Behavior of hollow-core fiber reinforced polymer-concrete-steel bridge columns under extreme loading

This study introduces an investigation of the behavior of innovative, resilient, and quickly-constructed hollow-core fiber reinforced polymer-concrete-steel (HC-FCS) bridge columns under extreme loading. The HC-FCS column consists of a concrete wall sandwiched between an outer fiber reinforced polymer (FRP) tube and an inner steel tube. The steel tube was embedded into a reinforced concrete footing with an embedded length of 1.6-1.8 times the diameter of the steel tube. The FRP tube only confined the concrete wall and truncated at the top of the footing level. The hollow steel tube was the only reinforcement for shear and flexure inside the HC-FCS column. The steel and FRP tubes act together as stay-in-place formworks. The results obtained from testing the HCFCS columns under seismic loading have been compared with those from testing the conventional reinforced concrete (RC) column. Results showed that the HC-FCS column exhibited a high lateral drift reaching 15.2%, while the well-detailed solid cross-section RC column reached a drift of 10.9%. The HC-FCS column dissipated energy reaching 1.9 times that of the RC column. A simple analytical model and preliminary design guidelines were presented to help implement this new technology. Vehicle collision with RC and HC-FCS bridge columns was also presented in this study using LS-DYNA software. The first equation for estimating the equivalent static force of the vehicle collision, based on the vehicle\u27s mass and velocity, was developed. This approach will allow departments of transportation (DOTs) to design different bridge columns for different impact force demands depending on the anticipated truck loads and velocities from roads survey. In general, the peak dynamic force values of the HC-FCS columns were lower than those of the RC columns when they were subjected to vehicle collision, which could save lives and reduce damage to the bridge column and the vehicle --Abstract, page v

Dynamic and Static Behavior of Hollow-Core FRP-Concrete-Steel and Reinforced Concrete Bridge Columns under Vehicle Collision

This paper presents the difference in behavior between hollow-core fiber reinforced polymer-concrete-steel (HC-FCS) columns and conventional reinforced concrete (RC) columns under vehicle collision in terms of dynamic and static forces. The HC-FCS column consisted of an outer FRP tube, an inner steel tube, and a concrete shell sandwiched between the two tubes. The steel tube was hollow inside and embedded into the concrete footing with a length of 1.5 times the tube diameter while the FRP tube stopped at the top of footing. The RC column had a solid cross-section. The study was conducted through extensive finite element impact analyses using LS-DYNA software. Nine parameters were studied including the concrete material model, unconfined concrete compressive strength, material strain rate, column height-to-diameter ratio, column diameter, column top boundary condition, axial load level, vehicle velocity, and vehicle mass. Generally, the HC-FCS columns had lower dynamic forces and higher static forces than the RC columns when changing the values of the different parameters. During vehicle collision with either the RC or the HC-FCS columns, the imposed dynamic forces and their equivalent static forces were affected mainly by the vehicle velocity and vehicle mass

Concrete-Filled-Large Deformable FRP Tubular Columns under Axial Compressive Loading

The behavior of concrete-filled fiber tubes (CFFT) polymers under axial compressive loading was investigated. Unlike the traditional fiber reinforced polymers (FRP) such as carbon, glass, aramid, etc., the FRP tubes in this study were designed using large rupture strains FRP which are made of recycled materials such as plastic bottles; hence, large rupture strain (LRS) FRP composites are environmentally friendly and can be used in the context of green construction. This study performed finite element (FE) analysis using LS-DYNA software to conduct an extensive parametric study on CFFT. The effects of the FRP confinement ratio, the unconfined concrete compressive strength (ƒc\u27), column size, and column aspect ratio on the behavior of the CFFT under axial compressive loading were investigated during this study. A comparison between the behavior of the CFFTs with LRS-FRP and those with traditional FRP (carbon and glass) with a high range of confinement ratios was conducted as well. A new hybrid FRP system combined with traditional and LRS-FRP is proposed. Generally, the CFFTs with LRS-FRP showed remarkable behavior under axial loading in strength and ultimate strain. Equations to estimate the concrete dilation parameter and dilation angle of the CFFTs with LRS-FRP tubes and hybrid FRP tubes are suggested

