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  1. Article: Regional anaesthesia: asleep vs awake?

    Parry, J T

    British journal of hospital medicine (London, England : 2005)

    2016  Volume 77, Issue 3, Page(s) 194

    MeSH term(s) Anesthesia, Conduction/adverse effects ; Anesthesia, Conduction/methods ; Anesthesia, General/adverse effects ; Anesthesia, General/methods ; Conscious Sedation/adverse effects ; Conscious Sedation/methods ; Humans ; Hypnotics and Sedatives ; Nerve Block/adverse effects ; Nerve Block/methods
    Chemical Substances Hypnotics and Sedatives
    Language English
    Publishing date 2016-03
    Publishing country England
    Document type Journal Article
    ISSN 1750-8460
    ISSN 1750-8460
    DOI 10.12968/hmed.2016.77.3.194
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Book: Land degradation in the tropics

    Eden, M. J / Parry, J. T

    environmental and policy issues

    (Global development and the environment series)

    1996  

    Author's details edited by Michael J. Eden and John T. Parry
    Series title Global development and the environment series
    Keywords Environmental degradation ; Environmental policy ; Land degradation
    Language English
    Size xvii, 285 p., [4] p. of plates :, ill. (some col.), maps ;, 24 cm.
    Publisher Pinter
    Publishing place New York
    Document type Book
    ISBN 1855673894 ; 9781855673892
    Database NAL-Catalogue (AGRICOLA)

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  3. Article: Comparison of event rates and survival in patients with unexplained syncope without documented ventricular tachyarrhythmias versus patients with documented sustained ventricular tachyarrhythmias both treated with implantable cardioverter-defibrillators.

    Pires, L A / May, L M / Ravi, S / Parry, J T / Lal, V R / Nino, C L

    The American journal of cardiology

    2000  Volume 85, Issue 6, Page(s) 725–728

    Abstract: Patients with unexplained syncope and inducible ventricular tachyarrhythmias during electrophysiologic testing have an increased cardiac mortality rate. We compared event rates and survival of 178 patients with unexplained syncope and no documented ... ...

    Abstract Patients with unexplained syncope and inducible ventricular tachyarrhythmias during electrophysiologic testing have an increased cardiac mortality rate. We compared event rates and survival of 178 patients with unexplained syncope and no documented ventricular arrhythmias (syncope group) versus 568 patients with documented sustained ventricular tachycardia (VT or fibrillation (VF) (VT/VF group) treated, as part of a lead (Ventritex TVL) investigation, with similar implantable cardioverter-defibrillators (ICDs) capable of extensive data storage. The 2 groups shared similar clinical characteristics. The mean follow-up was 11 months for the syncope group and 14 months for the VT/VF group. The mean time from device implantation to first appropriate therapy was similar in the 2 groups (109 +/- 140 vs 93 +/- 131 days, p = 0.40). Actuarial probability of appropriate ICD therapy was 49% and 55% at 1 and 2 years, respectively, in syncope group and 49% and 58% in VT/VF group (p = 0.57). Recurrent syncope was associated with ventricular tachyarrhythmias in 85% and 92% of the syncope group and VT/VF group, respectively (p = 0.54). At 2 years, actuarial survival was 91% in the syncope group and 93% in VT/VF group (p = 0.85). We conclude that patients treated with ICD with unexplained syncope and induced VT/VF have an equally high incidence of appropriate ICD therapy and low mortality compared with similar patients with documented VT/VF. These findings, plus the high association between recurrent syncope and ventricular arrhythmias, indicate that VT/VF are likely etiologies in selected patients with unexplained syncope and support ICD therapy in such cases.
    MeSH term(s) Aged ; Case-Control Studies ; Defibrillators, Implantable ; Female ; Humans ; Male ; Middle Aged ; Survival Rate ; Syncope/mortality ; Tachycardia, Ventricular/mortality ; Tachycardia, Ventricular/therapy ; Ventricular Fibrillation/mortality ; Ventricular Fibrillation/therapy
    Language English
    Publishing date 2000-03-15
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80014-4
    ISSN 1879-1913 ; 0002-9149
    ISSN (online) 1879-1913
    ISSN 0002-9149
    DOI 10.1016/s0002-9149(99)00848-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Infrared photos for drainage analysis

