A922 Sequential measurement of 1 hour creatinine clearance (1-CRCL) in critically ill patients at risk of acute kidney injury (AKI)

Meeting abstrac

Intraperitoneal drain placement and outcomes after elective colorectal surgery: international matched, prospective, cohort study

Despite current guidelines, intraperitoneal drain placement after elective colorectal surgery remains widespread. Drains were not associated with earlier detection of intraperitoneal collections, but were associated with prolonged hospital stay and increased risk of surgical-site infections.Background Many surgeons routinely place intraperitoneal drains after elective colorectal surgery. However, enhanced recovery after surgery guidelines recommend against their routine use owing to a lack of clear clinical benefit. This study aimed to describe international variation in intraperitoneal drain placement and the safety of this practice. Methods COMPASS (COMPlicAted intra-abdominal collectionS after colorectal Surgery) was a prospective, international, cohort study which enrolled consecutive adults undergoing elective colorectal surgery (February to March 2020). The primary outcome was the rate of intraperitoneal drain placement. Secondary outcomes included: rate and time to diagnosis of postoperative intraperitoneal collections; rate of surgical site infections (SSIs); time to discharge; and 30-day major postoperative complications (Clavien-Dindo grade at least III). After propensity score matching, multivariable logistic regression and Cox proportional hazards regression were used to estimate the independent association of the secondary outcomes with drain placement. Results Overall, 1805 patients from 22 countries were included (798 women, 44.2 per cent; median age 67.0 years). The drain insertion rate was 51.9 per cent (937 patients). After matching, drains were not associated with reduced rates (odds ratio (OR) 1.33, 95 per cent c.i. 0.79 to 2.23; P = 0.287) or earlier detection (hazard ratio (HR) 0.87, 0.33 to 2.31; P = 0.780) of collections. Although not associated with worse major postoperative complications (OR 1.09, 0.68 to 1.75; P = 0.709), drains were associated with delayed hospital discharge (HR 0.58, 0.52 to 0.66; P < 0.001) and an increased risk of SSIs (OR 2.47, 1.50 to 4.05; P < 0.001). Conclusion Intraperitoneal drain placement after elective colorectal surgery is not associated with earlier detection of postoperative collections, but prolongs hospital stay and increases SSI risk

Outcomes from elective colorectal cancer surgery during the SARS-CoV-2 pandemic

This study aimed to describe the change in surgical practice and the impact of SARS-CoV-2 on mortality after surgical resection of colorectal cancer during the initial phases of the SARS-CoV-2 pandemic

Anales de Edafología y Agrobiología Tomo 48 Número 1-2

Efectos de la lluvia ácida: lixiviación de constituyentes en suelos contaminados. Por F. Romero, C. Elejalde y H. Sabin.-- Evaluación de diversas soluciones extractantes de metales Pesados en suelos como indicadoras de las fomas asimilables para las plantas. Por V. Cala, y J. R. Sanchidrian.-- Adsorción de clorprofan (CIPC) por suelos. II. Adsorción por las distintas fracciones granulométricas. Por G. Dios Cancela, J. A. Guillén Alfaro y S. González Careza.-- Influencia del material de partida del suelo y de los tipos de vegetación sobre las lombrices de tierra. Por S. Mato, D. Trigo y D. J. Díaz Cosin.-- Singularidades edafológicas en la comarca La Plana de Requena - Utiel (Valencia). Por R. Boluda Hernández, V. Andréu Pérez, M. Moraleda Esteve y J. Sánchez Díaz.-- Características de los suelos rojos fersialíticos, en la cuenca de México. Por J. F. Cervantes, G. Alfaro Sánchez y M. Meza Sánchez.-- Rasgos micromorfológicos de una catena de suelos afectados por hidromorfía. Por M. Simón, l. Garcfa y J. Fernández.-- Recuperación edáfica de las escombreras de minas de lignito en Galicia. 1)Caracterización de los materiales estériles. Por Mª C. Leirós de la Peña, F. Gil Sotres, M. Carballas Fernández, C. Codesido López, M. a V. González Sangregorio, S. Seoane Lavandeira y F. Guitián Ojea.-- Recuperación edáfica de las escombreras de minas de lignito en Galicia. 2) Influencia del encalado sobre las formas de acidez. Por F. Gil Sotres, Mª C. Leirós de la Peña, Ma V. González Sangregorio, S. Seoane Lavandeira, C. Codesido López y F. Guitián Ojea.-- Influencia de la dolomita en la naturaleza de los suelos. Por J. González Parra, C. González Huecas y A. López Lajilente.-- Producción frente a contaminación en la utilización agrícola de composts urbanos. Por J. M. Murillo, J. M. Hernández, M. Barroso y R. López.-- Efecto del aporte de molibdeno sobre el crecimiento y actividad nitrato -reductasa de Phaseolus vulgaris L. Por M. a S. Martín Gómez y M. a D. Saco Sierra.-- Aplicación de la voltametría de barrido para la determinación de Cd, Pb y Cu en material vegetal. Por R. González Cuesta.-- Diversos aspectos sobre el papel de la materia orgánica humificada en la formación y estabilización de los agregados del suelo. Por C. Fortún y A. Fortún. Influencia de los inviernos cálidos en la adaptación de variedades de melocotonero. Por J. Egea, T. Berenguer, L. Egea y J. E. GarcíaPeer reviewe

Safety and efficacy of intraperitoneal drain placement after emergency colorectal surgery. An international, prospective cohort study

Intraperitoneal drains are often placed during emergency colorectal surgery. However, there is a lack of evidence supporting their use. This study aimed to describe the efficacy and safety of intraperitoneal drain placement after emergency colorectal surgery. Method: COMPlicAted intra-abdominal collectionS after colorectal Surgery (COMPASS) is a prospective, international, cohort study into which consecutive adult patients undergoing emergency colorectal surgery were enrolled (from 3 February 2020 to 8 March 2020). The primary outcome was the rate of intraperitoneal drain placement. Secondary outcomes included rate and time-to-diagnosis of postoperative intraperitoneal collections, rate of surgical site infections (SSIs), time to discharge and 30-day major postoperative complications (Clavien-Dindo III-V). Multivariable logistic and Cox proportional hazards regressions were used to estimate the independent association of the outcomes with drain placement. Results: Some 725 patients (median age 68.0 years; 349 [48.1%] women) from 22 countries were included. The drain insertion rate was 53.7% (389 patients). Following multivariable adjustment, drains were not significantly associated with reduced rates (odds ratio [OR] = 1.56, 95% CI: 0.48-5.02, p = 0.457) or earlier detection (hazard ratio [HR] = 1.07, 95% CI: 0.61-1.90, p = 0.805) of collections. Drains were not significantly associated with worse major postoperative complications (OR = 1.26, 95% CI: 0.67-2.36, p = 0.478), delayed hospital discharge (HR = 1.11, 95% CI: 0.91-1.36, p = 0.303) or increased risk of SSIs (OR = 1.61, 95% CI: 0.87-2.99, p = 0.128). Conclusion: This is the first study investigating placement of intraperitoneal drains following emergency colorectal surgery. The safety and clinical benefit of drains remain uncertain. Equipoise exists for randomized trials to define the safety and efficacy of drains in emergency colorectal surgery

Delaying surgery for patients with a previous SARS-CoV-2 infection

Not availabl