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أعرض في EDS

Safety of "hot" and "cold" site admissions within a high-volume urology department in the United Kingdom at the peak of the COVID-19 pandemic.

التفاصيل البيبلوغرافية
العنوان: Safety of "hot" and "cold" site admissions within a high-volume urology department in the United Kingdom at the peak of the COVID-19 pandemic.
المؤلفون: Stroman L; Department of Urology Guy's Hospital Guys' & St Thomas' NHS Foundation Trust London UK., Russell B; Department of Translational Oncology and Urology Research King's College London London UK., Kotecha P; Faculty of Life Sciences and Medicine King's College London London UK., Kantartzi A; Department of Urology Guy's Hospital Guys' & St Thomas' NHS Foundation Trust London UK., Ribeiro L; Department of Urology Guy's Hospital Guys' & St Thomas' NHS Foundation Trust London UK., Jackson B; Department of Urology Guy's Hospital Guys' & St Thomas' NHS Foundation Trust London UK., Ismaylov V; Department of Urology Guy's Hospital Guys' & St Thomas' NHS Foundation Trust London UK., Debo-Aina AO; Department of Urology Guy's Hospital Guys' & St Thomas' NHS Foundation Trust London UK., MacAskill F; Department of Urology Guy's Hospital Guys' & St Thomas' NHS Foundation Trust London UK., Kum F; Department of Urology Guy's Hospital Guys' & St Thomas' NHS Foundation Trust London UK., Kulkarni M; Department of Cancer Imaging School of Biomedical Engineering and Imaging Sciences King's College London London UK., Sandher R; Department of Urology Guy's Hospital Guys' & St Thomas' NHS Foundation Trust London UK., Walsh A; Department of Urology Guy's Hospital Guys' & St Thomas' NHS Foundation Trust London UK., Doerge E; Department of Urology Guy's Hospital Guys' & St Thomas' NHS Foundation Trust London UK., Guest K; Department of Urology Guy's Hospital Guys' & St Thomas' NHS Foundation Trust London UK., Kailash Y; Department of Urology Guy's Hospital Guys' & St Thomas' NHS Foundation Trust London UK., Simson N; Department of Urology Guy's Hospital Guys' & St Thomas' NHS Foundation Trust London UK., McDonald C; Department of Urology Guy's Hospital Guys' & St Thomas' NHS Foundation Trust London UK., Mensah E; Department of Urology Guy's Hospital Guys' & St Thomas' NHS Foundation Trust London UK., June Tay L; Department of Urology Guy's Hospital Guys' & St Thomas' NHS Foundation Trust London UK., Chalokia R; Department of Urology Guy's Hospital Guys' & St Thomas' NHS Foundation Trust London UK., Clovis S; Department of Urology Guy's Hospital Guys' & St Thomas' NHS Foundation Trust London UK., Eversden E; Department of Urology Guy's Hospital Guys' & St Thomas' NHS Foundation Trust London UK., Cossins J; Department of Urology Guy's Hospital Guys' & St Thomas' NHS Foundation Trust London UK., Rusere J; Department of Urology Guy's Hospital Guys' & St Thomas' NHS Foundation Trust London UK., Zisengwe G; Department of Urology Guy's Hospital Guys' & St Thomas' NHS Foundation Trust London UK., Fleure L; Department of Urology Guy's Hospital Guys' & St Thomas' NHS Foundation Trust London UK., Cooper L; Department of Urology Guy's Hospital Guys' & St Thomas' NHS Foundation Trust London UK., Chatterton K; Department of Urology Guy's Hospital Guys' & St Thomas' NHS Foundation Trust London UK., Barber A; Department of Urology Guy's Hospital Guys' & St Thomas' NHS Foundation Trust London UK., Roberts C; Department of Urology Guy's Hospital Guys' & St Thomas' NHS Foundation Trust London UK., Azavedo T; Department of Urology Guy's Hospital Guys' & St Thomas' NHS Foundation Trust London UK., Ritualo J; Department of Urology Guy's Hospital Guys' & St Thomas' NHS Foundation Trust London UK., Omana H; Department of Urology Guy's Hospital Guys' & St Thomas' NHS Foundation Trust London UK., Mills L; Department of Urology Guy's Hospital Guys' & St Thomas' NHS Foundation Trust London UK., Studd L; Department of Urology Guy's Hospital Guys' & St Thomas' NHS Foundation Trust London UK., El Hage O; Faculty of Life Sciences and Medicine King's College London London UK., Nair R; Department of Urology Guy's Hospital Guys' & St Thomas' NHS Foundation Trust London UK., Malde S; Department of Urology Guy's Hospital Guys' & St Thomas' NHS Foundation Trust London UK., Sahai A; Department of Urology Guy's Hospital Guys' & St Thomas' NHS Foundation Trust London UK., Fernando A; Department of Urology Guy's Hospital Guys' & St Thomas' NHS Foundation Trust London UK., Taylor C; Department of Urology Guy's Hospital