The carbon footprint of cataract surgery in a French University Hospital.
Details
Serval ID
serval:BIB_FFF04E65F78D
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
The carbon footprint of cataract surgery in a French University Hospital.
Journal
Journal francais d'ophtalmologie
ISSN
1773-0597 (Electronic)
ISSN-L
0181-5512
Publication state
Published
Issued date
01/2022
Peer-reviewed
Oui
Volume
45
Number
1
Pages
57-64
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Publication Status: ppublish
Abstract
To assess the carbon footprint of cataract surgery in a French university hospital.
Operating room of Cochin University Hospital, Paris, France.
Single-center component analysis.
One day of surgery was used as a reference. Greenhouse gases (GHG) related to patient and staff transportation were calculated based on the distance travelled and the means of transportation used. The annual consumption of energy (heating and electricity) of our building was converted in kg equivalent of carbon dioxide (CO <sub>2</sub> eq), and the principle of proportionality was used to calculate what was used for a single cataract procedure. GHG emissions related to the life cycle assessment (LCA) of the equipment used and the sterilization process were calculated.
The LCA of disposable items accounted for 59.49kg (73.32%) of CO <sub>2</sub> eq for each procedure. A single procedure generated 2.83±0.10kg of waste. The average CO <sub>2</sub> eq produced by the transportation of the patients to and from our center, adjusted for one procedure, was 7.26±6.90kg (8.95%) of CO <sub>2</sub> eq. The CO <sub>2</sub> eq produced by the sterilization of the phacoemulsifier handpiece was 2.12kg (2.61%). The energy consumption of the building and staff transportation accounted for the remaining CO <sub>2</sub> eq emissions, 0.76kg (0.93%) and 0.08kg (0.10%) respectively. Altogether, the carbon footprint of one cataract procedure in our center was 81.13kg CO <sub>2</sub> eq - the equivalent of an average car driving 800km.
Our data provide a basis to quantify cataract surgery as a source of GHG and suggests that reductions in emissions can be achieved.
Operating room of Cochin University Hospital, Paris, France.
Single-center component analysis.
One day of surgery was used as a reference. Greenhouse gases (GHG) related to patient and staff transportation were calculated based on the distance travelled and the means of transportation used. The annual consumption of energy (heating and electricity) of our building was converted in kg equivalent of carbon dioxide (CO <sub>2</sub> eq), and the principle of proportionality was used to calculate what was used for a single cataract procedure. GHG emissions related to the life cycle assessment (LCA) of the equipment used and the sterilization process were calculated.
The LCA of disposable items accounted for 59.49kg (73.32%) of CO <sub>2</sub> eq for each procedure. A single procedure generated 2.83±0.10kg of waste. The average CO <sub>2</sub> eq produced by the transportation of the patients to and from our center, adjusted for one procedure, was 7.26±6.90kg (8.95%) of CO <sub>2</sub> eq. The CO <sub>2</sub> eq produced by the sterilization of the phacoemulsifier handpiece was 2.12kg (2.61%). The energy consumption of the building and staff transportation accounted for the remaining CO <sub>2</sub> eq emissions, 0.76kg (0.93%) and 0.08kg (0.10%) respectively. Altogether, the carbon footprint of one cataract procedure in our center was 81.13kg CO <sub>2</sub> eq - the equivalent of an average car driving 800km.
Our data provide a basis to quantify cataract surgery as a source of GHG and suggests that reductions in emissions can be achieved.
Keywords
Carbon Footprint, Cataract, Cataract Extraction, Greenhouse Gases/analysis, Hospitals, Humans, CO(2) equivalent, Carbon footprint, Cataract surgery, Chirurgie de la cataracte, Disposable, Déchets, Ecoconception, Empreinte Carbone, Gaz à effet de serre, Greenhouse gases, Jetable, Life cycle assessment, Recycle, Recycler, Reduce, Reuse, Réduire, Réutiliser, Waste, Écoconception, Équivalent CO(2), Évaluation du cycle de vie
Pubmed
Web of science
Create date
25/03/2022 9:02
Last modification date
26/03/2022 6:35