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

Stroman, Luke; Russell, Beth; Kotecha, Pinky; Kantartzi, Anastasia; Ribeiro, Luis Henrique Leandro; Jackson, Bethany; Ismaylov, Vugar; Debo‐Aina, Adeoye Oluwakanyinsola; MacAskill, Findlay; Kum, Francesca; Kulkarni, Meghana; Sandher, Raveen; Walsh, Anna; Doerge, Ella; Guest, Katherine; Kailash, Yamini; Simson, Nick; McDonald, Cassandra; Mensah, Elsie; Tay, Li June; Chalokia, Ramandeep; Clovis, Sharon; Eversden, Elizabeth; Cossins, Jane; Rusere, Jonah; Zisengwe, Grace; Fleure, Louisa; Cooper, L; Chatterton, Kathryn; Barber, Amelia; Roberts, Catherine; Azavedo, Thomasia; Ritualo, Jeffrey; Omana, Harold; Mills, Liza; Studd, Lily; Hage, Oussama El; Nair, Rajesh; Malde, Sachin; Sahai, Amit; Fernando, A.; Taylor, Claire; Challacombe, Benjamin; Thurairaja, Ramesh; Popert, Rick; Olsburgh, Jonathon; Cathcart, P.; Brown, Christian; Hadjipavlou, Marios; Benedetto, E. Di; Bultitude, Matthew; Glass, Jonathan; Yap, Tet; Zakri, Rhana Hassan; Shabbir, Majed; Willis, Susan; Thomas, Kay; O’Brien, Tim; Khan, Muhammad Shamim

doi:10.1002/bco2.56

Cited by 5 publications

(2 citation statements)

References 13 publications

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“…This was influenced by the local authority’s instructions to limit hospital admission of cold cases to reduce disease spread and reallocate resources to target the disease. [ 7 ] We preferred SWL as it has many merits as its shorter hospital stay decreases the risk of disease transmission. In addition, it needs fewer staff members are needed during the procedure, and less personal protective equipment is required.…”

Section: Discussionmentioning

confidence: 99%

Shock wave lithotripsy in the era of COVID-19

Ibrahim,

Elzawy,

Ragheb

et al. 2024

Urology Annals

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Objective: The objective of the study y was to evaluate factors which can improve shock wave lithotripsy (SWL) results to keep up with COVID-19 pandemic. Methods: Between June 2020 and June 2021, patients with radio-opaque or faint radio-opaque upper urinary tract stones, stone attenuation value ≤1200 HU, and stones size <2.5 cm were treated by electrohydraulic SWL. Patients with respiratory tract symptoms elevated temperature, contact with COVID-19 patients, or positive COVID-19 swab 2 weeks preoperatively, skin-to-stone distance >11 cm, and body mass index >30 kg/m2 were excluded from the study. Patients were prospectively enrolled in SWL done at a rate of 40–50 SWs/min under combined ultrasound and fluoroscopy-guided, ramped into high power in the 1st 300 shocks. Success rate and complications were recorded. Results: Five hundred and ninety patients completed the study. The success rate after 1st session was 408/590 patients (69.15%) which was augmented by 2nd session to reach 527/590 patients 89.3%. The success rate was 96.2% at 3 months postoperatively. Most complications were mild (Grade 1 or 2). Conclusions: SWL results improved using slow rate high power from the start of the session under combined fluoroscopy and ultrasound guidance. SWL may be a preferred option during a pandemic.

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Section: Discussionmentioning

confidence: 99%

Shock wave lithotripsy in the era of COVID-19

Ibrahim,

Elzawy,

Ragheb

et al. 2024

Urology Annals

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“…The use of such pathways does not lead to the elimination of morbidity and mortality due to COVID-19, but data suggest that the mortality due to COVID-19 is lower when these pathways are used [41][42][43][44]. Such COVID-19-free surgical pathways are effective in reducing SARS-CoV-2 infection and overall mortality in patients undergoing cancer surgery suggesting success in reducing nosocomial transmission [45 •].…”

Section: 'Covid-19 Free or Minimal' Pathwaysmentioning

confidence: 99%

Safe Surgery During the COVID-19 Pandemic

et al. 2021

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Purpose of Review Coronavirus Disease-2019 (COVID-19) has had an enormous impact on all aspects of healthcare, but its effect on patients needing surgery and surgeons has been disproportionate. In this review, we aim to understand the impact of the pandemic on surgical patients and teams. We compiled the emerging data on pre-operative screening methods, vaccinations, safe-surgery pathways and surgical techniques and make recommendations for evidence-based safe-surgical pathways. We also present surgical outcomes for emergency, oncological and benign surgery in the context of the pandemic. Finally, we attempt to address the impact of the pandemic on patients, staff and surgical training and provide perspectives for the future. Recent Findings Surgical teams have developed consensus guidelines and established research priorities and safety precautions for surgery during the COVID-19 pandemic. Evidence supports that surgery in patients with a peri-operative SARS-CoV-2 infection carries substantial risks, but risk mitigation strategies are effective at reducing harm to staff and patients. Summary Surgery has increased risk for patients and staff, but this can be mitigated effectively, especially for elective surgery. Elective surgery can be safely performed during the COVID-19 pandemic employing the strategies discussed in this review.

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