The wider impact of the pandemic最新文献

{"title":"P103 Provision of pleural disease care in the pandemic era: A single centre experience","authors":"K. Ur Rehman, J. Liang, P. Sivakumar","doi":"10.1136/thorax-2021-btsabstracts.212","DOIUrl":"https://doi.org/10.1136/thorax-2021-btsabstracts.212","url":null,"abstract":"P103 Table 1Results Pre pandemic group Pandemic group p value Number of patients 82 83 Number of procedures 157 132 Number of procedural episodes 152 122 Sex – Female (%) 35 (42.7) 40 (48.2) 0.477 Age, mean ( SD), yrs 65.3 (14.4) 66.5 (14.9) 0.60 Interval between referral and date of procedure, median (IQR), days 4 ( 6) n= 75 3 (6) n= 75 0.134 Interval between sampling & histocytological diagnosis, median (IQR), days 5 (3) n= 66 4 (4) n= 76 0.003 Types of procedures (%) Diagnostic and/or therapeutic pleural aspirate Indwelling pleural catheter review & or drainage Indwelling pleural catheter insertion Percutaneous pleural biopsy Medical thoracoscopy Other procedure 60/157 (38.2) 62/157 (39.5) 20/157 (12.7) 7/157 (4.4) 3/157 (1.9) 5/157 (3.2) 63/132 (47.7) 15/132 (11.4) 28/132 (21.2) 7/132 (5.3) 4/132 (3) 15/132 (11.4) Diagnoses% Malignancy Benign disease Infection 46/82 (56.1) 36/82 (43.9) 0/82 (0) 45/83 (54.2) 35/83 (42.2) 3/83 (3.6) ConclusionDespite the pressures of the pandemic on health care system, pleural activity remained relatively stable. Number of procedural episodes were lower in the pandemic group due to combining the procedures where appropriate and streamlining IPC reviews and drainages by finding alternative ways of managing these patients in the community.","PeriodicalId":286165,"journal":{"name":"The wider impact of the pandemic","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132982544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"P107 Creating a new role on resuscitation teams responsible for ppe and team safety significantly improves the safety of resuscitation teams working in the pandemic: a single centre study","authors":"P. Dobson, T. Sidney","doi":"10.1136/thorax-2021-btsabstracts.216","DOIUrl":"https://doi.org/10.1136/thorax-2021-btsabstracts.216","url":null,"abstract":"Introduction and ObjectivesDue to the COVID pandemic, aerosol generating procedures at resuscitation calls have created new risks for resuscitation teams. In our centre we identified that during resuscitation calls, PPE guidelines were often not being followed due to the focus of all the resuscitation team members being primarily on managing unwell patients rather than personal safety. This study aimed to assess whether the introduction of a new role in the resuscitation team with responsibility of ensuring full PPE protection for all team members, a ‘PPE lead’, could improve the safety of resuscitation teams.MethodsIn December 2020, at the start of the ‘second COVID wave’ we created a new role on every resuscitation team, a PPE lead, whose responsibility was to ensure that all other team members received correct PPE provision and were using this correctly during resuscitation calls.The effectiveness of this change was measured by asking resuscitation staff to complete a questionnaire. Standard statistical analysis was undertaken.Results32 questionnaires were given to resuscitation team members with 100% returned. 28 (87.5%) respondents agreed or strongly agreed that the introduction of a PPE lead in the resuscitation team helped to improve adherence to PPE guidelines at arrest calls, compared to 4 (12.5%) respondents who remained neutral (p<0.001). 27 (84.4%) respondents agreed or strongly agreed that the introduction of a PPE lead improved personal safety, compared to 5 respondents (15.6%) who remained neutral (p<0.001).ConclusionEffectively protecting healthcare staff from exposure to COVID remains paramount, especially with concerns regarding new variants which are more transmissible. This study has shown that listening to the concerns of staff can lead to innovative improvements. To our knowledge this is the first study that has introduced within the resuscitation team a PPE lead.This study has established that a PPE lead helps improve adherence to PPE guidelines, and helps healthcare staff feel safer. Our study helps evidence the need to introduce a PPE lead on resuscitation teams on a national level.","PeriodicalId":286165,"journal":{"name":"The wider impact of the pandemic","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115803573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"P105 Breaking barriers to Singing for Lung Health during the COVID-19 pandemic","authors":"K. Crowley, I. du Rand","doi":"10.1136/thorax-2021-btsabstracts.214","DOIUrl":"https://doi.org/10.1136/thorax-2021-btsabstracts.214","url":null,"abstract":"P105 Table 1In person SFLH Patient feedback Online SFLH Patient feedback ‘Brilliant, life feels brighter. Breathing improvement’ ‘I feel that my lung capacity has improved a good deal and that this…has resulted in my being a good deal less breathless when out walking.’ ‘uplifted and relaxed’ ‘Breathing and relaxing exercises are very beneficial to us… also a good social experience, especially in these very restricted times’ ‘positive in what I achieved’ ‘The class is an utter joy and a lifeline’ ‘meeting people with the same complaint I have’ ‘I can keep fitter than I would otherwise’ ‘improves my outlook on life’ ‘The on-line weekly meeting has been a major blessing during lockdown’ ‘as long as it takes place I will be there’ ‘I enjoy the classes very much’ ‘keeps me in trim for the next 48 hours’ ‘Feel better afterwards’ ‘Feel better than I did when I arrived’ ‘so joyful and uplifting!’ All participants reported an improvement in their physical or emotional health and would recommend the SFLH sessions to a friend with breathing difficulties 80% of participants felt an improvement in breath control and 63% reported an improvement in mood. Lord V, Cave P, Hume V, Flude E, Evans A, Kelly J, Polkey M, Hopkinson N. Singing teaching as a therapy for chronic respiratory disease - a randomised controlled trial and qualitative evaluation. BMC Pulmonary Medicine, 2010;10(1).","PeriodicalId":286165,"journal":{"name":"The wider impact of the pandemic","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117064767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"P110 Assessing COVID vaccine related side-effects profile and subsequent staff sickness burden in healthcare workers","authors":"R. Muthusami, Samuel Ayofemi Olalekan Adeyeye, B. Mwale, S. Rhammaz, M. du Rand, A. Johnson, I. du Rand","doi":"10.1136/thorax-2021-btsabstracts.219","DOIUrl":"https://doi.org/10.1136/thorax-2021-btsabstracts.219","url":null,"abstract":"P110 Figure 1ConclusionsOur study demonstrated healthcare workers had moderately frequent side-effects, with no significant exacerbation after VAX2. The side-effects burden was short-lived with minimal impact on workforce during resource constrained times, which suggests future booster doses in healthcare workers should remain safe and can be pursued.ReferenceMenni, et al. Vaccine Side-Effects and SARS-CoV-2 Infection after Vaccination in Users of the COVID Symptom Study App in the UK: A Prospective Observational Study. The Lancet Infectious Diseases 2021Apr 27. https://doi.org/10.1016/S1473-3099(21)00224-3","PeriodicalId":286165,"journal":{"name":"The wider impact of the pandemic","volume":"105 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124754613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}