João Gomes

431: PARENTERAL ANTIPLATELET USE IN THE NEUROCRITICAL CARE PATIENT POPULATION AND ASSOCIATED OUTCOMES

Benjamin Meola, Grace Conroy, Christine Ahrens, Stephanie Bass et autres

Introduction: Cangrelor and tirofiban are agents used in percutaneous coronary interventions (PCI) to reduce the risk of periprocedural thromboembolic complications. To this point, there have only been retrospective reviews and case reports investigating their use in neuroendovascular procedures or bridging in the …

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Extended pharmacological thromboprophylaxis and clinically relevant venous thromboembolism after major abdominal and pelvic surgery: international, prospective, propensity score-weighted cohort study

Ruth Blanco‐Colino, Niall Brindl, K Gressmann, Rohan R Gujjuri et autres

BACKGROUND: There is low-certainty evidence on the impact of extended pharmacological prophylaxis on venous thromboembolism-associated morbidity and mortality. The aim of this study was to determine the efficacy and safety of extended prophylaxis after major abdominopelvic surgery for the prevention of clinically …

Integrating a Multi-Agent System Simulator and a Network Emulator to Realistically Exercise Military Network Scenarios

Dante Augusto Couto Barone, Juliano Araújo Wickboldt, Maria do Socorro de Mendonça Cavalcanti, David Moura et autres

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Outcomes of gynecologic cancer surgery during the COVID-19 pandemic: an international, multicenter, prospective CovidSurg-Gynecologic Oncology Cancer study

Christina Fotopoulou, Tabassum Khan, Juraj Bracinik, James Glasbey et autres

BACKGROUND: The CovidSurg-Cancer Consortium aimed to explore the impact of COVID-19 in surgical patients and services for solid cancers at the start of the pandemic. The CovidSurg-Gynecologic Oncology Cancer subgroup was particularly concerned about the magnitude of adverse outcomes caused by the …

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Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

Stephen R Knight, Catherine A. Shaw, Riinu Pius, Thomas M Drake et autres

BACKGROUND: Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between …

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CT hyperdense lesion after head trauma: is it traumatic?

João Gomes, Liuba Germanova, Ana R. Monteiro, Manuel R. Teixeira

A woman in her 70s presented in our emergency department after a car accident with reported loss of consciousness on scene after the trauma. In our initial examination, she presented with retrograde amnesia to the event, elevated BP (194/108 mm Hg), tachycardia …

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Parosteal lipoma of the radius with posterior interosseous nerve palsy

João Gomes, Liuba Germanova, Manuel Mega, Ana R. Monteiro

Parosteal lipoma is a rare benign soft tissue mesenchymal tumour that may impair limb motor function when located adjacent to neurovascular structures. We report a case of a woman in her 80s with a long-standing lesion in the forearm and consequent sensory …

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Effect of COVID-19 pandemic lockdowns on planned cancer surgery for 15 tumour types in 61 countries: an international, prospective, cohort study

James Glasbey, Adesoji Ademuyiwa, Adewale Adisa, Ehab Alameer et autres

BACKGROUND: Surgery is the main modality of cure for solid cancers and was prioritised to continue during COVID-19 outbreaks. This study aimed to identify immediate areas for system strengthening by comparing the delivery of elective cancer surgery during the COVID-19 pandemic in …

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Death following pulmonary complications of surgery before and during the SARS-CoV-2 pandemic

Kenneth A McLean, Sivesh K. Kamarajah, Dhruva Chaudhry, Rohan R Gujjuri et autres

BACKGROUND: This study aimed to determine the impact of pulmonary complications on death after surgery both before and during the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic. METHODS: This was a patient-level, comparative analysis of two, international prospective cohort studies: one …

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Global variation in postoperative mortality and complications after cancer surgery: a multicentre, prospective cohort study in 82 countries

Stephen R Knight, Caitlin Shaw, Riinu Pius, Thomas M Drake et autres

BACKGROUND: 80% of individuals with cancer will require a surgical procedure, yet little comparative data exist on early outcomes in low-income and middle-income countries (LMICs). We compared postoperative outcomes in breast, colorectal, and gastric cancer surgery in hospitals worldwide, focusing on the …

Preoperative nasopharyngeal swab testing and postoperative pulmonary complications in patients undergoing elective surgery during the SARS-CoV-2 pandemic

Omar M. Omar, Dmitri Nepogodiev, Brittany Bankhead-Kendall, Marco Fiore et autres

BACKGROUND: Surgical services are preparing to scale up in areas affected by COVID-19. This study aimed to evaluate the association between preoperative SARS-CoV-2 testing and postoperative pulmonary complications in patients undergoing elective cancer surgery. METHODS: This international cohort study included adult patients …

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A COMPUTATIONAL INSTRUMENT FOR STUDENTS ACCESSING AND EXPLORING THE BOOK OF PROPERTIES OF THE BRAGA ARCHBISHOP'S TABLE (17TH CENTURY)

Anabela Barros, Orlando Belo, João Gomes, Tiago Fraga et autres

In the first quarter of the seventeenth century, the properties of the Archbishop's Table embraced densely through the Portuguese regions of Minho and Trás-os-Montes, extending out of their religious domains, to the bishopric of Porto, reaching the region of Santarém, and also …