Promoción de la salud y entornos saludables

Acné juvenil, presentación de 2 casos clínicosAlta ingesta de proteínas y su relación con el aumento de tejido adiposo en preescolaresAnálisis para la integración entre salud y educación para el desarrollo de programas de promociónCalidad de los estilos de vida de funcionarios académicos de la Universidad del BiobíoCambios en el patrón de consumo de alimentos en niños con un kiosco saludableCaracterísticas del sueño habitual y su relación con el nivel de somnolencia diurna en adolescentesCaracterización de información acerca de promoción de salud población urbana de Temuco, Región de la Araucanía, ChileComportamiento sexual durante el embarazo en usuarias de centros de salud, La Florida, Santiago, 2006Estado nutricional y actividad física en escolares de 1º, 5º y 8º básico de Arica¿Están los padres informados si sus hijos tienen miedo a la atención dental?Evaluación cualitativa del componente promocional de un programa psicosocial en población escolar vulnerableEvaluación de la efectividad de la aplicación del Programa Educativo "Quiero mi boca siempre sana"Evaluación estadística del uso de edulcorantes alimentarios en una población de SantiagoEvolución de la prematurez y características sociodemográficas de la población materna en ChileFactores de riesgo asociados a prevalencia de caries en alumnos del Ejército de ChileHábitos alimentarios en escolares de distinto tipo de establecimientos educacionalesNivel de conocimientos de los habitantes de Loncoche sobre enfermedades parasitarias, IX, Región, Chile 2009Nutrición y condiciones socioeconómicas de escolares de la escuela Jesús María Sifontes, Los Teques, VenezuelaRelación entre dificultad para comprar cigarrillos, lugares de venta y curso en adolescente

Promoción de la salud y entornos saludables

Acné juvenil, presentación de 2 casos clínicosAlta ingesta de proteínas y su relación con el aumento de tejido adiposo en preescolaresAnálisis para la integración entre salud y educación para el desarrollo de programas de promociónCalidad de los estilos de vida de funcionarios académicos de la Universidad del BiobíoCambios en el patrón de consumo de alimentos en niños con un kiosco saludableCaracterísticas del sueño habitual y su relación con el nivel de somnolencia diurna en adolescentesCaracterización de información acerca de promoción de salud población urbana de Temuco, Región de la Araucanía, ChileComportamiento sexual durante el embarazo en usuarias de centros de salud, La Florida, Santiago, 2006Estado nutricional y actividad física en escolares de 1º, 5º y 8º básico de Arica¿Están los padres informados si sus hijos tienen miedo a la atención dental?Evaluación cualitativa del componente promocional de un programa psicosocial en población escolar vulnerableEvaluación de la efectividad de la aplicación del Programa Educativo "Quiero mi boca siempre sana"Evaluación estadística del uso de edulcorantes alimentarios en una población de SantiagoEvolución de la prematurez y características sociodemográficas de la población materna en ChileFactores de riesgo asociados a prevalencia de caries en alumnos del Ejército de ChileHábitos alimentarios en escolares de distinto tipo de establecimientos educacionalesNivel de conocimientos de los habitantes de Loncoche sobre enfermedades parasitarias, IX, Región, Chile 2009Nutrición y condiciones socioeconómicas de escolares de la escuela Jesús María Sifontes, Los Teques, VenezuelaRelación entre dificultad para comprar cigarrillos, lugares de venta y curso en adolescente

Effects of pre-operative isolation on postoperative pulmonary complications after elective surgery: an international prospective cohort study an international prospective cohort study

We aimed to determine the impact of pre-operative isolation on postoperative pulmonary complications after elective surgery during the global SARS-CoV-2 pandemic. We performed an international prospective cohort study including patients undergoing elective surgery in October 2020. Isolation was defined as the period before surgery during which patients did not leave their house or receive visitors from outside their household. The primary outcome was postoperative pulmonary complications, adjusted in multivariable models for measured confounders. Pre-defined sub-group analyses were performed for the primary outcome. A total of 96,454 patients from 114 countries were included and overall, 26,948 (27.9%) patients isolated before surgery. Postoperative pulmonary complications were recorded in 1947 (2.0%) patients of which 227 (11.7%) were associated with SARS-CoV-2 infection. Patients who isolated pre-operatively were older, had more respiratory comorbidities and were more commonly from areas of high SARS-CoV-2 incidence and high-income countries. Although the overall rates of postoperative pulmonary complications were similar in those that isolated and those that did not (2.1% vs 2.0%, respectively), isolation was associated with higher rates of postoperative pulmonary complications after adjustment (adjusted OR 1.20, 95%CI 1.05–1.36, p = 0.005). Sensitivity analyses revealed no further differences when patients were categorised by: pre-operative testing; use of COVID-19-free pathways; or community SARS-CoV-2 prevalence. The rate of postoperative pulmonary complications increased with periods of isolation longer than 3 days, with an OR (95%CI) at 4–7 days or ≥ 8 days of 1.25 (1.04–1.48), p = 0.015 and 1.31 (1.11–1.55), p = 0.001, respectively. Isolation before elective surgery might be associated with a small but clinically important increased risk of postoperative pulmonary complications. Longer periods of isolation showed no reduction in the risk of postoperative pulmonary complications. These findings have significant implications for global provision of elective surgical care. We aimed to determine the impact of pre-operative isolation on postoperative pulmonary complications after elective surgery during the global SARS-CoV-2 pandemic. We performed an international prospective cohort study including patients undergoing elective surgery in October 2020. Isolation was defined as the period before surgery during which patients did not leave their house or receive visitors from outside their household. The primary outcome was postoperative pulmonary complications, adjusted in multivariable models for measured confounders. Pre-defined sub-group analyses were performed for the primary outcome. A total of 96,454 patients from 114 countries were included and overall, 26,948 (27.9%) patients isolated before surgery. Postoperative pulmonary complications were recorded in 1947 (2.0%) patients of which 227 (11.7%) were associated with SARS-CoV-2 infection. Patients who isolated pre-operatively were older, had more respiratory comorbidities and were more commonly from areas of high SARS-CoV-2 incidence and high-income countries. Although the overall rates of postoperative pulmonary complications were similar in those that isolated and those that did not (2.1% vs 2.0%, respectively), isolation was associated with higher rates of postoperative pulmonary complications after adjustment (adjusted OR 1.20, 95%CI 1.05–1.36, p = 0.005). Sensitivity analyses revealed no further differences when patients were categorised by: pre-operative testing; use of COVID-19-free pathways; or community SARS-CoV-2 prevalence. The rate of postoperative pulmonary complications increased with periods of isolation longer than 3 days, with an OR (95%CI) at 4–7 days or ≥ 8 days of 1.25 (1.04–1.48), p = 0.015 and 1.31 (1.11–1.55), p = 0.001, respectively. Isolation before elective surgery might be associated with a small but clinically important increased risk of postoperative pulmonary complications. Longer periods of isolation showed no reduction in the risk of postoperative pulmonary complications. These findings have significant implications for global provision of elective surgical care