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.


Journal

Annals of the Royal College of Surgeons of England
ISSN: 1478-7083
Titre abrégé: Ann R Coll Surg Engl
Pays: England
ID NLM: 7506860

Informations de publication

Date de publication:
Jun 2021
Historique:
pubmed: 7 5 2021
medline: 4 6 2021
entrez: 6 5 2021
Statut: ppublish

Résumé

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. 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. 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 ( 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.

Identifiants

pubmed: 33955242
doi: 10.1308/rcsann.2021.0043
pmc: PMC10334984
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

404-411

Références

Bone Joint J. 2020 Jun;102-B(6):671-676
pubmed: 32323563
J Bone Joint Surg Am. 2020 Jul 1;102(13):e69
pubmed: 32618917
Bone Joint J. 2016 Dec;98-B(12):1573-1581
pubmed: 27909117
Bone Joint J. 2020 Sep;102-B(9):1219-1228
pubmed: 32634029
Bone Jt Open. 2020 Nov 02;1(7):415-419
pubmed: 33215132
Injury. 2020 Jul;51(7):1414-1418
pubmed: 32405089
EClinicalMedicine. 2020 Apr 05;21:100331
pubmed: 32292899
Int J Surg. 2020 Jul;79:168-179
pubmed: 32407799
Bone Jt Open. 2020 Jun 03;1(6):190-197
pubmed: 33225288
Bone Jt Open. 2020 Jun 02;1(6):182-189
pubmed: 33225287
Am J Respir Crit Care Med. 2004 Jun 1;169(11):1198-202
pubmed: 14990393
Ann R Coll Surg Engl. 2020 May;102(5):323-332
pubmed: 32352836
J Bone Joint Surg Am. 2020 Jun 17;102(12):e58
pubmed: 32345864
Lancet. 2020 Jul 4;396(10243):2-3
pubmed: 32479826
Ann R Coll Surg Engl. 2020 Jun 27;:1-6
pubmed: 32594751
Colorectal Dis. 2020 Jun;22(6):625-634
pubmed: 32233064
Lancet. 2020 Jul 4;396(10243):27-38
pubmed: 32479829
Bone Joint J. 2020 Sep;102-B(9):1136-1145
pubmed: 32634023
Tech Coloproctol. 2021 Apr;25(4):401-411
pubmed: 32671661
Br J Surg. 2020 Sep;107(10):1250-1261
pubmed: 32350857

Auteurs

W Luo (W)

Macclesfield District General Hospital, UK.

R Limb (R)

Macclesfield District General Hospital, UK.

A Aslam (A)

University of Cambridge School of Clinical Medicine, UK.

R Kattimani (R)

Macclesfield District General Hospital, UK.

D Karthikappallil (D)

Macclesfield District General Hospital, UK.

A Paramasivan (A)

Countess of Chester Hospital NHS Foundation Trust, UK.

M Waseem (M)

Macclesfield District General Hospital, UK.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH