Use my Search Websuite to scan PubMed, PMCentral, Journal Hosts and Journal Archives, FullText. Kick-your-searchterm to multiple Engines kick-your-query now !>

A dictionary by aggregated review articles of nephrology, medicine and the life sciences Your one-stop-run pathway from word to the immediate pdf of peer-reviewed on-topic knowledge.

10.1308/rcsann.2021.0042 http://scihub22266oqcxt.onion/10.1308/rcsann.2021.0042 34192487!10335056!34192487     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=34192487&cmd=llinks): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 215 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 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\34192487.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117       Ann+R+Coll+Surg+Engl 2021 ; 103 (7): 487-492 Nephropedia Template TP {{tp|p=34192487|t=2021. Adapting an emergency general surgery service in response to the COVID-19 pandemic |pdf=|usr=}}{{34192487}} gab.com Text Adapting an emergency general surgery service in response to the COVID-19 pandemic JO: Ann R Coll Surg Engl http://www.kidney.de/pget.php?&tw=1&pmid=34192487 #FOAvip INTRODUCTION: In response to the COVID-19 pandemic, our emergency general surgery (EGS) service underwent significant restructuring, including establishing an enhanced ambulatory service and undertaking nonoperative management of selected pathologies. The aim of this study was to compare the activity of our EGS service before and after these changes. METHODS: Patients referred by the emergency department were identified prospectively over a 4-week period beginning from the date our EGS service was reconfigured (COVID) and compared with patients identified retrospectively from the same period the previous year (Pre-COVID), and followed up for 30 days. Data were extracted from handover documents and electronic care records. The primary outcomes were the rate of admission, ambulation and discharge. RESULTS: There were 281 and 283 patients during the Pre-COVID and COVID periods respectively. Admission rate decreased from 78.7% to 41.7%, while there were increased rates of ambulation from 7.1% to 17.3% and discharge from 6% to 22.6% (all p<0.001). For inpatients, mean duration of admission decreased (6.9 to 4.8 days), and there were fewer operative or endoscopic interventions (78 to 40). There were increased ambulatory investigations (11 to 39) and telephone reviews (0 to 39), while early computed tomography scan was increasingly used to facilitate discharge (5% vs 34.7%). There were no differences in 30-day readmission or mortality. CONCLUSIONS: Restructuring of our EGS service in response to COVID-19 facilitated an increased use of ambulatory services and imaging, achieving a decrease of 952 inpatient bed days in this critical period, while maintaining patient safety. Twit Text FOAVip Adapting an emergency general surgery service in response to the COVID-19 pandemic ????Ann R Coll Surg Engl http://www.kidney.de/pget.php?&tw=1&pmid=34192487 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=34192487 #FOAvip English Wikipedia <ref>{{Cite pmid|34192487}}</ref> Adapting an emergency general surgery service in response to the COVID-19 pandemic #MMPMID34192487 Hickland P; Clements JM; Convie LJ; McKay D; McElvanna K Ann R Coll Surg Engl 2021[Jul]; 103 (7): 487-492 PMID34192487show ga INTRODUCTION: In response to the COVID-19 pandemic, our emergency general surgery (EGS) service underwent significant restructuring, including establishing an enhanced ambulatory service and undertaking nonoperative management of selected pathologies. The aim of this study was to compare the activity of our EGS service before and after these changes. METHODS: Patients referred by the emergency department were identified prospectively over a 4-week period beginning from the date our EGS service was reconfigured (COVID) and compared with patients identified retrospectively from the same period the previous year (Pre-COVID), and followed up for 30 days. Data were extracted from handover documents and electronic care records. The primary outcomes were the rate of admission, ambulation and discharge. RESULTS: There were 281 and 283 patients during the Pre-COVID and COVID periods respectively. Admission rate decreased from 78.7% to 41.7%, while there were increased rates of ambulation from 7.1% to 17.3% and discharge from 6% to 22.6% (all p<0.001). For inpatients, mean duration of admission decreased (6.9 to 4.8 days), and there were fewer operative or endoscopic interventions (78 to 40). There were increased ambulatory investigations (11 to 39) and telephone reviews (0 to 39), while early computed tomography scan was increasingly used to facilitate discharge (5% vs 34.7%). There were no differences in 30-day readmission or mortality. CONCLUSIONS: Restructuring of our EGS service in response to COVID-19 facilitated an increased use of ambulatory services and imaging, achieving a decrease of 952 inpatient bed days in this critical period, while maintaining patient safety. |Adult[MESH] |Aged[MESH] |Ambulatory Surgical Procedures/statistics & numerical data[MESH] |COVID-19/diagnosis/epidemiology/*prevention & control/transmission[MESH] |Conservative Treatment/statistics & numerical data[MESH] |Emergency Service, Hospital/*organization & administration/standards/statistics & numerical data[MESH] |Emergency Treatment/methods/standards/*statistics & numerical data[MESH] |Female[MESH] |Follow-Up Studies[MESH] |General Surgery/*organization & administration/standards/statistics & numerical data[MESH] |Hospital Mortality[MESH] |Humans[MESH] |Infection Control/organization & administration/standards[MESH] |Male[MESH] |Middle Aged[MESH] |Pandemics/prevention & control[MESH] |Patient Readmission/statistics & numerical data[MESH] |Patient Safety/standards[MESH] |Prospective Studies[MESH] |Referral and Consultation/organization & administration/standards/statistics & numerical data[MESH] |Retrospective Studies[MESH] |SARS-CoV-2/isolation & purification[MESH]Adapting an emergency general surgery service in response to the COVID(epmc).pdf DeepDyve Pubget Overpricing