    Parry, J.T / Turner, H

    Photogrammetric engineering Oct 1971, 37 (10)

    1971  

    Keywords water resources ; water management
    Language English
    Dates of publication 1971-10
    Size p. 1031-1038.
    Document type Article
    ISSN 0031-8671
    Database NAL-Catalogue (AGRICOLA)

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  5. Article: The mapping and interpretation of snow condition sin Quebec-Labrador using ESSA -9 composite minimum brightness (CMB) charts

    Parry, J.T / Grey, B.J

    Photogrammetria Feb 1975, 30 (2)

    1975  

    Title variant Mapping and interpretation of snow condition sin Quebec-Labrador using ESSA [Environmental Survey Satellite]-9 composite minimum brightness (CMB) charts
    Keywords Canada
    Language English
    Dates of publication 1975-02
    Size p. 41-66.
    Document type Article
    Database NAL-Catalogue (AGRICOLA)

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  6. Article: Drainage on multiband radar imagery in the Laurentian area, Quebec, Canada

    Parry, J.T / Wright, R.K / Thomson, K.P.B

    Photogrammetria. Mar 1980. v. 35 (5)

    1980  

    Title variant Drainage on multiband radar imagery in the Laurentian area, Quebec, Canada [Remote sensing]
    Keywords remote sensing ; Canada
    Language English
    Dates of publication 1980-03
    Size p. 179-198., ill.
    Document type Article
    ZDB-ID 241010-2
    ISSN 0031-8663
    ISSN 0031-8663
    Database NAL-Catalogue (AGRICOLA)

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  7. Article: Color for coniferous forest species

    Parry, J.T / Cowan, W.R / Heginbottom, J.A

    Photogrammetric engineering July 1969, 35(7)

    1969  

    Keywords forestry
    Language English
    Dates of publication 1969-07
    Size p. 669-678.
    Document type Article
    Note Bibliography: p. 677-678.
    ISSN 0031-8671
    Database NAL-Catalogue (AGRICOLA)

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  8. Article ; Online: Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection

