirurgicales D'urgence Et Programmees Dans Les Hopitaux Iraniens a L'aide De L'analyse Des Series Chronologiques Interrompues]." Eastern Mediterranean Health Journal, vol. 31, no. 3, 2025, pp. 166-175.

APA

Beiranvand S, Behzadifar M, Imaninasab MH, Azari S, Teli BD, Ehsanzadeh SJ, Martini M, Shahabi S, Behzadifar M (2025). Interrupted Time Series Analysis of the Impact of Covid-19 on Emergency and Elective Surgeries in Iranian Hospitals; [Evaluation De L'impact De La Covid-19 Sur Les Interventions Chirurgicales D'urgence Et Programmees Dans Les Hopitaux Iraniens a L'aide De L'analyse Des Series Chronologiques Interrompues]. Eastern Mediterranean Health Journal, 31(3), 166-175.

Chicago

Beiranvand S, Behzadifar M, Imaninasab MH, Azari S, Teli BD, Ehsanzadeh SJ, Martini M, Shahabi S, Behzadifar M. "Interrupted Time Series Analysis of the Impact of Covid-19 on Emergency and Elective Surgeries in Iranian Hospitals; [Evaluation De L'impact De La Covid-19 Sur Les Interventions Chirurgicales D'urgence Et Programmees Dans Les Hopitaux Iraniens a L'aide De L'analyse Des Series Chronologiques Interrompues]." Eastern Mediterranean Health Journal 31, no. 3 (2025): 166-175.

Harvard

Beiranvand S et al. (2025) 'Interrupted Time Series Analysis of the Impact of Covid-19 on Emergency and Elective Surgeries in Iranian Hospitals; [Evaluation De L'impact De La Covid-19 Sur Les Interventions Chirurgicales D'urgence Et Programmees Dans Les Hopitaux Iraniens a L'aide De L'analyse Des Series Chronologiques Interrompues]', Eastern Mediterranean Health Journal, 31(3), pp. 166-175.

Vancouver

Beiranvand S, Behzadifar M, Imaninasab MH, Azari S, Teli BD, Ehsanzadeh SJ, et al.. Interrupted Time Series Analysis of the Impact of Covid-19 on Emergency and Elective Surgeries in Iranian Hospitals; [Evaluation De L'impact De La Covid-19 Sur Les Interventions Chirurgicales D'urgence Et Programmees Dans Les Hopitaux Iraniens a L'aide De L'analyse Des Series Chronologiques Interrompues]. Eastern Mediterranean Health Journal. 2025;31(3):166-175.

BibTex

@article{ author = {Beiranvand S and Behzadifar M and Imaninasab MH and Azari S and Teli BD and Ehsanzadeh SJ and Martini M and Shahabi S and Behzadifar M}, title = {Interrupted Time Series Analysis of the Impact of Covid-19 on Emergency and Elective Surgeries in Iranian Hospitals; [Evaluation De L'impact De La Covid-19 Sur Les Interventions Chirurgicales D'urgence Et Programmees Dans Les Hopitaux Iraniens a L'aide De L'analyse Des Series Chronologiques Interrompues]}, journal = {Eastern Mediterranean Health Journal}, volume = {31}, number = {3}, pages = {166-175}, year = {2025} }

RIS

TY - JOUR
AU - Beiranvand S
AU - Behzadifar M
AU - Imaninasab MH
AU - Azari S
AU - Teli BD
AU - Ehsanzadeh SJ
AU - Martini M
AU - Shahabi S
AU - Behzadifar M
TI - Interrupted Time Series Analysis of the Impact of Covid-19 on Emergency and Elective Surgeries in Iranian Hospitals; [Evaluation De L'impact De La Covid-19 Sur Les Interventions Chirurgicales D'urgence Et Programmees Dans Les Hopitaux Iraniens a L'aide De L'analyse Des Series Chronologiques Interrompues]
JO - Eastern Mediterranean Health Journal
VL - 31
IS - 3
SP - 166
EP - 175
PY - 2025
ER -

Science Communicator Platform

Authors

Authors Affiliations

Abstract