A high-volume ERCP service led by surgeons is associated with good outcomes and meets national key performance indicators: results from a British district general hospital

Author(s):  
Henry D. De’Ath ◽  
Sathyan Nagendram ◽  
Eleanor Smith ◽  
Mohamed Ramadan ◽  
Darmarajah Veeramootoo ◽  
...  
2018 ◽  
Vol 55 ◽  
pp. S37
Author(s):  
S. Joshi ◽  
J. Rosales Lopez ◽  
N. Jeyavel ◽  
S. Hickin ◽  
A. Zeitlin ◽  
...  

2018 ◽  
Vol 81 (5) ◽  
pp. 432-438 ◽  
Author(s):  
Anish Jacob Cherian ◽  
Siddhartha Chakravarthy ◽  
Noamaan Muhammed ◽  
Suchitra Chinadurai ◽  
Mahasampath Gowri ◽  
...  

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
U Zahoor ◽  
C Malik ◽  
H Raja ◽  
S Ramaraju ◽  
K Sri-Ram

Abstract Introduction The coronavirus pandemic (COVID-19) has presented orthopaedic services with new challenges across all aspects of healthcare delivery. This study explores the effect of the COVID-19 lockdown on trauma admissions at a London District General Hospital. Method Data was collected retrospectively from electronic patient records during the lockdown period (16th March -30thApril 2020) and compared to the same dates in 2019. Patient age, date and time of admission, operation and anaesthesia timings and length of stay (LOS) were analysed. Results Fewer trauma patients were admitted in 2020 (108 vs. 65). Additionally, there was a patient demographics shift, with mean age increasing from 55.6 years to 64.1 years (p = 0.038). Falls remained the leading cause of injury, although the proportion dropped from 75% to 62%. Anaesthesia duration was longer in 2020 (136 vs 83 minutes, p < 0.00001). Similarly, there was a 13.6% increase in median operation length. Finally, although LOS was similar, admission-operation was greatly reduced in 2020 (1.22 days vs 4.74, p < 0.0000001). Conclusions Orthopaedic trauma care remains a vital service, particularly in high-volume hospitals. By understanding the effects of the lockdown on trauma admissions, healthcare managers can more effectively plan for future changes in non-emergent trauma service delivery as we move towards easing lockdown restrictions.


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