Guys' & St Thomas' NHS Foundation Trust London UK., Challacombe B; Department of Urology Guy's Hospital Guys' & St Thomas' NHS Foundation Trust London UK., Thurairaja R; Department of Urology Guy's Hospital Guys' & St Thomas' NHS Foundation Trust London UK., Popert R; Department of Urology Guy's Hospital Guys' & St Thomas' NHS Foundation Trust London UK., Olsburgh J; Department of Urology Guy's Hospital Guys' & St Thomas' NHS Foundation Trust London UK., Cathcart P; Department of Urology Guy's Hospital Guys' & St Thomas' NHS Foundation Trust London UK., Brown C; Department of Urology Guy's Hospital Guys' & St Thomas' NHS Foundation Trust London UK., Hadjipavlou M; Department of Urology Guy's Hospital Guys' & St Thomas' NHS Foundation Trust London UK., Di Benedetto E; Department of Urology Guy's Hospital Guys' & St Thomas' NHS Foundation Trust London UK., Bultitude M; Department of Urology Guy's Hospital Guys' & St Thomas' NHS Foundation Trust London UK., Glass J; Department of Urology Guy's Hospital Guys' & St Thomas' NHS Foundation Trust London UK., Yap T; Department of Urology Guy's Hospital Guys' & St Thomas' NHS Foundation Trust London UK., Zakri R; Department of Urology Guy's Hospital Guys' & St Thomas' NHS Foundation Trust London UK., Shabbir M; Department of Urology Guy's Hospital Guys' & St Thomas' NHS Foundation Trust London UK., Willis S; Department of Urology Guy's Hospital Guys' & St Thomas' NHS Foundation Trust London UK., Thomas K; Department of Urology Guy's Hospital Guys' & St Thomas' NHS Foundation Trust London UK., O'Brien T; Department of Urology Guy's Hospital Guys' & St Thomas' NHS Foundation Trust London UK., Khan MS; Department of Urology Guy's Hospital Guys' & St Thomas' NHS Foundation Trust London UK., Dasgupta P; Faculty of Life Sciences and Medicine King's College London London UK.
المصدر: BJUI compass [BJUI Compass] 2021 Mar; Vol. 2 (2), pp. 97-104. Date of Electronic Publication: 2021 Jan 21.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: John Wiley & Sons Ltd Country of Publication: United States NLM ID: 101764975 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2688-4526 (Electronic) Linking ISSN: 26884526 NLM ISO Abbreviation: BJUI Compass Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: [Hoboken, New Jersey] : John Wiley & Sons Ltd, [2020]-
مستخلص: Objectives: To determine the safety of urological admissions and procedures during the height of the COVID-19 pandemic using "hot" and "cold" sites. The secondary objective is to determine risk factors of contracting COVID-19 within our cohort.
Patients and Methods: A retrospective cohort study of all consecutive patients admitted from March 1 to May 31, 2020 at a high-volume tertiary urology department in London, United Kingdom. Elective surgery was carried out at a "cold" site requiring a negative COVID-19 swab 72-hours prior to admission and patients were required to self-isolate for 14-days preoperatively, while all acute admissions were admitted to the "hot" site.Complications related to COVID-19 were presented as percentages. Risk factors for developing COVID-19 infection were determined using multivariate logistic regression analysis.
Results: A total of 611 patients, 451 (73.8%) male and 160 (26.2%) female, with a median age of 57 (interquartile range 44-70) were admitted under the urology team; 101 (16.5%) on the "cold" site and 510 (83.5%) on the "hot" site. Procedures were performed in 495 patients of which eight (1.6%) contracted COVID-19 postoperatively with one (0.2%) postoperative mortality due to COVID-19. Overall, COVID-19 was detected in 20 (3.3%) patients with two (0.3%) deaths. Length of stay was associated with contracting COVID-19 in our cohort (OR 1.25, 95% CI 1.13-1.39).
Conclusions: Continuation of urological procedures using "hot" and "cold" sites throughout the COVID-19 pandemic was safe practice, although the risk of COVID-19 remained and is underlined by a postoperative mortality.
Competing Interests: The Authors do not declare any conflict of interest. Funding has been provided the department of Life Sciences and Medicine, King’s College London.
(© 2021 The Authors. BJUI Compass published by John Wiley & Sons Ltd on behalf of BJU International Company.)
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تواريخ الأحداث: Date Created: 20210406 Latest Revision: 20220716
رمز التحديث: 20221213
مُعرف محوري في PubMed: PMC8013895
DOI: 10.1002/bco2.56
PMID: 33821256
قاعدة البيانات: MEDLINE
الوصف
تدمد:2688-4526
DOI:10.1002/bco2.56