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  • Talk
  • 22/09/2021
  • UK

Safety of Emergency, Elective and Day Case Operating During the Winter Period at East Suffolk and North Essex NHS Foundation Trust: Lessons from the Outcomes of 4,254 surgical patients from the First COVID-19 Wave 

Description

In a presentation focused on the impact of COVID-19 on elective surgeries, SUNNY PARIKH discusses the uncertainties faced by the East of England healthcare during the summer of 2020, post-first wave of the pandemic. Highlighting the increase of waiting lists and a desperate need for elective surgeries, he outlines the complexities of patient safety amid limited data and emerging guidelines. The retrospective study conducted at Colchester, Ipswich, and independent hospitals between March and May 2020 examined COVID infection rates among 4,254 surgical patients, revealing significant findings regarding infection and mortality rates.



Key points include a modest infection rate of 0.92% among all patients, with a mortality rate of 0.99%, where all COVID-related deaths occurred in emergency cases rather than elective surgeries. The study emphasized the relative safety of daycase surgeries, which had a mortality rate of only 0.14%. A critical takeaway was identifying vulnerable patient groups who needed additional precautions, shaping future surgical protocols.



PARIKH also reflects on the importance of continuously monitoring infection rates and mortality to make timely adjustments in surgical procedures. The discussion extends to audience engagement, addressing queries regarding patient segregation in settings with varied COVID risk profiles, emphasizing the differentiated approach taken in independent versus general hospitals. Overall, PARIKH's findings contribute significantly to the ongoing conversation on maintaining surgical services safely in the pandemic's context.

DOI: 10.1302/3114-221605

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