@article { , title = {Patient characteristics, anaesthetic workload and techniques in the UK: an analysis from the 7th National Audit Project (NAP7) activity survey}, abstract = {Detailed contemporary knowledge of the characteristics of the surgical population, national anaesthetic workload, anaesthetic techniques and behaviours are essential to monitor productivity, inform policy and direct research themes. Every 3–4 years, the Royal College of Anaesthetists, as part of its National Audit Projects (NAP), performs a snapshot activity survey in all UK hospitals delivering anaesthesia, collecting patient-level encounter data from all cases under the care of an anaesthetist. During November 2021, as part of NAP7, anaesthetists recorded details of all cases undertaken over 4 days at their site through an online survey capturing anonymous patient characteristics and anaesthetic details. Of 416 hospital sites invited to participate, 352 (85\%) completed the activity survey. From these, 24,177 reports were returned, of which 24,172 (99\%) were included in the final dataset. The work patterns by day of the week, time of day and surgical specialty were similar to previous NAP activity surveys. However, in non-obstetric patients, between NAP5 (2013) and NAP7 (2021) activity surveys, the estimated median age of patients increased by 2.3 years from median (IQR) of 50.5 (28.4–69.1) to 52.8 (32.1–69.2) years. The median (IQR) BMI increased from 24.9 (21.5–29.5) to 26.7 (22.3–31.7) kg.m–2. The proportion of patients who scored as ASA physical status 1 decreased from 37\% in NAP5 to 24\% in NAP7. The use of total intravenous anaesthesia increased from 8\% of general anaesthesia cases to 26\% between NAP5 and NAP7. Some changes may reflect the impact of the COVID-19 pandemic on the anaesthetic population, though patients with confirmed COVID-19 accounted for only 149 (1\%) cases. These data show a rising burden of age, obesity and comorbidity in patients requiring anaesthesia care, likely to impact UK peri-operative services significantly.}, doi = {10.1111/anae.15989}, eissn = {1365-2044}, issn = {0003-2409}, issue = {6}, journal = {Anaesthesia}, note = {Need to add volume, issue, pagination}, pages = {701-711}, publicationstatus = {Published}, publisher = {Wiley}, url = {https://nottingham-repository.worktribe.com/output/18226896}, volume = {78}, keyword = {Activity survey, anaesthesia, ASA, BMI, comorbidity, COVID-19, NAP7, obesity, processed EEG, regional anaesthesia, surgical activity, TIVA}, year = {2023}, author = {Kane, A. D. and Soar, J. and Armstrong, R. A. and Kursumovic, E. and Davies, M. T. and Oglesby, F. C. and Cortes, L. and Taylor, C. and Moppett, I. K. and Agarwal, S. and Cordingley, J. and Dorey, J. and Finney, S. J. and Kunst, G. and Lucas, D. N. and Nickols, G. and Mouton, R. and Nolan, J. P. and Patel, B. and Pappachan, V. J. and Plaat, F. and Scholefield, B. R. and Smith, J. H. and Varney, L. and Cook, T. M. and Hood, Julian and Collaborators, and Deane, Marie and George, Richard and Qadri, Shabir and Chaurasia, Sunil and Gohil, Bhavesh and Yogarajah, Amieth and Ross‐Anderson, Davina and Chitre, Sadanand and Kaliappan, Agilan and Namjoshi, Gyanesh and Nain, Naveen and Kaliappan, Agilan and Kohli, Gagan and Carver, Ed and Murali, Naveen Canchi and Pilsbury, Jane and Zabauski, Dzmitry and Corsan, Sarah and Craske, David and Size, Matthew and Stott, Denise and Hutchings, Peter and Georgieva, Milena and Dunn, Juliet and Kotecha, Ami and Harrison, Stephen and Hutchison, Graham and Perritt, Elizabeth and Gibson, Kim and Thimapa, Jothika and Janarthanan, Chandrasekar and Hamilton, David and Ashok, Sundar and Ail, Dhiraj and Bassilious, Baher and Farid, Ashraf Fakhry and Gray, Martin and The, Ewe and Gorman, Andrew and Kapoor, Ritoo and Katyayani, Katyayani and Pennimpede, Michele and Clarke, Timothy John and Adams, Joe and King, Siobhan and Hills, Kieran and Akioyame, Martin and Katawala, Tasneem and Gardner, Martin and Thorning, Geoff and Moghal, Arif and Shawki, Burhan and Pickworth, Sharon and Kaskos, Husam and McClintock, Ian and Devlin, Robert and Ravindran, Manoj and Knight, Tom and Price, Caroline and Cohen, Marc and Stone, Julian and Nicholson, Katy and Blaise, Benjamin and El‐Boghdadly, Kariem and Wong, Danny and Bidd, Heena and Wilson, Samantha and Ibbotson, Alicia and Kant, Abhinav and Farag, Shenouda and Shinde, Priya and Roberts, Steve and Burrow, James and Kailainathan, Pungavi} }