scholarly journals TP5.2.7 COVAS: Assessing the impact of Covid-19 On VAscular Surgery: A Single Centre Experience

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Martin Michel ◽  
Fabio Stocco ◽  
Farihah Khaliq ◽  
Abdullah Bin Sahl ◽  
Annabel Stachan ◽  
...  
Keyword(s):  
Vascular Surgery ◽  
No Reduction ◽  
Varicose Veins ◽  
Temporal Artery ◽  
Activity Levels ◽  
Day Case ◽  
Single Centre ◽  
Single Centre Experience ◽  
The Impact ◽  
Access Surgery

Abstract Aims To quantify the impact Covid-19 has had on vascular surgery during the pandemic at our unit compared to previous operating activity levels at a single vascular centre. Methods Retrospective analysis of all vascular operations undertaken in the department dating from 11th March 2020 to 16th November 2020. Historical average data (HD) from the previous five years (2015-2019) over the same timeframe were then collected for comparison. Results During the Covid-19 pandemic 237 vascular operations were performed which represented a 48% operative reduction compared to average HD (454). 57 elective day-case procedures (varicose veins/temporal artery biopsies/renal access) were performed compared to a median of 259 from HD. Varicose vein surgery had an 79% reduction (37 vs 180). Renal access surgery was unaffected (15 vs 9). Major limb revascularisation procedures were reduced by 41% (36 vs 61) however this did not equate to any increase in amputation rates (79 vs 84). There was no reduction in carotid procedures performed during the pandemic (26 vs 30). There was a 60% (14 vs 35) reduction in all types of aneurysm procedures. Conclusion The Covid-19 pandemic has dramatically affected vascular surgery at our unit. In terms of arterial work the largest disparities compared to previous years was major revascularisation and aneurysm surgery. In respect to elective day case procedures, venous work has unsurprisingly been hardest hit which, once resources allow, will require significant provision to overcome the shortfall. This quantitative study can direct future service delivery and prepare for the post-pandemic recovery.

Day Case Varicose Vein Surgery: Patient Health Outcome

2001 ◽  
Vol 16 (4) ◽  
pp. 160-163
Author(s):  
K. J. Sweeney ◽  
T. Cheema ◽  
S. O'Keefe ◽  
S. Johnston ◽  
P. Burke ◽  
...  
Keyword(s):  
Physical Function ◽  
Varicose Vein ◽  
Varicose Veins ◽  
Well Being ◽  
Health Perception ◽  
Day Case ◽  
Varicose Vein Surgery ◽  
Population Norms ◽  
Patient Health ◽  
The Impact

Background: The success of day case varicose vein surgery (DCWS) is traditionally denned clinically. However, the patient's perception of his or her own health prior to and following DCWS has not been established. This study prospectively measured the health status of patients with varicose veins, compared this with established population norms and assessed the impact of DCWS on both general health perception and varicose vein symptoms. Method: Fifty-three consecutive patients undergoing DCWS over a 9 month period were enrolled in this study. The SF-36 health assessment questionnaire and a vein-symptom-specific questionnaire were administered on the morning of surgery, 7 weeks postoperatively and 1 year following surgery. All patients in this study underwent a standard varicose vein operation and followed a standard protocol of postoperative management. Results: DCWS population health scores were lower than general population norms preoperatively. There was a significant improvement in the 7 week postoperative group in physical function and health perception (p<0.05). One year after surgery physical function, health perception, mental health and physical role were significantly improved from preoperative scores (p<0.05). Symptom-specific scores demonstrated a sustained trend towards improvement over the postoperative year. Conclusion: Varicose veins are associated with diminished well-being. Day case varicose vein surgery improves patient health perception and symptoms and is the treatment of choice for suitable patients with varicose veins.

scholarly journals O-BN09 The impact of the Covid-19 pandemic on benign upper GI surgery: The first 12 months at a single centre

2021 ◽  
Vol 108 (Supplement_9) ◽  
Author(s):  
Martin Michel ◽  
Helen Fifer ◽  
Emily Moran ◽  
Felix Hammett ◽  
Clare Bonner ◽  
...  
Keyword(s):  
Waiting Times ◽  
World Health Organisation ◽  
Operative Management ◽  
Time Frame ◽  
World Health ◽  
Activity Levels ◽  
Single Centre ◽  
The Road ◽  
Upper Gi ◽  
The Impact

Abstract Background The road to recovery from the Covid-19 pandemic has started but no-one knows when it will end. 18 months on from the World Health Organisation declaring a global pandemic on the 11th March 2020 this has had a dramatic impact on both acute and elective hospital services. Whilst, quite rightly, the focus has been on prioritising cancer resections during the pandemic, many patients awaiting benign operations are facing lengthy waiting times. The aim of this study was to quantify the impact of the COVID-19 pandemic on benign upper GI surgery at a single centre compared to previous operating activity levels. Methods Retrospective analysis of computerised theatre records for the first 12 months of the pandemic (11th March 2020-11th March 2021) were compared to average historical data (HD) over the last five years (2015-2019) over the same time frame. Benign upper Gi operations included were cholecystectomy, anti-reflux/hiatus hernia repairs, cardiomyotomies and bariatric procedures. Results Conclusions The Covid-19 pandemic has dramatically affected benign upper GI surgery at our unit. Overall total operation numbers were down by 31% when compared to HD (440 vs 641). The largest deficit was in bariatrics where no bariatric surgery was performed during the first 12 months of the pandemic, which has restarted as of July 2021. There was also a 30% reduction in the number of cholecystectomies performed likely due to initial guidance recommending non-operative management at the start of the pandemic. Hiatal work numbers remained consistent. This quantitative study can direct future service delivery and help guide the post-pandemic recovery.

The Impact of DCD Heart Transplantation on the Waiting List: A Single Centre Experience

2019 ◽  
Vol 38 (4) ◽  
pp. S27-S28
Author(s):  
A. Page ◽  
R. Duehmke ◽  
S. Messer ◽  
S. Barra ◽  
M. Berman ◽  
...  
Keyword(s):  
Heart Transplantation ◽  
Waiting List ◽  
Single Centre ◽  
Single Centre Experience ◽  
The Impact

scholarly journals 42Atrial fibrillation ablation as a day-case procedure: three-year single-centre experience

EP Europace ◽  
2017 ◽  
Vol 19 (suppl_1) ◽  
pp. i19-i19 ◽  
Author(s):  
S Bartoletti ◽  
M Mann ◽  
A Khan ◽  
A Sahni ◽  
M El-Kadri ◽  
...  
Keyword(s):  
Day Case ◽  
Single Centre ◽  
Single Centre Experience

scholarly journals PTH-152 Nurse Delivered day Case Paracentesis - a Single Centre Experience

Gut ◽  
2013 ◽  
Vol 62 (Suppl 1) ◽  
pp. A273.1-A273
Author(s):  
L Tobin ◽  
O D Patani ◽  
S Hood ◽  
R Sturgess ◽  
N Stern
Keyword(s):  
Day Case ◽  
Single Centre ◽  
Single Centre Experience
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