Delivering Urgent Elective Surgery at a COVID Clean Facility During Phase 1 of the UK Lockdown and Developing a Contingency Plan for Potential Future Waves

Shafaque Shaikh; Lok Ka Cheung; Shanju Rai; Thenmalar Vadiveloo; David Lawrie; Abdul Qadir

doi:doi:10.11648/j.js.20221001.16

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Delivering Urgent Elective Surgery at a COVID Clean Facility During Phase 1 of the UK Lockdown and Developing a Contingency Plan for Potential Future Waves

Shafaque Shaikh, Lok Ka Cheung, Shanju Rai, Thenmalar Vadiveloo, David Lawrie, Abdul Qadir

Published in Journal of Surgery (Volume 10, Issue 1)

Received: 1 January 2022 Accepted: 25 January 2022 Published: 9 February 2022

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Abstract

Background: The COVID-19 pandemic has resulted in unprecedented disruption in the delivery of elective surgical care and fears of ongoing waves exist. Our organisation explored a model of care to enable safe delivery of urgent elective surgical care for the diagnosis of cancer across various specialties. This study presents the results of this model and the development of a contingency plan for a future wave of the COVID-19 pandemic. Methods: Early on during phase-1 of the UK lockdown, a clean facility fit for purpose for delivering elective surgical care was identified and measures implemented to ensure safety across the process. Results: A total of 499 patients were booked between 20/03/2020 to 18/06/2020 (Phase-1), 44 were cancelled because 7 developed symptoms of COVID-19 pre-operatively, household members of 2 patients became symptomatic, 4 failed to attend and 31 were unsuitable due to co-morbidities. There was no mortality at 7 or 30 days. Twenty two patients developed complications post-operatively, 4 required escalation of care, 5 required transfer to the parent site, 13 were readmitted and 4 required a re-operation. None of the patients developed COVID-19 in the post-operative period up to 30 days. Thirty-one patients developed symptoms suggestive of COVID-19 all of whom tested negative on a swab test. Overall, patient satisfaction was good. Conclusion: It was possible to safely deliver urgent elective surgical care at a COVID clean facility in our population. This strategy may facilitate the continued delivery of urgent elective surgical care during potential further waves of COVID-19 pandemic or similar future health crisis.

Published in	Journal of Surgery (Volume 10, Issue 1)
DOI	10.11648/j.js.20221001.16
Page(s)	27-33
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

COVID-19, Surgical Care, Elective, Clean Facility, Contingency Planning

References

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APA Style

Shafaque Shaikh, Lok Ka Cheung, Shanju Rai, Thenmalar Vadiveloo, David Lawrie, et al. (2022). Delivering Urgent Elective Surgery at a COVID Clean Facility During Phase 1 of the UK Lockdown and Developing a Contingency Plan for Potential Future Waves. Journal of Surgery, 10(1), 27-33. https://doi.org/10.11648/j.js.20221001.16

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ACS Style

Shafaque Shaikh; Lok Ka Cheung; Shanju Rai; Thenmalar Vadiveloo; David Lawrie, et al. Delivering Urgent Elective Surgery at a COVID Clean Facility During Phase 1 of the UK Lockdown and Developing a Contingency Plan for Potential Future Waves. J. Surg. 2022, 10(1), 27-33. doi: 10.11648/j.js.20221001.16

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AMA Style

Shafaque Shaikh, Lok Ka Cheung, Shanju Rai, Thenmalar Vadiveloo, David Lawrie, et al. Delivering Urgent Elective Surgery at a COVID Clean Facility During Phase 1 of the UK Lockdown and Developing a Contingency Plan for Potential Future Waves. J Surg. 2022;10(1):27-33. doi: 10.11648/j.js.20221001.16

