一般的な整形外傷手術5種の手術室ベース炭素フットプリント：単一施設比較分析
Theatre-Based Carbon Footprint of Five Common Orthopaedic Trauma Procedures: A Single-Centre Comparative Analysis (原題)
Charles Gamble, Pushkar Joshi, Preetham Kodumuri
🤖 gxceed AI 要約
日本語
整形外傷手術5種の手術室ベース炭素排出量を単一施設で比較分析。排出量は33.3〜49.8 kgCO2e/件で、消耗品が34%を占め、特に単回使用ガウンとドレープが消耗品排出の37%を占めた。手術室エネルギー・水使用が55.8%を占め、術式間で類似。術中排出ホットスポットを特定し、医療の脱炭素化の改善策に示唆を与える。
English
This single-centre study compares theatre-based carbon footprints of five common orthopaedic trauma procedures, finding emissions range from 33.3 to 49.8 kgCO2e per procedure. Consumables account for 34% of emissions, with single-use gowns and drapes contributing 37% of that. Allocated energy and water use dominate at 55.8%, similar across procedures. The analysis identifies intra-operative hotspots to guide quality improvement and decarbonisation in surgical care.
Unofficial AI-generated summary based on the public title and abstract. Not an official translation.
📝 gxceed 編集解説 — Why this matters
日本のGX文脈において
日本の医療分野でも脱炭素化が進む中、手術室の排出削減は重要な課題。本分析は術式別の排出原単位を提供し、医療機関の環境対策や調達方針に活用可能。SSBJ開示が医療法人にも及ぶ可能性を踏まえ、実践的なデータとして有用。
In the global GX context
Globally, healthcare contributes ~4-5% of carbon emissions, and surgical services are a hotspot. This study provides procedure-level emission data for trauma surgery, supporting decarbonisation efforts in hospitals. It aligns with growing interest in sustainable healthcare and carbon footprinting, offering a methodology that can be adapted to other surgical specialties and regions.
👥 読者別の含意
🔬研究者:Provides a replicable method for procedure-level carbon footprinting in surgery, highlighting consumables and energy as key drivers.
🏢実務担当者:Identifies specific emission hotspots (single-use gowns/drapes, energy use) that can inform procurement and operational changes in operating theatres.
🏛政策担当者:Offers evidence for policy on sustainable healthcare procurement and carbon reduction targets in surgical services.
📄 Abstract（原文）
Introduction Operating theatres are resource-intensive environments and contribute disproportionately to healthcare-related carbon emissions. While the environmental impact of elective orthopaedic surgery has been described, there are limited procedure-level data for orthopaedic trauma surgery. Methods A single-centre, retrospective, theatre-based carbon footprint analysis was undertaken for five common orthopaedic trauma procedures performed in 2023: hip hemiarthroplasty, sliding hip screw fixation, femoral intramedullary nailing, ankle fracture fixation, and minor trauma procedures. Consumables and selected instrument-related items were weighed and assigned material-specific emission factors. Theatre energy and water use were estimated using assumed theatre-level averages and allocated by operative duration. Emissions were expressed as kilograms of carbon dioxide equivalent (kgCO₂e) per procedure. Results Theatre-based emissions ranged from 33.3 to 49.8 kgCO₂e per procedure. Hip hemiarthroplasty had the highest emissions, while minor procedures had the lowest. Consumables accounted for 34% of total emissions, with single-use gowns and drapes contributing 37% of consumable-related emissions. Allocated theatre energy and water use accounted for 55.8% of emissions and were similar across procedures. Conclusion Common orthopaedic trauma procedures have similar theatre-based carbon footprints, with variation driven primarily by consumable use. Although absolute emissions are underestimated owing to exclusion of supply-chain sources, this analysis identifies intra-operative emission hotspots that may inform local quality improvement initiatives.
🔗 Provenance — このレコードを発見したソース
- openalex https://doi.org/10.7759/cureus.114801first seen 2026-08-22 05:04:21
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