| Autor: |
T Minto, MBChB, T Abdelrahman, MD, L Jones, MBA, J Wheat, FRCS, T Key, MBChB, N Shivakumar, MBChB, J Ansell, MD, O Seddon, MBBCh, A Cronin, FRCS, A Tomkinson, FRCS, A Theron, FRCA, RW Trickett, MD, N Sagua, S Sultana, A Clark, E McKay, A Johnson, Karishma Behera, J Towler, H Kynaston, MD, A Mohamed, G Blackshaw, R Thomas, S Jones, M Shinkwin, H Perry, D Edgbeare, S Chopra, L DaSilva, I Williams, U Contractor, S Bell, S Zaher, M Stechman, S Berry, H Clark, E Bois, C Von Oppell, L Ackerman, E Ablorsu, J Horwood, D Mehta, J Featherstone, E Folaranmi, M Bray, K Siddall, E King, M Phillips, J Morgan, I Chopra, D Evans, K Whitehouse, P Leach, C Thomas, E Davies, M Dyer, A Fox, E Ireland, E Meehan, A Mukit, K Newell, D Parry, B Popham, C Chapman, H Botros |
| Jazyk: |
angličtina |
| Rok vydání: |
2022 |
| Předmět: |
|
| Zdroj: |
Surgery Open Science, Vol 10, Iss , Pp 168-173 (2022) |
| Druh dokumentu: |
article |
| ISSN: |
2589-8450 |
| DOI: |
10.1016/j.sopen.2022.09.005 |
| Popis: |
Background: The COVID-19 pandemic has caused unprecedented health care challenges mandating surgical service reconfiguration. Within our hospital, emergency and elective streams were separated and self-contained Protected Elective Surgical Units were developed to mitigate against infection-related morbidity. Aims of this study were to determine the risk of COVID-19 transmission and mortality and whether the development of Protected Elective Surgical Units can result in significant reduction in risk. Methods: A retrospective observational study of consecutive patients from 18 specialties undergoing elective or emergency surgery under general, spinal, or epidural anaesthetic over a 12-month study period was undertaken. Primary outcome measures were 30-day postoperative COVID-19 transmission rate and mortality. Secondary adjusted analyses were performed to ascertain hospital and Protected Elective Surgical Unit transmission rates. Results: Between 15 March 2020 and 14 March 2021, 9,925 patients underwent surgery: 6,464 (65.1%) elective, 5,116 (51.5%) female, and median age 57 (39–70). A total of 69.5% of all procedures were performed in Protected Elective Surgical Units. Overall, 30-day postoperative COVID-19 transmission was 2.8% (3.4% emergency vs 1.2% elective P 70, male sex, American Society of Anesthesiologists grade >2, and emergency surgery were all independently associated with mortality. Conclusion: This study has demonstrated that Protected Elective Surgical Units can facilitate high-volume elective surgical services throughout peaks of the COVID-19 pandemic while minimising viral transmission and mortality. However, mortality risk associated with perioperative COVID-19 infection remains high. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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