Management of patients at the hepatopancreatobiliary unit of a London teaching hospital during the COVID-19 pandemic.

Humans London / epidemiology Pandemics COVID-19 / epidemiology Hospitals, Teaching Data Collection

Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
18 08 2023
Historique:
received: 28 02 2023
accepted: 08 08 2023
medline: 21 8 2023
pubmed: 19 8 2023
entrez: 18 8 2023
Statut: epublish

Résumé

To mitigate COVID-19-related shortage of treatment capacity, the hepatopancreatobiliary (HPB) unit of the Royal Free Hospital London (RFHL) transferred its practice to independent hospitals in Central London through the North Central London Cancer Alliance. The aim of this study was to critically assess this strategy and evaluate perioperative outcomes. Prospectively collected data were reviewed on all patients who were treated under the RFHL HPB unit in six hospitals between November 2020 and October 2021. A total of 1541 patients were included, as follows: 1246 (81%) at the RFHL, 41 (3%) at the Chase Farm Hospital, 23 (2%) at the Whittington Hospital, 207 (13%) at the Princess Grace Hospital, 12 (1%) at the Wellington Hospital and 12 (1%) at the Lister Hospital, Chelsea. Across all institutions, overall complication rate were 40%, major complication (Clavien-Dindo grade ≥ 3a) rate were 11% and mortality rates were 1.4%, respectively. In COVID-19-positive patients (n = 28), compared with negative patients, complication rate and mortality rates were increased tenfold. Outsourcing HPB patients, including their specialist care, to surrounding institutions was safe and ensured ongoing treatment with comparable outcomes among the institutions during the COVID-19 pandemic. Due to the lack of direct comparison with a non-pandemic cohort, these results can strictly only be applied within a pandemic setting.

Identifiants

DOI: 10.1038/s41598-023-40264-9 PMID: 37596332 PMC: PMC10439108
pubmed: 37596332
doi: 10.1038/s41598-023-40264-9
pii: 10.1038/s41598-023-40264-9
pmc: PMC10439108
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

13432

Investigateurs

Abhirup Banerjee (A)
Ahmed Mohamed (A)
Aleem Obalogun (A)
Alejandro Ramirez (A)
Alex Rothnie (A)
Andrej Grajn (A)
Bhargava Chikkala (B)
Bose Ojo-Williams (B)
Camilla Hidalgo-Salinas (C)
Carlo Ceresa (C)
Carlo Frola (C)
Charalampos Tsakiris (C)
Conrad Shaw (C)
Dimitrios Chasiotis (D)
Elissaios Kontis (E)
Farid Froghi (F)
Guhan Venkatakrishnan (G)
Helen Tzerbinis (H)
Ioannis D Kostakis (ID)
James Whitehead (J)
Joao Costa (J)
Krishnakumure Patel (K)
Manikandan Kathirvel (M)
Mitesh Sharma (M)
Mohamed Elnagar (M)
Murali Somasundaram (M)
Nikolaos Dimitrokallis (N)
Nolitha Morare (N)
Nyasharenee Kupfuwa (N)
Sandun Bulathsinhala (S)
Shahroo Makhdoom (S)
Stephanos Pericleous (S)
Supreeth Kunnuru (S)
Susana Ramos-Vazquez (S)
Tameem Ibraheem (T)
Gemma Keating (G)
Linda Lightfoot (L)
Sophie Brown (S)
Lucy Gyamfi (L)
Kajal Modi (K)
Vanessa Tufuo (V)
Harriet Louise Walker (HL)

Commentaires et corrections

Type : ErratumIn

Informations de copyright

© 2023. Springer Nature Limited.

Références

HPB (Oxford). 2019 Sep;21(9):1139-1149
pubmed: 30718185
World J Emerg Surg. 2021 Jul 13;16(1):37
pubmed: 34256781
Lancet Oncol. 2020 Aug;21(8):1035-1044
pubmed: 32702311
Ann Oncol. 2020 Aug;31(8):1065-1074
pubmed: 32442581
BMJ Open Qual. 2020 Dec;9(4):
pubmed: 33277292
BMC Med. 2020 Sep 3;18(1):270
pubmed: 32878619
J Chronic Dis. 1987;40(5):373-83
pubmed: 3558716
Ann Surg. 2013 Jul;258(1):1-7
pubmed: 23728278
Dig Surg. 2021;38(4):259-265
pubmed: 34058733
Ann Surg. 2009 Aug;250(2):187-96
pubmed: 19638912
Ann Surg. 2020 Dec;272(6):e316-e320
pubmed: 33086321
Ann Surg. 2020 Nov;272(5):731-737
pubmed: 32889866
Ann Thorac Surg. 2020 Aug;110(2):718-724
pubmed: 32417195
Ann Surg. 2004 Aug;240(2):205-13
pubmed: 15273542
Colorectal Dis. 2020 Sep;22(9):1002-1005
pubmed: 32654417
JAMA Oncol. 2020 Dec 1;6(12):1881-1889
pubmed: 33119036

Auteurs

Sebastian M Staubli (SM)

Department of HPB Surgery and Liver Transplantation, Clinical Service of HPB Surgery and Liver Transplantation, Royal Free London NHS Foundation Trust, UCL Partners, Pond Street, London, NW3 2QG, UK.