    Nepogodiev D. / Bhangu A. / Glasbey J.C. / Li E. / Omar O.M. / Simoes J.F. / Abbott T.E. / Alser O. / Arnaud A.P. / Bankhead-Kendall B.K. / Breen K.A. / Cunha M.F. / Davidson G.H. / Di Saverio S. / Gallo G. / Griffiths E.A. / Gujjuri R.R. / Hutchinson P.J. / Kaafarani H.M. /
    Lederhuber H. / Loffler M.W. / Mashbari H.N. / Minaya-Bravo A. / Morton D.G. / Moszkowicz D. / Pata F. / Tsoulfas G. / Venn M.L. / Cox D. / Roslani A.C. / Alakaloko F. / de Vries J.-P.P. / Aaraj M.A. / Abbott S.J. / Abdalla M.O. / Abdelaal A.S. / Ademuyiwa A.O. / Aherne T.M. / Ali O.M. / Alkadeeki G.Z. / Almeida A.C. / Alrahawy M.M. / Ambler G.K. / Alameer E. / Andreani S.M. / De Andres-Asenjo B. / Antonanzas L.L. / Aoun S.G. / Ashoush F.M. / Augestad K.M. / Avellana R.B. / Ayeni F.A. / Ayorinde J.O. / Babu B.H. / Baig M.M. / Bajomo O.M. / Baker O.J. / Baker M.P. / Baldwin A.J. / Ban V.S. / Baron R.D. / Barranquero A.G. / Barry C.P. / DI Bartolomeo A. / Bass G.A. / Bath M.F. / Batjer H.H. / Beamish A.J. / Belgaumkar A.P. / Bence M.N. / Benson R.A. / Bernal-Sprekelsen J.C. / Bhama A.R. / Bhavaraju A.V. / Biffl W.L. / Blundell C.M. / Boddy A.P. / Borgstein A.B. / Bosanquet D.C. / Bosch K.D. / Bouhuwaish A.E. / Bozkurt M.A. / Brathwaite C.E. / Brown B.C. / Brown O.D. / Brown A.K. / Buarque I.L. / Bueno-Canones A.D. / Bulugma M.R. / Burke J.R. / Byrne M.H. / Cagigal-Ortega E.P. / Callcut R.A. / DI Candido F. / Canova M.E. / Carlos W.J. / Caruana E.J. / Cato L.D. / Catton A.B. / Ceretti A.P. / Chase T.J. / Chiara F.D. / Chowdhury A.H. / Chung E.A. / Cicerchia P.M. / Clough E.C. / Coleman N.L. / Collins C.G. / Collins M.L. / Colonna E.T. / Comini L.V. / Coughlin P.A. / Cruzado L.F.-G. / Davidson B.R. / Davies R.J. / Davies E.J. / Davis N.F. / Dawson B.E. / Dean B.J. / Delgado M.G.-C. / Diaz J.J. / Dickson K.E. / Diez-Alonso M.M. / Dixon J.R. / Doe M.J. / Drake T.D. / Drake F.T. / Duffy J.P. / Dunne D.F. / Dunne N.J. / Duran-Munoz-Cruzado V.M. / Durst A.Z. / Eardley N.J. / Edwards J.G. / Elfallal A.H. / Elfiky M.M. / Elliott J.A. / Emile S.H. / Emslie K.M. / Endorf F.W. / Engel J.L. / Enjuto D.T. / Etchill E.W. / Evans J.P. / Fahey B.A. / Faria C.S. / Feo C.V. / Ferguson H.J. / Fernandez B.D. / Fernandez A.G. / Fernandez A.J. / Fernandez-Pacheco B.C. / Fitzgerald J.E. / Fonsi G.B. / Font R.F. / Fowler A.L. / Fretwell K.R. / Fructuoso L.S. / Fusai G.K. / Garcia M.H. / Garcia-Urena M.A. / Gill C.K. / Gisbertz S.S. / Del Giudice R. / Giuffrida M.C. / Di Giuseppe M. / Gomez M.F. / Guariglia C.A. / Hainsworth A.J. / Hall B.J. / Hall J.R. / Hammond J.S. / Haqqani M.H. / Harrison E.M. / Hazelton J.P. / van Heinsbergen M. / Hill A.D. / Hing C.B. / Hirji S.A. / Ho M.W. / Holbrook C.M. / Holme T.J. / Hopkins J.C. / Hopkinson D.N. / Hossain F.S. / Hudson V.E. / Hughes J.L. / Hwang E.S. / Ibrahim M.A. / Isolani S.M. / Jenkinson M.D. / Jenny H.E. / Jeyaretna D.S. / Jones R.P. / Jones A.P. / Jonker P.K. / Jonsson M.L. / Joyce D.P. / Kalkwarf K.J. / Kamarajah S.K. / El Kassas M. / Kavanagh D.O. / Keatley J.M. / Khalefa M.A. / Khan J.S. / Kirmani B.H. / Kisiel A.P. / Kouris S.M. / Kowal M.R. / Labib P.L. / Larkin J.O. / Lauscher J.C. / Leclercq W.K. / Ledesma F.S. / Leite-Moreira A.M. / Leung E.Y. / Lewis S.E. / Lima M.J. / Lin D.J. / Liu H.H. / Lowery A.J. / Lozano S.M. / Luney C.R. / Maia M.M. / Mariani N.M. / Marino M.V. / Marra A.A. / Marsh C.L. / Martin R.C. / McCluney S.J. / McIntyre R.C. / Mckay S.C. / McKevitt K.L. / Meagher A.D. / Mehdi M.Q. / Mehigan B.J. / Gonzalez-De Miguel M. / De Miguel-Ardevines M.