{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T20:22:46Z","timestamp":1783023766702,"version":"3.54.6"},"reference-count":66,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T00:00:00Z","timestamp":1774828800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T00:00:00Z","timestamp":1774828800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aim<\/jats:title>\n                    <jats:p>Healthcare service disruptions resulting from the COVID\u201019 pandemic led to substantial changes in surgical pathways across public hospitals in Western Australia (WA). These disruptions, compounded by restrictions and containment measures, influenced the health and lifestyle behaviours of the WA community, including patients awaiting surgery. This study aimed to assess changes in self\u2010reported modifiable lifestyle risk factors among patients during COVID\u201019.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This observational study analysed hospital patient data across three seasonally matched calendar periods: Period 1 (January\u2013March 2019 vs 2020), Period 2 (March\u2013July 2019 vs 2020), and Period 3 (July\u2013December 2019 vs 2020). Multivariable regression models were used to examine differences between these COVID\u2011impacted periods and preoperative self\u2011reported modifiable risk factors. The assessed risk factors included body mass index (BMI), smoking status, alcohol and drug use, malnutrition risk, physical function, and frailty.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Data from 2340 patients were analysed. There were no indicated changes between 2019 and 2020 cohorts in relation to body mass index (BMI), current smoking status, alcohol, or drug use, poor function or frailty risk. Change was detected in past smoker, with a higher proportion of individuals in Period 2 (Mar to Jul 2020), (8% more in 2020, 95% CI3% \u2212 14%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.005) and Period 3 (Jul to Dec 2020) (7% more in 2020, 95% CI: 2% \u2212 12%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.003). Also, a greater proportion of patients assessed \u2018at malnutrition\u2019 risk in Period 3 (13% more in 2020, 95% CI: 6% \u2212 19%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.013).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This is the first Australian COVID\u201019 study to report potential pressure on the preadmission pathway for nutrition care during the COVID\u201019 period, with a higher proportion of patients reported to be at risk of malnutrition in later 2020. An increase in reporting of recent past smoking was observed, potentially attributable to heightened awareness of respiratory vulnerabilities associated with the virus. This study offers valuable insights to inform future pandemic planning, optimise resource allocation, and refine nutritional screening priorities. The COVID\u201019 pandemic has shaped a new path for innovative preoperative strategies and possible motivations for behaviour change that enhance the development of targeted prehabilitation efforts.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hsr2.72210","type":"journal-article","created":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T04:11:31Z","timestamp":1774930291000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Preoperative Health During a Pandemic: An Observational Study Assessing Lifestyle Changes in Patients Associated With COVID\u201019 in Western Australia"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-3402-0233","authenticated-orcid":false,"given":"Nadine","family":"Radin","sequence":"first","affiliation":[{"name":"School of Health Sciences and Physiotherapy, Faculty of Medicine, Nursing, Midwifery and Health Sciences The University of Notre Dame Australia Fremantle Western Australia Australia"},{"name":"South Metropolitan Health Service Fiona Stanley Hospital Murdoch Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3630-3356","authenticated-orcid":false,"given":"Dana","family":"Hince","sequence":"additional","affiliation":[{"name":"Institute for Health Research The University of Notre Dame Australia Fremantle Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7924-1357","authenticated-orcid":false,"given":"Jim","family":"Codde","sequence":"additional","affiliation":[{"name":"Institute for Health Research The University of Notre Dame Australia Fremantle Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2278-4857","authenticated-orcid":false,"given":"Paola","family":"Chivers","sequence":"additional","affiliation":[{"name":"Institute for Health Research The University of Notre Dame Australia Fremantle Western Australia Australia"},{"name":"School of Medical and Health Sciences Edith Cowan University Joondalup Western Australia Australia"},{"name":"Research Department Child and Adolescent Health Service Nedlands Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7336-9317","authenticated-orcid":false,"given":"Dale W.","family":"Edgar","sequence":"additional","affiliation":[{"name":"School of Health Sciences and Physiotherapy, Faculty of Medicine, Nursing, Midwifery and Health Sciences The University of Notre Dame Australia Fremantle Western Australia Australia"},{"name":"Institute for Health Research The University of Notre Dame Australia Fremantle Western Australia Australia"},{"name":"Burn Injury Research Unit University of Western Australia Crawley Western Australia Australia"},{"name":"Fiona Wood Foundation of Western Australia Fiona Stanley Hospital Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,30]]},"reference":[{"key":"e_1_2_14_2_1","volume-title":"COVID\u201019: A Chronology of State and Territory Government Announcements (up until 30 June 2020)","author":"Storen R.","year":"2025"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2020.05.061"},{"key":"e_1_2_14_4_1","article-title":"The Impact of COVID\u201019 on Surgical Practice\u2014A Summary","volume":"4","author":"Stoner R.","year":"2021","journal-title":"World Journal of Surgery and Surgical Research"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.11670"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/bjs\/znad405"},{"key":"e_1_2_14_7_1","unstructured":"Australian Institute of Health and Welfare.Impact of COVID\u201019 on public hospital elective surgery activity. 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