1. Changes in Emergency General Surgery During Covid-19 in Scotland: A Prospective Cohort Study
- Author
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Lachlan Dick, Jasmine Brown, Richard Cassidy, Martin Berlansky, Salasiah Othman, James Green, and Ewan D. Kennedy
- Subjects
Adult ,Male ,medicine.medical_specialty ,Original Scientific Report ,Coronavirus disease 2019 (COVID-19) ,Pneumonia, Viral ,030230 surgery ,Hospitals, General ,Patient Readmission ,Betacoronavirus ,03 medical and health sciences ,COVID-19 Testing ,Patient Admission ,0302 clinical medicine ,medicine ,Operating time ,Humans ,Prospective Studies ,Practice Patterns, Physicians' ,Prospective cohort study ,Pandemics ,Aged ,Clinical Laboratory Techniques ,SARS-CoV-2 ,business.industry ,General surgery ,COVID-19 ,Middle Aged ,Vascular surgery ,Hospitals, District ,medicine.disease ,Appendicitis ,Cardiac surgery ,Scotland ,Cardiothoracic surgery ,General Surgery ,Surgical Procedures, Operative ,030220 oncology & carcinogenesis ,Female ,Surgery ,Emergencies ,Coronavirus Infections ,business ,Abdominal surgery - Abstract
Introduction Covid-19 has had a significant impact on all aspects of health care. We aimed to characterise the trends in emergency general surgery at a district general hospital in Scotland. Methods A prospective cohort study was performed from 23/03/20 to 07/05/20. All emergency general surgery patients were included. Demographics, diagnosis and management were recorded along with Covid-19 testing and results. Thirty-day mortality and readmission rates were also noted. Similar data were collected on patients admitted during the same period in 2019 to allow for comparison. Results A total of 294 patients were included. There was a 58.3 per cent reduction in admissions when comparing 2020 with 2019 (85 vs 209); however, there was no difference in age (53.2 vs 57.2 years, p = 0.169) or length of stay (4.8 vs 3.7 days, p = 0.133). During 2020, the diagnosis of appendicitis increased (4.3 vs 18.8 per cent, p = grade 1 vs 58.3 per cent > grade 1, p =
- Published
- 2020
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