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@article{10.11648/j.js.20221001.16,
  author = {Shafaque Shaikh and Lok Ka Cheung and Shanju Rai and Thenmalar Vadiveloo and David Lawrie and Abdul Qadir},
  title = {Delivering Urgent Elective Surgery at a COVID Clean Facility During Phase 1 of the UK Lockdown and Developing a Contingency Plan for Potential Future Waves},
  journal = {Journal of Surgery},
  volume = {10},
  number = {1},
  pages = {27-33},
  doi = {10.11648/j.js.20221001.16},
  url = {https://doi.org/10.11648/j.js.20221001.16},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20221001.16},
  abstract = {Background: The COVID-19 pandemic has resulted in unprecedented disruption in the delivery of elective surgical care and fears of ongoing waves exist. Our organisation explored a model of care to enable safe delivery of urgent elective surgical care for the diagnosis of cancer across various specialties. This study presents the results of this model and the development of a contingency plan for a future wave of the COVID-19 pandemic. Methods: Early on during phase-1 of the UK lockdown, a clean facility fit for purpose for delivering elective surgical care was identified and measures implemented to ensure safety across the process. Results: A total of 499 patients were booked between 20/03/2020 to 18/06/2020 (Phase-1), 44 were cancelled because 7 developed symptoms of COVID-19 pre-operatively, household members of 2 patients became symptomatic, 4 failed to attend and 31 were unsuitable due to co-morbidities. There was no mortality at 7 or 30 days. Twenty two patients developed complications post-operatively, 4 required escalation of care, 5 required transfer to the parent site, 13 were readmitted and 4 required a re-operation. None of the patients developed COVID-19 in the post-operative period up to 30 days. Thirty-one patients developed symptoms suggestive of COVID-19 all of whom tested negative on a swab test. Overall, patient satisfaction was good. Conclusion: It was possible to safely deliver urgent elective surgical care at a COVID clean facility in our population. This strategy may facilitate the continued delivery of urgent elective surgical care during potential further waves of COVID-19 pandemic or similar future health crisis.},
 year = {2022}
}

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TY - JOUR
T1 - Delivering Urgent Elective Surgery at a COVID Clean Facility During Phase 1 of the UK Lockdown and Developing a Contingency Plan for Potential Future Waves
AU - Shafaque Shaikh
AU - Lok Ka Cheung
AU - Shanju Rai
AU - Thenmalar Vadiveloo
AU - David Lawrie
AU - Abdul Qadir
Y1 - 2022/02/09
PY - 2022
N1 - https://doi.org/10.11648/j.js.20221001.16
DO - 10.11648/j.js.20221001.16
T2 - Journal of Surgery
JF - Journal of Surgery
JO - Journal of Surgery
SP - 27
EP - 33
PB - Science Publishing Group
SN - 2330-0930
UR - https://doi.org/10.11648/j.js.20221001.16
AB - Background: The COVID-19 pandemic has resulted in unprecedented disruption in the delivery of elective surgical care and fears of ongoing waves exist. Our organisation explored a model of care to enable safe delivery of urgent elective surgical care for the diagnosis of cancer across various specialties. This study presents the results of this model and the development of a contingency plan for a future wave of the COVID-19 pandemic. Methods: Early on during phase-1 of the UK lockdown, a clean facility fit for purpose for delivering elective surgical care was identified and measures implemented to ensure safety across the process. Results: A total of 499 patients were booked between 20/03/2020 to 18/06/2020 (Phase-1), 44 were cancelled because 7 developed symptoms of COVID-19 pre-operatively, household members of 2 patients became symptomatic, 4 failed to attend and 31 were unsuitable due to co-morbidities. There was no mortality at 7 or 30 days. Twenty two patients developed complications post-operatively, 4 required escalation of care, 5 required transfer to the parent site, 13 were readmitted and 4 required a re-operation. None of the patients developed COVID-19 in the post-operative period up to 30 days. Thirty-one patients developed symptoms suggestive of COVID-19 all of whom tested negative on a swab test. Overall, patient satisfaction was good. Conclusion: It was possible to safely deliver urgent elective surgical care at a COVID clean facility in our population. This strategy may facilitate the continued delivery of urgent elective surgical care during potential further waves of COVID-19 pandemic or similar future health crisis.
VL - 10
IS - 1
ER -