Dimitri A Raptis (DA)

Department of HPB Surgery and Liver Transplantation, Clinical Service of HPB Surgery and Liver Transplantation, Royal Free London NHS Foundation Trust, UCL Partners, Pond Street, London, NW3 2QG, UK.
Division of Surgery and Interventional Science, University College London, London, UK.

Shahi Ghani (S)

Department of HPB Surgery and Liver Transplantation, Clinical Service of HPB Surgery and Liver Transplantation, Royal Free London NHS Foundation Trust, UCL Partners, Pond Street, London, NW3 2QG, UK.

Brian R Davidson (BR)

Department of HPB Surgery and Liver Transplantation, Clinical Service of HPB Surgery and Liver Transplantation, Royal Free London NHS Foundation Trust, UCL Partners, Pond Street, London, NW3 2QG, UK.
Division of Surgery and Interventional Science, University College London, London, UK.

Giuseppe K Fusai (GK)

Department of HPB Surgery and Liver Transplantation, Clinical Service of HPB Surgery and Liver Transplantation, Royal Free London NHS Foundation Trust, UCL Partners, Pond Street, London, NW3 2QG, UK.
Division of Surgery and Interventional Science, University College London, London, UK.

Charles Imber (C)

Department of HPB Surgery and Liver Transplantation, Clinical Service of HPB Surgery and Liver Transplantation, Royal Free London NHS Foundation Trust, UCL Partners, Pond Street, London, NW3 2QG, UK.

Sateesh Iype (S)

Department of HPB Surgery and Liver Transplantation, Clinical Service of HPB Surgery and Liver Transplantation, Royal Free London NHS Foundation Trust, UCL Partners, Pond Street, London, NW3 2QG, UK.

David Nasralla (D)

Department of HPB Surgery and Liver Transplantation, Clinical Service of HPB Surgery and Liver Transplantation, Royal Free London NHS Foundation Trust, UCL Partners, Pond Street, London, NW3 2QG, UK.
Division of Surgery and Interventional Science, University College London, London, UK.

Theodora Pissanou (T)

Department of HPB Surgery and Liver Transplantation, Clinical Service of HPB Surgery and Liver Transplantation, Royal Free London NHS Foundation Trust, UCL Partners, Pond Street, London, NW3 2QG, UK.

Sakhawat Rahman (S)

Department of HPB Surgery and Liver Transplantation, Clinical Service of HPB Surgery and Liver Transplantation, Royal Free London NHS Foundation Trust, UCL Partners, Pond Street, London, NW3 2QG, UK.

Dinesh Sharma (D)

Department of HPB Surgery and Liver Transplantation, Clinical Service of HPB Surgery and Liver Transplantation, Royal Free London NHS Foundation Trust, UCL Partners, Pond Street, London, NW3 2QG, UK.

Pascale Tinguely (P)

Department of HPB Surgery and Liver Transplantation, Clinical Service of HPB Surgery and Liver Transplantation, Royal Free London NHS Foundation Trust, UCL Partners, Pond Street, London, NW3 2QG, UK.

Fares Haddad (F)

Division of Surgery and Interventional Science, University College London, London, UK.
The Princess Grace Hospital (HCA Healthcare UK), London, UK.
Institute for Sport Exercise and Health (ISEH), University College Hospital London, London, UK.
Department of Trauma and Orthopaedics, University College London Hospitals NHS Foundation Trust, London, London, UK.

Miranda Dodd (M)

The Princess Grace Hospital (HCA Healthcare UK), London, UK.

Chris Dann (C)

Department of Trauma and Orthopaedics, University College London Hospitals NHS Foundation Trust, London, London, UK.

David Walker (D)

Division of Surgery and Interventional Science, University College London, London, UK.
The Princess Grace Hospital (HCA Healthcare UK), London, UK.

Joerg-Matthias Pollok (JM)

Department of HPB Surgery and Liver Transplantation, Clinical Service of HPB Surgery and Liver Transplantation, Royal Free London NHS Foundation Trust, UCL Partners, Pond Street, London, NW3 2QG, UK. joerg-matthias.pollok@nhs.net.
Division of Surgery and Interventional Science, University College London, London, UK. joerg-matthias.pollok@nhs.net.

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

Evaluation of Low-Value Services Across Major Medicare Advantage Insurers and Traditional Medicare.

Ciara Duggan, Adam L Beckman, Ishani Ganguli et al.
1.00
Humans United States Aged Cross-Sectional Studies Medicare Part C

Effectiveness of Virtual Yoga for Chronic Low Back Pain: A Randomized Clinical Trial.

Hallie Tankha, Devyn Gaskins, Amanda Shallcross et al.
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Management of patients at the...
questionsmedicales.fr › Régions géographiques › Europe › Royaume-Uni › Angleterre › Londres › Management of patients at the...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Épidémies de maladies › Épidémies › Pandémies › Management of patients at the...
questionsmedicales.fr › Maladies de l'appareil respiratoire › Infections de l'appareil respiratoire › Pneumopathie infectieuse › Pneumopathie virale › COVID-19 › Management of patients at the...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Établissements de santé › Hôpitaux › Hôpitaux d'enseignement › Management of patients at the...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Collecte de données › Management of patients at the...