scholarly journals SP726OUTCOMES IN PATIENTS RECEIVING DIALYSIS FOR END STAGE RENAL FAILURE WITH FRACTURED NECK OF FEMUR: A 5-YEAR REVIEW OF CASES FROM A DISTRICT GENERAL HOSPITAL IN THE UNITED KINGDOM

2015 ◽  
Vol 30 (suppl_3) ◽  
pp. iii618-iii618
Author(s):  
Oscar Swift ◽  
Anouska Ayub ◽  
Suresh Mathavakkannan ◽  
Nick de Roeck
Keyword(s):  
Renal Failure ◽  
United Kingdom ◽  
General Hospital ◽  
District General Hospital ◽  
Fractured Neck Of Femur ◽  
Neck Of Femur ◽  
End Stage Renal Failure ◽  
The United Kingdom ◽  
End Stage

The Demography of CAPD in Europe

1984 ◽  
Vol 4 (2_suppl) ◽  
pp. 80-84 ◽  
Author(s):  
AJ Wing ◽  
R Moore ◽  
FP Brunner ◽  
C Jacobs ◽  
P Kramer ◽  
...  
Keyword(s):  
Renal Failure ◽  
United Kingdom ◽  
European Countries ◽  
Eastern European ◽  
End Stage Renal Failure ◽  
The United Kingdom ◽  
National Programmes ◽  
Different Populations ◽  
Eastern European Countries ◽  
End Stage

Five per cent of European patients on therapy for end stage renal failure and reported to the EDTA Registry were treated by CAPD on 31st December, 1982. The percentage varied between 12.7% in the United Kingdom to less than 1% in Eastern European countries. In the total area covered by the Registry (population 574 millions) 5.6 patients pmp commenced CAPD during 1982. Commencements reached 18.9 pmp in Switzerland, 17.4 pmp in the United Kingdom and 9.8 pmp in Italy. National programmes of CAPD fulfil different roles in the pattern of RRT and select different populations of patients. Therefore comparisons of the results achieved have not been made.

scholarly journals Errata

1985 ◽  
Vol 1 (3) ◽  
pp. 776-776
Keyword(s):  
Renal Failure ◽  
United Kingdom ◽  
Home Dialysis ◽  
End Stage Renal Failure ◽  
The United Kingdom ◽  
End Stage

The following are corrections to the table in Note 4 (page 50) of the article End-Stage Renal Failure and the Aged in the United Kingdom by Thomas Halper, which appeared in Volume 1, Number 1, of the Journal:1. In 3rd column (“Subsequent Years”), for £31,650 substitute £13,650.2. “Failed transplant”—the range of costs reflects different graft life as well as different dialysis costs: the parentheses should also contain “or 196 days of working graft followed by 169 days of home dialysis.”3. “Source”—this should read “ … is based upon a sample of 24 patients from each of three renal centers… .” (NB the “each,” viz. 72 patients in all).

Survey of Continuous Ambulatory Peritoneal Dialysis in the United Kingdom, 1982

1984 ◽  
Vol 4 (4) ◽  
pp. 240-243 ◽  
Author(s):  
Ram Gokal ◽  
Frank P. Marsh
Keyword(s):  
Renal Failure ◽  
United Kingdom ◽  
Peritoneal Dialysis ◽  
Continuous Ambulatory Peritoneal Dialysis ◽  
End Stage Renal Failure ◽  
Results Of Treatment ◽  
The United Kingdom ◽  
Considerable Morbidity ◽  
End Stage ◽  
Technique Failure