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Author Information

Shafaque Shaikh

Department of Surgery, Aberdeen Royal Infirmary, Aberdeen, UK
Lok Ka Cheung

Department of Surgery, Aberdeen Royal Infirmary, Aberdeen, UK
Shanju Rai

Department of Surgery, Aberdeen Royal Infirmary, Aberdeen, UK
Thenmalar Vadiveloo

Department of Surgery, Aberdeen Royal Infirmary, Aberdeen, UK
David Lawrie

Department of Surgery, Aberdeen Royal Infirmary, Aberdeen, UK
Abdul Qadir

Department of Surgery, Aberdeen Royal Infirmary, Aberdeen, UK

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APA Style

Shafaque Shaikh, Lok Ka Cheung, Shanju Rai, Thenmalar Vadiveloo, David Lawrie, et al. (2022). Delivering Urgent Elective Surgery at a COVID Clean Facility During Phase 1 of the UK Lockdown and Developing a Contingency Plan for Potential Future Waves. Journal of Surgery, 10(1), 27-33. https://doi.org/10.11648/j.js.20221001.16

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ACS Style

Shafaque Shaikh; Lok Ka Cheung; Shanju Rai; Thenmalar Vadiveloo; David Lawrie, et al. Delivering Urgent Elective Surgery at a COVID Clean Facility During Phase 1 of the UK Lockdown and Developing a Contingency Plan for Potential Future Waves. J. Surg. 2022, 10(1), 27-33. doi: 10.11648/j.js.20221001.16

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AMA Style

Shafaque Shaikh, Lok Ka Cheung, Shanju Rai, Thenmalar Vadiveloo, David Lawrie, et al. Delivering Urgent Elective Surgery at a COVID Clean Facility During Phase 1 of the UK Lockdown and Developing a Contingency Plan for Potential Future Waves. J Surg. 2022;10(1):27-33. doi: 10.11648/j.js.20221001.16

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@article{10.11648/j.js.20221001.16,
  author = {Shafaque Shaikh and Lok Ka Cheung and Shanju Rai and Thenmalar Vadiveloo and David Lawrie and Abdul Qadir},
  title = {Delivering Urgent Elective Surgery at a COVID Clean Facility During Phase 1 of the UK Lockdown and Developing a Contingency Plan for Potential Future Waves},
  journal = {Journal of Surgery},
  volume = {10},
  number = {1},
  pages = {27-33},
  doi = {10.11648/j.js.20221001.16},
  url = {https://doi.org/10.11648/j.js.20221001.16},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20221001.16},
  abstract = {Background: The COVID-19 pandemic has resulted in unprecedented disruption in the delivery of elective surgical care and fears of ongoing waves exist. Our organisation explored a model of care to enable safe delivery of urgent elective surgical care for the diagnosis of cancer across various specialties. This study presents the results of this model and the development of a contingency plan for a future wave of the COVID-19 pandemic. Methods: Early on during phase-1 of the UK lockdown, a clean facility fit for purpose for delivering elective surgical care was identified and measures implemented to ensure safety across the process. Results: A total of 499 patients were booked between 20/03/2020 to 18/06/2020 (Phase-1), 44 were cancelled because 7 developed symptoms of COVID-19 pre-operatively, household members of 2 patients became symptomatic, 4 failed to attend and 31 were unsuitable due to co-morbidities. There was no mortality at 7 or 30 days. Twenty two patients developed complications post-operatively, 4 required escalation of care, 5 required transfer to the parent site, 13 were readmitted and 4 required a re-operation. None of the patients developed COVID-19 in the post-operative period up to 30 days. Thirty-one patients developed symptoms suggestive of COVID-19 all of whom tested negative on a swab test. Overall, patient satisfaction was good. Conclusion: It was possible to safely deliver urgent elective surgical care at a COVID clean facility in our population. This strategy may facilitate the continued delivery of urgent elective surgical care during potential further waves of COVID-19 pandemic or similar future health crisis.},
 year = {2022}
}

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