Dataset Information

A cohort study of 30 day mortality after NON-EMERGENCY surgery in a COVID-19 cold site.

ABSTRACT:

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.

SUBMITTER: Kasivisvanathan V

PROVIDER: S-EPMC7584883 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature

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Publications

A cohort study of 30 day mortality after NON-EMERGENCY surgery in a COVID-19 cold site.

Kasivisvanathan Veeru V Lindsay Jamie J Rakshani-Moghadam Sara S Elhamshary Ahmed A Kapriniotis Konstantinos K Kazantzis Georgios G Syed Bilal B Hines John J Bex Axel A Ho Daniel Heffernan DH Hayward Martin M Bhan Chetan C MacDonald Nicola N Clarke Simon S Walker David D Bellingan Geoff G Moore James J Rohn Jennifer J Muneer Asif A Roberts Lois L Haddad Fares F Kelly John D JD

International journal of surgery (London, England) 20201024

<h4>Background</h4>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.<h4>Methods</h4>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 st ...[more]

PMID: 33122153

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Dataset Information

A cohort study of 30 day mortality after NON-EMERGENCY surgery in a COVID-19 cold site.

Background

Methods

Results

Conclusion

Publications

A cohort study of 30 day mortality after NON-EMERGENCY surgery in a COVID-19 cold site.

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