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10.1097/TA.0000000000003202 http://scihub22266oqcxt.onion/10.1097/TA.0000000000003202 34144567!8218982!34144567     free     free     free Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\34144567.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117       J+Trauma+Acute+Care+Surg 2021 ; 91 (1): 241-246 Nephropedia Template TP {{tp|p=34144567|t=2021. Do surgical emergencies stay at home? Observations from the first United States Coronavirus epicenter |pdf=|usr=}}{{34144567}} gab.com Text Do surgical emergencies stay at home Observations from the first United States Coronavirus epicenter JO: J Trauma Acute Care Surg http://www.kidney.de/pget.php?&tw=1&pmid=34144567 #FOAvip BACKGROUND: During the coronavirus disease 2019 pandemic, New York instituted a statewide stay-at-home mandate to lower viral transmission. While public health guidelines advised continued provision of timely care for patients, disruption of safety-net health care and public fear have been proposed to be related to indirect deaths because of delays in presentation. We hypothesized that admissions for emergency general surgery (EGS) diagnoses would decrease during the pandemic and that mortality for these patients would increase. METHODS: A multicenter observational study comparing EGS admissions from January to May 2020 to 2018 and 2019 across 11 NYC hospitals in the largest public health care system in the United States was performed. Emergency general surgery diagnoses were defined using International Classification Diseases, Tenth Revision, codes and grouped into seven common diagnosis categories: appendicitis, cholecystitis, small/large bowel, peptic ulcer disease, groin hernia, ventral hernia, and necrotizing soft tissue infection. Baseline demographics were compared including age, race/ethnicity, and payor status. Outcomes included coronavirus disease (COVID) status and mortality. RESULTS: A total of 1,376 patients were admitted for EGS diagnoses from January to May 2020, a decrease compared with both 2018 (1,789) and 2019 (1,668) (p < 0.0001). This drop was most notable after the stay-at-home mandate (March 22, 2020; week 12). From March to May 2020, 3.3%, 19.2%, and 6.0% of EGS admissions were incidentally COVID positive, respectively. Mortality increased in March to May 2020 compared with 2019 (2.2% vs. 0.7%); this difference was statistically significant between April 2020 and April 2019 (4.1% vs. 0.9%, p = 0.045). CONCLUSION: Supporting our hypothesis, the coronavirus disease 2019 pandemic and subsequent stay-at-home mandate resulted in decreased EGS admissions between March and May 2020 compared with prior years. During this time, there was also a statistically significant increase in mortality, which peaked at the height of COVID infection rates in our population. LEVEL OF EVIDENCE: Epidemiological, level IV. Twit Text FOAVip Do surgical emergencies stay at home Observations from the first United States Coronavirus epicenter ????J Trauma Acute Care Surg http://www.kidney.de/pget.php?&tw=1&pmid=34144567 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=34144567 #FOAvip English Wikipedia <ref>{{Cite pmid|34144567}}</ref> Do surgical emergencies stay at home? Observations from the first United States Coronavirus epicenter #MMPMID34144567 Dong CT; Liveris A; Lewis ER; Mascharak S; Chao E; Reddy SH; Teperman SH; McNelis J; Stone ME Jr J Trauma Acute Care Surg 2021[Jul]; 91 (1): 241-246 PMID34144567show ga BACKGROUND: During the coronavirus disease 2019 pandemic, New York instituted a statewide stay-at-home mandate to lower viral transmission. While public health guidelines advised continued provision of timely care for patients, disruption of safety-net health care and public fear have been proposed to be related to indirect deaths because of delays in presentation. We hypothesized that admissions for emergency general surgery (EGS) diagnoses would decrease during the pandemic and that mortality for these patients would increase. METHODS: A multicenter observational study comparing EGS admissions from January to May 2020 to 2018 and 2019 across 11 NYC hospitals in the largest public health care system in the United States was performed. Emergency general surgery diagnoses were defined using International Classification Diseases, Tenth Revision, codes and grouped into seven common diagnosis categories: appendicitis, cholecystitis, small/large bowel, peptic ulcer disease, groin hernia, ventral hernia, and necrotizing soft tissue infection. Baseline demographics were compared including age, race/ethnicity, and payor status. Outcomes included coronavirus disease (COVID) status and mortality. RESULTS: A total of 1,376 patients were admitted for EGS diagnoses from January to May 2020, a decrease compared with both 2018 (1,789) and 2019 (1,668) (p < 0.0001). This drop was most notable after the stay-at-home mandate (March 22, 2020; week 12). From March to May 2020, 3.3%, 19.2%, and 6.0% of EGS admissions were incidentally COVID positive, respectively. Mortality increased in March to May 2020 compared with 2019 (2.2% vs. 0.7%); this difference was statistically significant between April 2020 and April 2019 (4.1% vs. 0.9%, p = 0.045). CONCLUSION: Supporting our hypothesis, the coronavirus disease 2019 pandemic and subsequent stay-at-home mandate resulted in decreased EGS admissions between March and May 2020 compared with prior years. During this time, there was also a statistically significant increase in mortality, which peaked at the height of COVID infection rates in our population. LEVEL OF EVIDENCE: Epidemiological, level IV. |Acute Disease/mortality/therapy[MESH] |Adolescent[MESH] |Adult[MESH] |Aged[MESH] |Aged, 80 and over[MESH] |Appendicitis/diagnosis/mortality/surgery[MESH] |COVID-19/diagnosis/epidemiology/*prevention & control/transmission[MESH] |Cholecystitis/diagnosis/mortality/surgery[MESH] |Emergencies/*epidemiology[MESH] |Emergency Service, Hospital[MESH] |Hernia, Inguinal/diagnosis/mortality/surgery[MESH] |Hernia, Ventral/diagnosis/mortality/surgery[MESH] |Hospital Mortality/*trends[MESH] |Humans[MESH] |Male[MESH] |Middle Aged[MESH] |Necrosis/diagnosis/mortality/surgery[MESH] |New York/epidemiology[MESH] |Pandemics/prevention & control[MESH] |Patient Admission/*statistics & numerical data/trends[MESH] |Peptic Ulcer/diagnosis/mortality/surgery[MESH] |Retrospective Studies[MESH] |SARS-CoV-2/isolation & purification[MESH] |Soft Tissue Infections/diagnosis/mortality/surgery[MESH] |Time-to-Treatment/statistics & numerical data/trends[MESH]Do surgical emergencies stay at home? 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