-C. / Mills S.J. / Mohan H.M. / Moir J.A. / Monson J.R. / Monteiro J.M. / Montella M.T. / Montesinos C.S. / Morgom M.M. / Moura F.S. / Muguerza J.M. / Murphy S.H. / De Nardi P. / Naumann D.N. / Neary P.C. / Neely D.T. / Ng-Kamstra J.S. / Ngu A.W. / Nguyen T.A. / Nita G.E. / Nunes Q.M. / Nygaard R.M. / O'Meara L.B. / O'Neill J.R. / Okafor B.U. / Olson S.A. / Oo A.Y. / Ormazabal P.C. / Osorio A.L. / Pachl M.J. / Parry J.T. / Patel P.K. / Perez-Sanchez L.E. / Pevidal A.N. / Pezzuto A.P. / Philp M.M. / Pinkney T.D. / Pollok J.M. / Povey M.G. / Poza A.A. / Rajgor A.D. / Rao J.N. / Raptis D.A. / Rice H.E. / Ridgway P.F. / Rivas A.M. / Rodriguez-Sanjuan J.C. / Rogers L.J. / Da Roit A. / Rollett R.A. / Romera J.L. / Rooney S.M. / Roxo V.I. / Le Roy B. / Rubio E.E. / Ruiz C.C. / Ruiz M.L. / Ryan E.J. / Saad A.R. / Saeed S.A. / Salama H.A. / Salamah A.A. / Sampietro G.M. / Sarma D.R. / Schaffer K.B. / Schnitzbauer A.A. / Scurrah R.J. / Serevina O.L. / Serralheiro P.A. / Sewards J.M. / Shackcloth M.J. / Shaw A.V. / Sheel A.R. / Sica G.S. / De Simone V. / Singh A.A. / Singh R.P. / Skelly B.L. / Smith H.G. / Sohail A.H. / Spalding D.R. / Springford L.R. / Ssentongo A.E. / Steinkamp P.J. / Stevens K.A. / Stewart G.D. / Stylianides N.A. / Sullivan T.B. / Taher A.S. / Tamimy M.S. / Tang A.M. / Tebala G.D. / Tejero-Pintor F.J. / Thaha M.A. / Thomas A.J. / De Toma G. / La Torre F. / Torres A.J. / Townshend D.N. / Trout I.M. / Tucker S.C. / Ubhi H.K. / Vega V.A. / Velmahos G.C. / Velopulos C.G. / Viswanath Y.K. / Vivas A.A. / Wade R.G. / Wadley M.S. / Wall J.J. / Walters A.M. / Warren O.J. / Weerasinghe C.K. / Wilkin R.J. / Williams K.J. / Winter S.C. / Wormald J.C. / Wright F.L. / Xyda S.E. / Young A.L. / Youssef M.M. / Yousuf F.B. / El Youzouri H. / Zappa M.A. / Abate E. / Abdalaziz H. / Abdelkarim M. / Abdou H. / Aboelkassem-Ibrahim A. / Abuown A. / Acebes-Garcia F. / Acharya M. / Adamina M. / Addae-Boateng E. / Aftab R. / Agarwal A. / Aguilar J. / Ahmed Y. / Aitken E. / Al-Azzawi M. / Al-Embideen S. / Al-Masri M. / Al-Najjar H. / Al-Sukaini A. / Alam R. / Alderson D. / Aliyeva Z. / Aljanadi F. / Almasri M. / Alonso-Ortuno P. / Altintoprak F. / Amira G. / Amjad R. / Anania G. / Andabaka T. / Angelou D. / Annamalai S. / Annessi V. / Anthoney J. / Anwar S. / Anwer M. / Aragon-Chamizo J. / Ardito A. / Arigoni M. / Armao T. / Arminio A. / Armstrong L. / Arnaud A. / Asaad P. / Ashcroft J. / Ashmore C. / Asqalan A. / Asti E. / Aubry E. / Aytac E. / Ayuso-Herrera E. / Baeza M. / Bailon-Cuadrado M. / Bakmaz B. / Baldi C. / Baldini E. / Baldo S. / Ballabio M. / Baloyiannis I. / Baltazar G. / Bambina F. / Bandiera A. / Barlow E. / Barmasse R. / Barmpagianni C. / Baronio G. / Barra F. / Bartsch A.