Torsional Behavior of Hollow-Core FRP-Concrete-Steel Bridge Columns

This paper presents the behavior of hollow-core fiber reinforced polymer-concrete-steel (HC-FCS) column under pure torsion loading with constant axial load. The HCFCS consists of outer FRP tube and inner steel tube with concrete shell sandwiched between the two tubes. The FRP tube was stopped at the surface of the footing and provided confinement to the concrete shell from outer direction. The steel tube was embedded into the footing to a length of 1.8 times to the diameter of the steel tube. The longitudinal and transversal reinforcements of the column were provided by the steel tube only. A large-scale HC-FCS column with a diameter of 610 mm and height of applied load of 2,438 mm with aspect ratio of 4 was investigated during this study. The study revealed that the torsional behavior of HC-FCS column mainly depended on the stiffness of the steel tube and the interactions among the column components (concrete shell, steel tube, and FRP tube)

Hollow-Core FRP-Concrete-Steel Bridge Columns under Torsional Loading

This paper presents the behavior of hollow-core fiber-reinforced polymer-concrete-steel (HC-FCS) columns under cyclic torsional loading combined with constant axial load. The HC-FCS consists of an outer fiber-reinforced polymer (FRP) tube and an inner steel tube, with a concrete shell sandwiched between the two tubes. The FRP tube was stopped at the surface of the footing, and provided confinement to the concrete shell from the outer direction. The steel tube was embedded into the footing to a length of 1.8 times the diameter of the steel tube. The longitudinal and transversal reinforcements of the column were provided by the steel tube only. A large-scale HC-FCS column with a diameter of 24 in. (610 mm) and applied load height of 96 in. (2438 mm) with an aspect ratio of four was investigated during this study. The study revealed that the torsional behavior of the HC-FCS column mainly depended on the stiffness of the steel tube and the interactions among the column components (concrete shell, steel tube, and FRP tube). A brief comparison of torsional behavior was made between the conventional reinforced concrete columns and the HC-FCS column. The comparison illustrated that both column types showed high initial stiffness under torsional loading. However, the HC-FCS column maintained the torsion strength until a high twist angle, while the conventional reinforced concrete column did not

Numerical Investigation on Hollow Pultruded Fibre Reinforced Polymer Tube Columns

As the axial behaviour of hollow pultruded fibre reinforced polymer (PFRP) profiles is governed by the instability conditions due to the local and global buckling, the determination of the safe load carrying capacity of FRP columns is vital. The compressive performance of PFRP tube depends on many factors such as fibre type, fibre content, and orientation of fibre layers, cross-section, thickness and height of the column member. In this study, concentric compressive testing was conducted using PFRP short columns. Based on the fibre orientation and thickness, the samples were divided into two groups of tubes in a square shape and two groups in a circular shape. The height of columns is designed to keep the slenderness ratio (length/lateral dimension) of 5. The axial behaviour of FRP columns was simulated using STRAND7 finite element software package. The laminate method was followed to define the mechanical properties of the FRP material. Failure was investigated by using the Tsai-Wu failure criterion. The experimental results show that the failure mode of the hollow square tube was either local buckling or corner splitting at the mid-height followed by buckling. Although both types of circular tubes failed in a similar way by crushing one end with high noise, followed by separation of the crushed end into strips, the stiffness and the load capacity of PFRP column was higher for the profiles with fibres oriented close to the axial direction. The numerical results are in close agreement with the peak value of the experimental results. This can be extended to study the effects of all factors that influence the axial behaviour of PFRP columns numerically

Global overview of the management of acute cholecystitis during the COVID-19 pandemic (CHOLECOVID study)

