Clinical trial NCT04961489: Impact of Measures Taken to Contain COVID-19 on Hospital Surgical Care Services and Clinical Outcomes
Official title: Impact of Measures Taken to Contain COVID-19 on Hospital Surgical Care Services and Clinical Outcomes
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Surgery
Keywords: Covid-19 pandemic
emergency
cancer
elective surgery
postponement
Lead sponsor: National Cancer Centre, Singapore
Sponsor class: OTHER
Collaborators: name: National Medical Research Council (NMRC), Singapore
First posted: 2021-07-14
Enrollment: 11000
Sex: ALL
Minimum age (years): 21
Maximum age (years): 100
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: RETROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: This study seeks to assess the effect of the measures taken to contain COVID 19 on patients who need surgical services measured by patient outcomes, such as, length of hospital stay (LOS), ICU stay, APACHE score, and stage of cancer at surgery.

Brief summary: This study aims to look at the impact on patient outcomes arising from measures implemented during the COVID-19 pandemic. The information and knowledge from this study will be useful for the management and allocation of hospital resources and patients in tne event of a disease outbreak.


Eligibility criteria: Inclusion Criteria:

* This study involves the extraction of patient records from the enterprise dataware house. As such, we do not stipulate the age limits.
* Patients who had the following surgeries during over the period of 1 Jan 2017 to 31 December 2020
* From the identified surgical procedure type or the following cancer-related procedures:

  1. Breast
  2. Colon
  3. Liver
  4. Rectum
* Selected non-cancer surgeries:

  1. Abdominal Wall
  2. Gallbladder
* Patients from SGH and its related institute NCC
* Only local Singapore Citizens

Exclusion Criteria:

* No exclusion criteria

Primary outcomes:
measure: Analysis of patients according to type of surgical procedures, medical condition and dates of surgical treatment retrospectively.
timeFrame: 1 Jan - 31 Dec 2017, 1 Jan - 31 Dec 2018, 1 Jan - 31 Dec 2019, 1 Jan - 31 Dec 2020
measure: Comparing surgical indices for high volume cancer and non-cancer diagnoses
timeFrame: 1 Jan 2020 - 31 Dec 2020
Secondary outcomes:
Other outcomes:
Locations:
city: Singapore
country: Singapore
facility: Singapore General Hospital
city: Singapore
country: Singapore
facility: National Cancer Center Singapore
Study officials:
affiliation: National Cancer Centre, Singapore
name: Pierce Chow, MD, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Mazingi D, Navarro S, Bobel MC, Dube A, Mbanje C, Lavy C. Exploring the Impact of COVID-19 on Progress Towards Achieving Global Surgery Goals. World J Surg. 2020 Aug;44(8):2451-2457. doi: 10.1007/s00268-020-05627-7.
citation: Al-Jabir A, Kerwan A, Nicola M, Alsafi Z, Khan M, Sohrabi C, O'Neill N, Iosifidis C, Griffin M, Mathew G, Agha R. Impact of the Coronavirus (COVID-19) pandemic on surgical practice - Part 2 (surgical prioritisation). Int J Surg. 2020 Jul;79:233-248. doi: 10.1016/j.ijsu.2020.05.002. Epub 2020 May 12.