Skip to main content

Research Repository

Advanced Search

Planned surgery in the COVID-19 pandemic: a prospective cohort study from Nottingham

Catton, J.; Banerjea, A.; Gregory, S.; Hall, C.; Crooks, Cj; Lewis-Lloyd, Ca; Marshall, A.; Humes, Dj

Planned surgery in the COVID-19 pandemic: a prospective cohort study from Nottingham Thumbnail


Authors

J. Catton

A. Banerjea

S. Gregory

C. Hall

Ca Lewis-Lloyd

A. Marshall

DAVID HUMES david.humes@nottingham.ac.uk
Clinical Associate Professor



Abstract

Purpose
Globally planned surgical procedures have been deferred during the current COVID-19 pandemic. The study aimed to report the outcomes of planned urgent and cancer cases during the current pandemic using a multi-disciplinary prioritisation group.

Methods
A prospective cohort study of patients having urgent or cancer surgery at a NHS Trust from 1st March to 30th April 2020 who had been prioritised by a multi-disciplinary COVID Surgery group. Rates of post-operative PCR positive and suspected COVID-19 infections within 30 days, 30-day mortality and any death related to COVID-19 are reported.

Results
Overall 597 patients underwent surgery with a median age of 65 years (interquartile range (IQR) 54–74 years). Of these, 86.1% (514/597) had a current cancer diagnosis. During the period, 60.8% (363/597) of patients had surgery at the NHS Trust whilst 39.2% (234/597) had surgery at Independent Sector hospitals. The incidence of COVID-19 in the East Midlands was 193.7 per 100,000 population during the study period. In the 30 days following surgery, 1.3% (8/597) of patients tested positive for COVID-19 with all cases at the NHS site. Overall 30-day mortality was 0.7% (4/597). Following a PCR positive COVID-19 diagnosis, mortality was 25.0% (2/8). Including both PCR positive and suspected cases, 3.0% (18/597) developed COVID-19 infection with 1.3% at the independent site compared to 4.1% at the NHS Trust (p=0.047).

Conclusions
Rates of COVID-19 infection in the post-operative period were low especially in the Independent Sector site. Mortality following a post-operative diagnosis of COVID-19 was high.

Citation

Catton, J., Banerjea, A., Gregory, S., Hall, C., Crooks, C., Lewis-Lloyd, C., …Humes, D. (2021). Planned surgery in the COVID-19 pandemic: a prospective cohort study from Nottingham. Langenbeck's Archives of Surgery, 406, 2469-2477. https://doi.org/10.1007/s00423-021-02207-8

Journal Article Type Article
Acceptance Date May 16, 2021
Online Publication Date Jun 15, 2021
Publication Date Jun 15, 2021
Deposit Date Jun 10, 2021
Publicly Available Date Mar 29, 2024
Journal Langenbeck's Archives of Surgery
Print ISSN 1435-2443
Electronic ISSN 1435-2451
Publisher Springer Science and Business Media LLC
Peer Reviewed Peer Reviewed
Volume 406
Pages 2469-2477
DOI https://doi.org/10.1007/s00423-021-02207-8
Keywords Upper GI . Lower GI . HPB . COVID-19 . Mortality
Public URL https://nottingham-repository.worktribe.com/output/5653695
Publisher URL https://link.springer.com/article/10.1007%2Fs00423-021-02207-8

Files




You might also like



Downloadable Citations