-M. / Basgaran A. / Basha A. / Bashkirova V. / Bastazza M. / Baumber R. / Belcher E. / Belvedere A. / Benitez-Linero I. / Bergeat D. / Bernasconi M. / Bhalla A. / Bhutiani N. / Bianco F. / Bisagni P. / Blake I. / Blanco-Colino R. / Blazquez-Martin A. / Boal M. / Bonavina L. / Bonavina G. / Bond-Smith G. / Booth K. / Borges F. / Borghi F. / Bouchagier K. / Bourke G. / Boyle E. / Brachini G. / Brain J. / Brar A. / Breckles L. / Bretagnol F. / Brixton G. / Bruzzaniti P. / Bueser T. / Burnside N. / Caballero A. / Calcerrada-Alises E. / Callahan M. / Camarero E. / Campagnaro T. / Campanelli M. / Candiani M. / Cantalejo-Diaz M. / Cao H. / Capelli P. / Capizzi V. / Carcano G. / Carissimi F. / Carlini M. / Carlucci M. / Carmichael H. / Carrasco M. / Carrillo M. / Carvello M. / Casati M. / Castoro C. / Catalan V. / Cavaleiro S. / Cellerino P. / Centinaio G. / Cernei C. / Cerro C. / Cervellera M. / Chakrabortee S. / Chamberlain S. / Chan J. / Chang G. / Chaudhry D. / Chebaro A. / Chen D. / Chetty G. / Chia Z. / Chiappini A. / Chiarugi M. / Chidambaram S. / Chiozza M. / Cholewa H. / Chong C. / Choolani-Bhojwani E. / Christoforidis D. / Chui K. / Chung C. / Cirillo B. / Citterio D. / Clermidi P. / Coccolini F. / Colletti G. / Compagnoni B. / Concepcion-Martin V. / Confalonieri M. / Connolly H. / Conso C. / Conti L. / Cooper Z. / Cordera F. / Corral J. / Costa M. / Costanzi A. / Cotsoglou C. / Cozza V. / Cuming T. / Curtis M. / Cuschieri J. / D'Agruma M. / D'Andrea G. / Daliya P. / Dare O. / Darko E. / Day A. / Dehal A. / Dehart D. / Delgado-Oliver E. / Denning M. / Desai A. / Desender L. / Dester S. / Diaz-Garcia A. / Diaz-Pena P. / Dousset B. / Doussot A. / Duchateau N. / Duff S. / Dunning J. / Duque-Mallen V. / Dziakova J. / Egan B. / Egan R. / El-Ali A. / Elfeki H. / Elhadi M. / Eljareh M. / Elkady R. / Elkhafeefi F. / Elmore U. / Elmoslemany T. / Emmerson O. / Enemosah I. / English C. / English W. / Escartin J. / Estaire-Gomez M. / Evans L. / Evans J. / Exley R. / Fabbri N. / Falco G. / Familiari P. / Fancellu A. / Farik S. / Farrell T. / Fehervari M. / Fell A. / Fernandez-Camunas A. / Fernandez-Marin R. / Fernandez-Martinez M. / Ferrara F. / Ferrari G. / Ferrero S. / Findlay L. / Fiore M. / Fiori E. / Flatman M. / Flindall I. / Flor B. / Fontana T. / Ford S. / Ford D. / Forlani S. / Francone E. / Frattaruolo C. / Frio F. / Gagliano A. / Gagliardi F. / Gahunia S. / Gaino F. / Gala T. / Galfrascoli E. / Galimberti L. / Gallagher P. / Galleano R. / Galvan-Perez A. / Gammeri E. / Ganau M. / Garces-Garcia R. / Garulli G. / Gascon-Ferrer I. / Gattolin A. / Gaujoux S. / Gentilli S. / Georgiades F. / Ghanbari A. / Ghosh D. / Giacometti M. / Giblin A.-V. / Gilbert C. / Gimenez C. / Giorgakis E. / Gipponi M. / Glen P. / Goatly G. / Gobatti D. / Godbole C. / Gohil K. / Gomez M. / Gomez-Rosado J.-C. / Gonullu E. / Gonzalez-Gonzalez E. / Gordini L. / Gracia I. / Gracia-Roche C. / Granieri S. / Green S. / Grivon M. / Grove T. / Guaglio M. / Guaitoli E. / Guglielmi A. / Guha S. / Gustavino C. / Habeeb A. / Hagger R. / Hakmi H. / Halkias C. / Hall C. / Hampton M. / Handa S. / Hansen L. / Haq I. / Harky A. / Harries R. / Harrison J. / Hasan R. / Hawari M. / Hawkin P. / Hebblethwaite B. / Henriques S. / Heritage E. / Hernandez-Juara P. / Herrero-Lopez M. / Hervieux E. / Heyd B. / Higgs S. / Hitchman L. / Ho B. / Hogan A. / Holzle F. / Hossain T. / Hurt L. / Hutchinson P. / Iacob G. / Iannone I. / Ibrahim S. / Iovino D. / Isik A. / Jafarova S. / Jamil T. / Jayaraju U. / Jenner E. / Jimenez-Higuera E. / Jimeno J. / Jones M. / Judkins N. / Kalavrezos N. / Kalidindi V. / Kalkat M. / Kamal M. / Kamphues C. / Kang C. / Kara Y. / Karam E. / Karim A. / Kashora F. / Kearney D. / Khajuria A. / Khan U. / Khan A. / Khatri C. / Kinnaman G. / Kinross J. / Kler A. / Klimopoulos S. / Kocatas A. / Kolias A. / Konigsrainer A. / Konsten