ArticleWorld journal of surgery2020
Changes in Emergency General Surgery During Covid-19 in Scotland: A Prospective Cohort Study.
Article in World journal of surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.
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Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Development of Telemedicine and eHealth in Surgery during the SARS-CoV-2 Pandemic.International journal of environmental research and public health · 2021Pooled it
- System dynamics modeling to predict hospitalization costs in adults with inguinal hernia: a single-centre study.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- IMPACT OF COVID-19 ON HAND AND WRIST ORTHOPEDIC SURGERIES IN A PRIVATE SERVICE.Acta ortopedica brasileira · 2025Article
- Chronic Obstructive Pulmonary Disease Mortality and Hospitalization during the COVID-19 Pandemic Compared with before the Pandemic: A Systematic Review and Meta-Analysis.Journal of personalized medicine · 2024Review
- Acute care pathway assessed through performance indicators during the COVID-19 pandemic in OECD countries (2020-2021): a scoping review.BMC emergency medicine · 2024Article
- Article
- PLANNING TO 'NEW NORMAL' DURING COVID-19 PANDEMIC AT GENERAL SURGERY DEPARTMENT: A TURKEY EXPERIENCE.Acta clinica Croatica · 2023Article
- Article
- Necrotising Fasciitis During the COVID-19 Pandemic: An Australian Hospital Network Experience.World journal of surgery · 2023Article
- Increased Surgical Delays Seen During the COVID-19 Pandemic in a Regional Referral Hospital in Soroti, Uganda: Perspective from a Low-Resource Setting.World journal of surgery · 2023Article
- Epidemiology and Outcome of Acute Appendicitis during and before the COVID-19 Pandemic: A Retrospective Single-Center Analysis.Medicina (Kaunas, Lithuania) · 2023Observational
- Variations in clinical course and surgical outcomes of acute appendicitis during COVID-19 Pandemic: a multicenter cohort study.BMC surgery · 2023Article
- The Consequences of the COVID-19 Pandemic on Emergency Surgery for Colorectal Cancer.International journal of environmental research and public health · 2023Article
- Emergencies do not shut down during a pandemic: COVID pandemic impact on Acute Care Surgery volume and mortality at a level I trauma center.American journal of surgery · 2022Article
- Performance of qSOFA, SIRS, and the qSOFA + SIRS combinations for predicting 30-day adverse outcomes in patients with suspected infection.Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2022Article
- Exploring the Trends of Acute Appendicitis Following Recovery or Vaccination From COVID-19.The Journal of surgical research · 2022Article
- Emergency hospital admissions, prognosis, and population mortality in Norway during the first wave of the Covid-19 epidemic.Scandinavian journal of public health · 2022Article
- Acute Biliary Pancreatitis Management during the Coronavirus Disease 2019 Pandemic.Healthcare (Basel, Switzerland) · 2022Article
- Multicenter cohort study on the presentation and treatment of acute appendicitis during the COVID-19 pandemic.International journal of colorectal disease · 2022Article
- Analysis of appendicitis management during COVID-19 pandemic: A study of Chinese adult cohorts.Frontiers in surgery · 2022Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionCovid-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.
methodsA 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.
resultsA 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 = < 0.05) as did severity (0 per cent > grade 1 vs 58.3 per cent > grade 1, p = < 0.05). The proportion of patients undergoing surgery increased (19.1 vs 42.3 per cent, p = < 0.05) as did the mean operating time (102.4 vs 145.7 min, p = < 0.05). Surgery was performed in 1 confirmed and 1 suspected Covid-19 patient. The latter died within 30 days. There were no 30-day readmissions with Covid-19 symptoms.
conclusionCovid-19 has significantly impacted the number of admissions to emergency general surgery. However, emergency operating continues to be needed at pre-Covid-19 levels and as such provisions need to be made to facilitate this.
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