[HTML][HTML] A cohort study of 30 day mortality after NON-EMERGENCY surgery in a COVID-19 cold site
V Kasivisvanathan, J Lindsay… - International Journal of …, 2020 - Elsevier
V Kasivisvanathan, J Lindsay, S Rakshani-Moghadam, A Elhamshary, K Kapriniotis…
International Journal of Surgery, 2020•ElsevierBackground Two million non-emergency surgeries are being cancelled globally every week
due to the COVID-19 pandemic, which will have a major impact on patients and healthcare
systems. Methods During the peak of the pandemic in the United Kingdom, we set up a
multicentre cancer network amongst 14 National Health Service institutions, performing
urological, thoracic, gynaecological and general surgical urgent and cancer operations at a
central COVID-19 cold site. This is a cohort study of 500 consecutive patients undergoing …
due to the COVID-19 pandemic, which will have a major impact on patients and healthcare
systems. Methods During the peak of the pandemic in the United Kingdom, we set up a
multicentre cancer network amongst 14 National Health Service institutions, performing
urological, thoracic, gynaecological and general surgical urgent and cancer operations at a
central COVID-19 cold site. This is a cohort study of 500 consecutive patients undergoing …
Background
Two million non-emergency surgeries are being cancelled globally every week due to the COVID-19 pandemic, which will have a major impact on patients and healthcare systems.
Methods
During the peak of the pandemic in the United Kingdom, we set up a multicentre cancer network amongst 14 National Health Service institutions, performing urological, thoracic, gynaecological and general surgical urgent and cancer operations at a central COVID-19 cold site. This is a cohort study of 500 consecutive patients undergoing surgery in this network.
The primary outcome was 30-day mortality from COVID-19. Secondary outcomes included all-cause mortality and post-operative complications at 30-days.
Results
500 patients underwent surgery with median age 62.5 (IQR 51–71). 65% were male, 60% had a known diagnosis of cancer and 61% of surgeries were considered complex or major. No patient died from COVID-19 at 30-days. 30-day all-cause mortality was 3/500 (1%). 10 (2%) patients were diagnosed with COVID-19, 4 (1%) with confirmed laboratory diagnosis and 6 (1%) with probable COVID-19. 33/500 (7%) of patients developed Clavien-Dindo grade 3 or higher complications, with 1/33 (3%) occurring in a patient with COVID-19.
Conclusion
It is safe to continue cancer and urgent surgery during the COVID-19 pandemic with appropriate service reconfiguration.
Elsevier
以上显示的是最相近的搜索结果。 查看全部搜索结果