J. / Kontovounisios C. / Kourdouli A. / Krishnan E. / Kristinsson S. / Kruijff S. / Kudsk-Iversen S. / Kufeji D. / Kugler N. / Kulkarni R. / Kurihara H. / Laface L. / Lakkis Z. / Lami M. / Landaluce-Olavarria A. / Lapolla P. / Lawani I. / Lawday S. / Lazaro A. / Lecolle K. / Leventoglu S. / Li Z. / Liew I. / Lisi G. / Lizzi V. / Lo T. / Lomiento D. / Longhi M. / Lostis E. / Lostoridis E. / Loubani M. / Lowy-Benoliel A. / Lucianetti A. / Luke L. / Lunevicius R. / Luraghi M. / Lye G. / Mabrouk I. / Macchi A. / MacDonald L. / Machairas N. / Madonini M. / Magowan D. / Maisonneuve E. / Majkowska A. / Majkowski L. / Mak J. / Malabarba S. / Malerba M. / Mannan S. / Manson J. / Mansuri A. / Mantoglu B. / Manu N. / Maqsood A. / Marano A. / Marchbank A. / Marcos-Santos P. / Marrano E. / Martin J. / Martin E. / Martin G. / Martin-Albo L. / Martin-Roman L. / Martinelli F. / Martinez-dePaz F. / Martinez-German A. / Martinez-Pinedo C. / Martins R. / Marwan H. / Marzi F. / Mathieu P. / Matute-Najarro M.-S. / Maw A. / Mazingi D. / Mazzaferro V. / McCanny A. / McKenzie K. / McLarty N. / McPherson I. / Medina E. / Mediratta S. / Medone M. / Mehra G. / Mele S. / Melero-Cortes L. / Mendoza-Moreno F. / Meneghini S. / Mercante G. / Merdrignac A. / Merola S. / Metallidis S. / Michel M. / Migliore M. / Mihanovic J. / Miller D. / Mingoli A. / Minto G. / Mirabella A. / Misra N. / Mitrasinovic S. / Miu V. / Moawad N. / Mochet S. / Modabber A. / Mohammad A. / Mohan M. / Moliner-Sanchez C. / Mongelli F. / Monteleone M. / Montuori M. / Moore R. / Mora-Guzman I. / Morales X. / Morales D. / Morelli L. / Morgan R. / Morris C. / Mortini P. / Mosca A. / Motter D. / Moug S. / Mukherjee S. / Najdy M. / Nakas A. / Namazov I. / Naredla P. / Nasef E. / Nassa H. / Nath R. / Navarro-Sanchez A. / Nazarian S. / Negri G. / Nehra D. / Neil-Dwyer J. / Neri J. / Newton K. / Nikaj H. / Niquen M. / Nobile S. / Nogueiro J. / Ntirenganya F. / Nugent M. / Nunez J. / Ocana J. / Okechukwu V. / Oliva-Mompean F. / Oliveira A. / Ollat D. / Onos L. / Osagie-Clouard L. / Osman K. / Ottolina J. / Ourieff J. / Outani O. / Oyewole B. / Ozben V. / Pacheco-Sanchez D. / Padilla-Valverde D. / Pai M. / Paiella S. / Paisley S. / Palini G. / Palmeri M. / Panahi P. / Parente A. / Parlanti D. / Parmar C. / Pascual A. / Patel M. / Pathak A. / Patil S. / Pattyn P. / Peckham-Cooper A. / Pedrazzani C. / Pellino G. / Peluso C. / Pereira A. / Pereira-Neves A. / Perez-Diaz M.D. / Perez-Gonzalez M. / Perez-Saborido B. / Perivoliotis K. / Perkins C. / Peros G. / Perotto O. / Perra T. / Petrone P. / Phenix G. / Picazo S. / Picon-Rodriguez R. / Piloni M. / Pingarron-Martin L. / Pinotti E. / Pisanu A. / Pizzini P. / Pockney P. / Podda M. / Podolsky D. / Poggioli G. / Pompili C. / Pontari M. / Porcu A. / Potter R. / Price C. / Pruvot F.-R. / Pujol-Muncunill R. / Puppo A. / Quante M. / Quintana-Villamandos B. / Qureshi A. / Radenkovic D. / Rakvin I. / Ramallo-Solis I. / Ramcharan S. / Ramos D. / Ramos-Bonilla A. / Ramzi J. / Rathinam S. / Rausa E. / Ravaioli M. / Ravindran S. / Raymond T. / Razik A. / Redfern J. / Reguera-Rosal J. / Rela M. / Rey-Biel J. / 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G.S. / Mateo-Sierra O. / Martinez-Perez C. / Serrano Gonzalez J. / Hernandez Bartolome M.A. / Diaz Perez D. / Gutierrez Samaniego M. / Galindo Jara P. / Sharma N. / Smart N.J. / Keller D.S.

