{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T19:26:48Z","timestamp":1771010808381,"version":"3.50.1"},"reference-count":13,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,12,2]],"date-time":"2021-12-02T00:00:00Z","timestamp":1638403200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Backgrounds<\/jats:title><jats:p>The impact of the SARS\u2010CoV\u20102 virus (COVID\u201019) upon the delivery of surgical services in Australia has not been well characterized, other than restrictions to elective surgery due to government directive\u2010related cancellations. Using emergency cholecystectomy as a representative operation, this study aimed to investigate the impact of COVID\u201019 on emergency general surgery in Australia in relation to in\u2010hours versus after\u2010hours operating.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective analysis was conducted of medical records for patients admitted with cholecystitis or biliary colic between 1 March 2019 and 28 February 2021 at Frankston Hospital, Australia. Patient demographics, admission data, imaging findings, operative and post\u2010operative data were compared between pre\u2010COVID\u201019 and COVID\u201019 periods. Variables were compared using the Wilcoxon\u2010Mann\u2013Whitney, Chi Squared or Fishers exact test.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>During the COVID\u201019 period, emergency cholecystectomy was performed for a greater proportion of patients presenting with cholecystitis or biliary colic (93.5% versus 77.7%, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01). Despite this, there was concomitant reduction in after\u2010hours cholecystectomy from 14.4% to 7.5% (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.04). Patients requiring after\u2010hours surgery during the COVID\u201019 period had more features of sepsis (23% more tachypnoeic, 18% more hypotensive), and were more likely to have certain features of cholecystitis on imaging (45% more likely to have pericholecystic fluid).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Following elective surgery cancellations during the COVID\u201019 period, an increase was seen in the proportion of patients presenting with gallstone disease who were managed with emergency cholecystectomy due to improved theatre access. Concurrently, there was a decrease in the requirement for surgery to be performed after\u2010hours.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.17406","type":"journal-article","created":{"date-parts":[[2021,12,3]],"date-time":"2021-12-03T05:46:11Z","timestamp":1638510371000},"page":"409-413","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["The impact of <scp>COVID<\/scp>\u201019 on emergency cholecystectomy"],"prefix":"10.1111","volume":"92","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1313-4270","authenticated-orcid":false,"given":"Joyce Lok Gee","family":"Ma","sequence":"first","affiliation":[{"name":"Department of Surgery Frankston Hospital  Frankston Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vikash","family":"Yogaraj","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Monash University  Clayton Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mustafa","family":"Siddiqui","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Monash University  Clayton Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karanjeet","family":"Chauhan","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Monash University  Clayton Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vicky A.","family":"Tobin","sequence":"additional","affiliation":[{"name":"Department of Surgery Frankston Hospital  Frankston Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2193-7305","authenticated-orcid":false,"given":"Charles H. C.","family":"Pilgrim","sequence":"additional","affiliation":[{"name":"Department of Surgery Frankston Hospital  Frankston Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,12,2]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"World Health Organisation.Weekly epidemiological update on COVID\u201019 \u2013 14 September 2021. [Updated 14 September 2021; cited 16 September 2021]. Available from URL:https:\/\/www.who.int\/publications\/m\/item\/weekly-epidemiological-update-on-covid-19-14-september-2021."},{"key":"e_1_2_8_3_1","unstructured":"Department of Health.First confirmed case of novel coronavirus in Australia. [Updated 25 January 2020; cited 23 July 2021]. Available from URL:https:\/\/www.health.gov.au\/ministers\/the-hon-greg-hunt-mp\/media\/first-confirmed-case-of-novel-coronavirus-in-australia."},{"key":"e_1_2_8_4_1","unstructured":"Premier of Victoria.Elective surgery wound back to prepare for coronavirus. [Updated 25 March 2020; cited 23 July 2021]. Available from URL:https:\/\/www.premier.vic.gov.au\/elective\u2010surgery\u2010wound\u2010back\u2010prepkare\u2010coronavirus."},{"key":"e_1_2_8_5_1","unstructured":"Australian Government Department of Health.Australian Health Protection Principal Committee (AHPPC) statement on restoration of elective surgery. [Updated 24 April 2020; cited 23 July 2021]. Available from URL:https:\/\/www.health.gov.au\/news\/australian\u2010health\u2010protection\u2010principal\u2010committee\u2010ahppc\u2010statement\u2010on\u2010restoration\u2010of\u2010elective\u2010surgery."},{"key":"e_1_2_8_6_1","unstructured":"Premier of Victoria.Safely Reopening Elective Surgery For Victorians. [Updated 16 September 2020; cited 23 July 2021]. Available from URL:https:\/\/www.premier.vic.gov.au\/safely\u2010reopening\u2010elective\u2010surgery\u2010victorians."},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.16207"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.21037\/atm.2016.09.10"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.17016"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.9886"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinane.2018.10.019"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bja.2020.01.019"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.0287"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.15493"}],"container-title":["ANZ Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.17406","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ans.17406","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.17406","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,24]],"date-time":"2023-10-24T05:04:15Z","timestamp":1698123855000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ans.17406"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,12,2]]},"references-count":13,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2022,3]]}},"alternative-id":["10.1111\/ans.17406"],"URL":"https:\/\/doi.org\/10.1111\/ans.17406","archive":["Portico"],"relation":{},"ISSN":["1445-1433","1445-2197"],"issn-type":[{"value":"1445-1433","type":"print"},{"value":"1445-2197","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,12,2]]},"assertion":[{"value":"2021-10-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-11-22","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-12-02","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}