902 Safe Elective & Emergency Surgery During the COVID-19 Crisis: Experience of a Large Tertiary Centre During the First Wave of the Pandemic

Abstract Aim In addition to a reduction in elective surgery, the COVID-19 pandemic has been associated with concerning rates of post-operative mortality patients highlighting threat nosocomial transmission. Relocation into protected cold wing tertiary centre, vigilant testing and staff test, trace were implemented address these issues. Method Retrospective analysis 5069 consecutive who underwent procedures theatre from 11/03/20 – 08/09/20 was performed. Comparison numbers compared same study dates 2019. Detailed transmission performed using patient notes death certificates. Results 5854 2020 13219 2019, representing 55.7%. The overall 2.7% (135/5069). negative 2.36% (119/5033). 74 tested positive for at any time (1.3%); amongst seven days pre- 30 post-procedure 5.4% (4/74). Nosocomial rate 0.27% admissions (10/3773) 0.97% acute (20/2052). Conclusions first wave predictably caused significant activity. Our hospital infection prevention measures have kept low, particularly admissions. We observed lower than published other centres. Continuation surgical services is important outcomes, essential training surgeons tomorrow.