    an international cohort study

    2020  

    Abstract: Background: The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and ... ...

    Abstract Background: The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and pulmonary complication rates in patients with perioperative SARS-CoV-2 infection. Methods: This international, multicentre, cohort study at 235 hospitals in 24 countries included all patients undergoing surgery who had SARS-CoV-2 infection confirmed within 7 days before or 30 days after surgery. The primary outcome measure was 30-day postoperative mortality and was assessed in all enrolled patients. The main secondary outcome measure was pulmonary complications, defined as pneumonia, acute respiratory distress syndrome, or unexpected postoperative ventilation. Findings: This analysis includes 1128 patients who had surgery between Jan 1 and March 31, 2020, of whom 835 (74·0%) had emergency surgery and 280 (24·8%) had elective surgery. SARS-CoV-2 infection was confirmed preoperatively in 294 (26·1%) patients. 30-day mortality was 23·8% (268 of 1128). Pulmonary complications occurred in 577 (51·2%) of 1128 patients; 30-day mortality in these patients was 38·0% (219 of 577), accounting for 81·7% (219 of 268) of all deaths. In adjusted analyses, 30-day mortality was associated with male sex (odds ratio 1·75 [95% CI 1·28–2·40], p<0·0001), age 70 years or older versus younger than 70 years (2·30 [1·65–3·22], p<0·0001), American Society of Anesthesiologists grades 3–5 versus grades 1–2 (2·35 [1·57–3·53], p<0·0001), malignant versus benign or obstetric diagnosis (1·55 [1·01–2·39], p=0·046), emergency versus elective surgery (1·67 [1·06–2·63], p=0·026), and major versus minor surgery (1·52 [1·01–2·31], p=0·047). Interpretation: Postoperative pulmonary complications occur in half of patients with perioperative SARS-CoV-2 infection and are associated with high mortality. Thresholds for surgery during the COVID-19 pandemic should be higher than during normal practice, particularly in men aged 70 years and older. Consideration should be given for postponing non-urgent procedures and promoting non-operative treatment to delay or avoid the need for surgery. Funding: National Institute for Health Research (NIHR), Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, NIHR Academy, Sarcoma UK, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research.
    Keywords Adult ; Aged ; Betacoronavirus ; Coronavirus Infections ; Elective Surgical Procedures ; Emergency Medical Services ; Female ; Hospital Mortality ; Humans ; Male ; Middle Aged ; Pandemics ; Pneumonia ; Viral ; Postoperative Complications ; Respiratory Tract Diseases ; Retrospective Studies ; Surgical Procedures ; Operative ; Young Adult ; covid19
    Subject code 610 ; 616
    Language English
    Publishing country it
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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