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10.1308/rcsann.2021.0043

http://scihub22266oqcxt.onion/10.1308/rcsann.2021.0043
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33955242!10334984!33955242
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suck abstract from ncbi


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pmid33955242      Ann+R+Coll+Surg+Engl 2021 ; 103 (6): 404-411
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  • COVID-19 pandemic did not affect emergency theatre patient demographic and length of stay in the first phase of UK countrywide lockdown in a district general hospital #MMPMID33955242
  • Luo W; Limb R; Aslam A; Kattimani R; Karthikappallil D; Paramasivan A; Waseem M
  • Ann R Coll Surg Engl 2021[Jun]; 103 (6): 404-411 PMID33955242show ga
  • INTRODUCTION: We aim to identify any changes in outcome for patients undergoing nonelective surgery at the start of the UK pandemic in our district general hospital. This was a single-centre retrospective cohort review of a UK district general hospital serving a population of over 250,000 people. METHODS: Participants were all patients undergoing a surgical procedure in the acute theatre list between 23 March to 11 May in both 2019 and 2020. Primary outcome was 90-day postoperative mortality. Secondary outcomes include time to surgical intervention and length of inpatient stay. RESULTS: A total of 132 patients (2020) versus 141 (2019) patients were included. Although overall 90-day postoperative mortality was higher in 2020 (9.8%) compared with 2019 (5.7%), this difference was not statistically significant (p=0.196). In 2020, eight patients tested positive for COVID-19 either as an inpatient or within 2 weeks of discharge, of whom five patients died. Time to surgical intervention was significantly faster for NCEPOD (National Confidential Enquiry into Patient Outcome and Death) code 3 patients in 2020 than in 2019 (p=0.027). There were no significant differences in mean length of inpatient stay. CONCLUSIONS: We found that patients were appropriately prioritised using NCEPOD classification, with no statistically significant differences in 90-day postoperative mortality and length of inpatient stay compared with the 2019 period. A study on a larger scale would further elucidate the profile and outcomes of patients requiring acute surgery to generate statistical significance.
  • |*Communicable Disease Control/methods[MESH]
  • |Adolescent[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |COVID-19/*epidemiology[MESH]
  • |Child[MESH]
  • |Child, Preschool[MESH]
  • |Emergency Treatment/*statistics & numerical data[MESH]
  • |Female[MESH]
  • |Hospitals, District/*statistics & numerical data[MESH]
  • |Hospitals, General/*statistics & numerical data[MESH]
  • |Humans[MESH]
  • |Length of Stay/*statistics & numerical data[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Retrospective Studies[MESH]
  • |Surgical Procedures, Operative/adverse effects/mortality/*statistics & numerical data[MESH]


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