Forty -one adult renal units undertaking continuous ambulatory peritoneal dialysis (CAPD) in the United Kingdom answered a questionnaire about available facilities and their own practices. The responses suggest that many units are struggling with unsatisfactory environmental facilities and inadequate staff. Working methods, diagnostic facilities and therapeutic policies varied considerably from unit to unit. We need more information about the influence of such variables on the results of CAPD and its complications, particularly peritonitis. The use of CAPO for the management of end-stage renal failure in the United Kingdom has increased dramatically since its introduction in 1978 (I, 2). Although statistics from the European Dialysis and Transplant Association (EDT A) revealed a high technique failure rate and considerable morbidity from catheter and peritonitis problems (2, 3), individual units have reported better results (4, 5, 6). Discussion with nephrologists in the United Kingdom suggested that there were marked differences between renal units in the techniques used and the facilities available for the practice of CAPD, and that these might be reflected in the results of treatment. Therefore, we circulated a questionnaire to the 59 dialysis units in the United Kingdom requesting information concerning their facilities, practices, and the ways in which they diagnosed and managed CAPD-related infection in 1982. Replies were received from 52 units; of these six were not using CAPD and five others were pediatric centres. The questionnaires from the remaining 41 adult renal units were analysed for this report.

scholarly journals O33 Outcomes of patients undergoing emergency surgery during the first phase of national lockdown in the United Kingdom due to COVID-19 pandemic: experience at a district general hospital

2021 ◽  
Vol 108 (Supplement_5) ◽  
Author(s):  
W Luo ◽  
R Limb ◽  
A Aslam ◽  
R Kattimani ◽  
D Karthikappallil ◽  
...  
Keyword(s):  
United Kingdom ◽  
Length Of Stay ◽  
General Hospital ◽  
Postoperative Mortality ◽  
District General Hospital ◽  
National Guidelines ◽  
Fractured Neck Of Femur ◽  
The United Kingdom ◽  
Significant Difference ◽  
The Impact

Abstract Introduction This study aimed to assess the impact of the COVID-19 pandemic on emergency operations during the first phase of lockdown in the United Kingdom, compared to the equivalent population in the same calendar period in 2019. Method We retrospectively reviewed patients undergoing surgery in emergency theatres at our district general hospital between March 23rd and May 11th in 2019 and 2020. Data collected included demographics, National Confidential Enquiry into Patient Outcome and Death (NCEPOD) category and procedure. The primary outcome was 90-day post-operative mortality; secondary outcomes included time to intervention and length of inpatient stay. Result 132 patients (2020) versus 141 (2019) patients were included with no significant difference in age (P = 0.676), sex (P = 0.230), or overall 90-day postoperative mortality (P = 0.196). Notably, time to intervention was faster for NCEPOD code 3 patients in 2020 than 2019 (P = 0.027). Time to intervention in 2020 was longer for those dying within 90 days post-operatively compared to survivors (P = 0.02). There was no difference in length of stay between years, both overall and when comparing subgroups by NCEPOD category or procedures (fractured neck of femur (P = 0.776), laparoscopies (P = 0.866), laparotomies (P = 0.252)), except for upper limb trauma (P = 0.007). Conclusion This study is amongst the first describing the general case mix in emergency theatres in the UK. Patient pre-operative characteristics and demographics did not change. Our data confirms patient prioritisation according to NCEPOD recommendations and streamlining of surgical services, with no difference in overall mortality, time to intervention or length of stay compared to 2019. Take-home Message At this district general hospital, patients were appropriately prioritised, and our results show adaptation of hospital practice to emerging national guidelines during the first phase of lockdown. A national validation audit assessing morbidity and mortality outcomes for all NCEPOD patients may be facilitate further understanding of risks posed to patients requiring urgent surgery during these unprecedented times.

Commentary

1985 ◽  
Vol 1 (1) ◽  
pp. 53-55
Author(s):  
A. J. Wing
Keyword(s):  
Renal Failure ◽  
United Kingdom ◽  
Renal Replacement Therapy ◽  
High Risk ◽  
Replacement Therapy ◽  
Medical Resources ◽  
End Stage Renal Failure ◽  
The United Kingdom ◽  
Risk Patients ◽  
End Stage

Tom Halper is not the only American who has been looking at the rationing of renal replacement therapy in the United Kingdom. All are appalled at the denial of effective lifesaving therapy to elderly and high-risk patients, such as diabetics, with end stage renal failure (1). Some realize that the rationing practiced in the United Kingdom today may have to be applied in other countries tomorrow (2). Medical resources are not unlimited (3).

Sign in / Sign up

Export Citation Format

Share Document