About: Clinical activity and outcomes during Geelong's general surgery response to the coronavirus disease 2019 pandemic

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About: Clinical activity and outcomes during Geelong's general surgery response to the coronavirus disease 2019 pandemic Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
title	Clinical activity and outcomes during Geelong's general surgery response to the coronavirus disease 2019 pandemic
Creator	Acca, Bscexsc, ; Drysdale, H Drysdale, Henry Guest, ; Guest, Glenn Nagra, Nagra, Sonal Ooi, ; Ooi, Sally Response, Covid-19 Surg, Mmed Surgical, Geelong Watters Chm, D Watters, David
source	Medline; PMC
abstract	BACKGROUND: The response to the coronavirus disease 2019 pandemic has required conserving capacity and resources to avoid the health sector being overwhelmed. This paper describes Geelong's general surgical response, surgical activity, outcomes and the effect on surgical training. METHODS: Data collected from surgical audits; hospital databases and patient's medical records were used to compare the first 7 weeks of our new service delivery (30 March to 17 May 2020) to the corresponding 7 weeks in 2019 (1 April 2019 to 19 May 2019). All surgical cases, morbidity and mortality were discussed at weekly surgical audit meetings conducted by videoconference. Treatment performance indicators were tested by chi‐squared test for proportions, and by Student's t‐test or Mann–Whitney test for continuous variables. RESULTS: Elective general surgery decreased by 45.9% but an essential service was maintained by substantially increasing our public in private operating to perform 81 cases. Despite a 30% decrease in emergency department presentations, general surgery admissions decreased only 6.1% while emergency operations increased 13.9%. We used telehealth to conduct 81.3% of outpatient appointments and 61.8% of pre‐operative anaesthetic reviews. No significant differences were found for overall surgical outcomes, including appendicectomy (perforation rates) and laparotomy (length of stay and morbidity). Operative exposure for trainees was maintained. CONCLUSION: Geelong was able to provide a safe and effective general surgery service during the first 7 weeks of the coronavirus disease 2019 pandemic. There are some valuable lessons which could be adopted elsewhere in the event of a surge or second wave of cases.
has issue date	2020-08-11(xsd:dateTime)
bibo:doi	10.1111/ans.16207
bibo:pmid	32783337
has license	no-cc
sha1sum (hex)	997fc48311d9bcdf4098cff2accf702f27f3d989
schema:url	https://doi.org/10.1111/ans.16207
resource representing a document's title	Clinical activity and outcomes during Geelong's general surgery response to the coronavirus disease 2019 pandemic
has PubMed Central identifier	PMC7436652
has PubMed identifier	32783337
schema:publication	ANZ J Surg
resource representing a document's body	covid:997fc48311d9bcdf4098cff2accf702f27f3d989#body_text
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