Background: This study provides a global overview of the management of patients with acute cholecystitis during the initial phase of the COVID-19 pandemic. Methods: CHOLECOVID is an international, multicentre, observational comparative study of patients admitted to hospital with acute cholecystitis during the COVID-19 pandemic. Data on management were collected for a 2-month study interval coincident with the WHO declaration of the SARS-CoV-2 pandemic and compared with an equivalent pre-pandemic time interval. Mediation analysis examined the influence of SARS-COV-2 infection on 30-day mortality. Results: This study collected data on 9783 patients with acute cholecystitis admitted to 247 hospitals across the world. The pandemic was associated with reduced availability of surgical workforce and operating facilities globally, a significant shift to worse severity of disease, and increased use of conservative management. There was a reduction (both absolute and proportionate) in the number of patients undergoing cholecystectomy from 3095 patients (56.2 per cent) pre-pandemic to 1998 patients (46.2 per cent) during the pandemic but there was no difference in 30-day all-cause mortality after cholecystectomy comparing the pre-pandemic interval with the pandemic (13 patients (0.4 per cent) pre-pandemic to 13 patients (0.6 per cent) pandemic; P = 0.355). In mediation analysis, an admission with acute cholecystitis during the pandemic was associated with a non-significant increased risk of death (OR 1.29, 95 per cent c.i. 0.93 to 1.79, P = 0.121). Conclusion: CHOLECOVID provides a unique overview of the treatment of patients with cholecystitis across the globe during the first months of the SARS-CoV-2 pandemic. The study highlights the need for system resilience in retention of elective surgical activity. Cholecystectomy was associated with a low risk of mortality and deferral of treatment results in an increase in avoidable morbidity that represents the non-COVID cost of this pandemic

Elective Cancer Surgery in COVID-19-Free Surgical Pathways During the SARS-CoV-2 Pandemic: An International, Multicenter, Comparative Cohort Study.

PURPOSE: As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19-free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS: This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19-free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS: Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19-free surgical pathways. Patients who underwent surgery within COVID-19-free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19-free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score-matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19-free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION: Within available resources, dedicated COVID-19-free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks

Elective cancer surgery in COVID-19-free surgical pathways during the SARS-CoV-2 pandemic: An international, multicenter, comparative cohort study

PURPOSE As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19–free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19–free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19–free surgical pathways. Patients who underwent surgery within COVID-19–free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19–free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score–matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19–free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION Within available resources, dedicated COVID-19–free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks

Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study

Background: The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and pulmonary complication rates in patients with perioperative SARS-CoV-2 infection. Methods: This international, multicentre, cohort study at 235 hospitals in 24 countries included all patients undergoing surgery who had SARS-CoV-2 infection confirmed within 7 days before or 30 days after surgery. The primary outcome measure was 30-day postoperative mortality and was assessed in all enrolled patients. The main secondary outcome measure was pulmonary complications, defined as pneumonia, acute respiratory distress syndrome, or unexpected postoperative ventilation. Findings: This analysis includes 1128 patients who had surgery between Jan 1 and March 31, 2020, of whom 835 (74·0%) had emergency surgery and 280 (24·8%) had elective surgery. SARS-CoV-2 infection was confirmed preoperatively in 294 (26·1%) patients. 30-day mortality was 23·8% (268 of 1128). Pulmonary complications occurred in 577 (51·2%) of 1128 patients; 30-day mortality in these patients was 38·0% (219 of 577), accounting for 81·7% (219 of 268) of all deaths. In adjusted analyses, 30-day mortality was associated with male sex (odds ratio 1·75 [95% CI 1·28–2·40], p\textless0·0001), age 70 years or older versus younger than 70 years (2·30 [1·65–3·22], p\textless0·0001), American Society of Anesthesiologists grades 3–5 versus grades 1–2 (2·35 [1·57–3·53], p\textless0·0001), malignant versus benign or obstetric diagnosis (1·55 [1·01–2·39], p=0·046), emergency versus elective surgery (1·67 [1·06–2·63], p=0·026), and major versus minor surgery (1·52 [1·01–2·31], p=0·047). Interpretation: Postoperative pulmonary complications occur in half of patients with perioperative SARS-CoV-2 infection and are associated with high mortality. Thresholds for surgery during the COVID-19 pandemic should be higher than during normal practice, particularly in men aged 70 years and older. Consideration should be given for postponing non-urgent procedures and promoting non-operative treatment to delay or avoid the need for surgery. Funding: National Institute for Health Research (NIHR), Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, NIHR Academy, Sarcoma UK, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research