id sid tid token lemma pos cord-007547-gdsoc93j 1 1 key key JJ cord-007547-gdsoc93j 1 2 : : : cord-007547-gdsoc93j 1 3 cord-007547-gdsoc93j cord-007547-gdsoc93j CD cord-007547-gdsoc93j 1 4 authors author NNS cord-007547-gdsoc93j 1 5 : : : cord-007547-gdsoc93j 1 6 Gillies Gillies NNP cord-007547-gdsoc93j 1 7 , , , cord-007547-gdsoc93j 1 8 M.A. M.A. NNP cord-007547-gdsoc93j 1 9 ; ; : cord-007547-gdsoc93j 1 10 Wijeysundera Wijeysundera NNP cord-007547-gdsoc93j 1 11 , , , cord-007547-gdsoc93j 1 12 D.N. D.N. NNP cord-007547-gdsoc93j 1 13 ; ; : cord-007547-gdsoc93j 1 14 Harrison Harrison NNP cord-007547-gdsoc93j 1 15 , , , cord-007547-gdsoc93j 1 16 E.M. E.M. NNP cord-007547-gdsoc93j 1 17 title title NN cord-007547-gdsoc93j 1 18 : : : cord-007547-gdsoc93j 2 1 Counting count VBG cord-007547-gdsoc93j 2 2 the the DT cord-007547-gdsoc93j 2 3 cost cost NN cord-007547-gdsoc93j 2 4 of of IN cord-007547-gdsoc93j 2 5 cancelled cancel VBN cord-007547-gdsoc93j 2 6 surgery surgery NN cord-007547-gdsoc93j 2 7 : : : cord-007547-gdsoc93j 2 8 a a DT cord-007547-gdsoc93j 2 9 system system NN cord-007547-gdsoc93j 2 10 wide wide JJ cord-007547-gdsoc93j 2 11 approach approach NN cord-007547-gdsoc93j 2 12 is be VBZ cord-007547-gdsoc93j 2 13 needed need VBN cord-007547-gdsoc93j 2 14 date date NN cord-007547-gdsoc93j 2 15 : : : cord-007547-gdsoc93j 2 16 2018 2018 CD cord-007547-gdsoc93j 2 17 - - HYPH cord-007547-gdsoc93j 2 18 09 09 CD cord-007547-gdsoc93j 2 19 - - HYPH cord-007547-gdsoc93j 2 20 07 07 CD cord-007547-gdsoc93j 2 21 journal journal NN cord-007547-gdsoc93j 2 22 : : : cord-007547-gdsoc93j 3 1 Br Br NNP cord-007547-gdsoc93j 3 2 J J NNP cord-007547-gdsoc93j 3 3 Anaesth Anaesth NNP cord-007547-gdsoc93j 3 4 DOI DOI NNP cord-007547-gdsoc93j 3 5 : : : cord-007547-gdsoc93j 3 6 10.1016/ 10.1016/ CD cord-007547-gdsoc93j 4 1 j.bja.2018.08.002 j.bja.2018.08.002 NNP cord-007547-gdsoc93j 4 2 sha sha NNP cord-007547-gdsoc93j 4 3 : : : cord-007547-gdsoc93j 5 1 3efd79c9f9ded8344184fec72e68b3e447211640 3efd79c9f9ded8344184fec72e68b3e447211640 CD cord-007547-gdsoc93j 5 2 doc_id doc_id CD cord-007547-gdsoc93j 5 3 : : : cord-007547-gdsoc93j 5 4 7547 7547 CD cord-007547-gdsoc93j 5 5 cord_uid cord_uid NNS cord-007547-gdsoc93j 5 6 : : : cord-007547-gdsoc93j 6 1 gdsoc93j gdsoc93j NNP cord-007547-gdsoc93j 6 2 nan nan NNP cord-007547-gdsoc93j 6 3 outcomes outcome NNS cord-007547-gdsoc93j 6 4 . . . cord-007547-gdsoc93j 7 1 Interestingly interestingly RB cord-007547-gdsoc93j 7 2 , , , cord-007547-gdsoc93j 7 3 RCTs RCTs NNP cord-007547-gdsoc93j 7 4 targeting target VBG cord-007547-gdsoc93j 7 5 intraoperative intraoperative JJ cord-007547-gdsoc93j 7 6 BP BP NNP cord-007547-gdsoc93j 7 7 thresholds threshold NNS cord-007547-gdsoc93j 7 8 have have VBP cord-007547-gdsoc93j 7 9 found find VBN cord-007547-gdsoc93j 7 10 no no DT cord-007547-gdsoc93j 7 11 differences difference NNS cord-007547-gdsoc93j 7 12 in in IN cord-007547-gdsoc93j 7 13 30 30 CD cord-007547-gdsoc93j 7 14 day day NN cord-007547-gdsoc93j 7 15 9 9 CD cord-007547-gdsoc93j 7 16 or or CC cord-007547-gdsoc93j 7 17 90 90 CD cord-007547-gdsoc93j 7 18 day day NN cord-007547-gdsoc93j 7 19 mortality mortality NN cord-007547-gdsoc93j 7 20 . . . cord-007547-gdsoc93j 8 1 10 10 CD cord-007547-gdsoc93j 9 1 In in IN cord-007547-gdsoc93j 9 2 summary summary NN cord-007547-gdsoc93j 9 3 , , , cord-007547-gdsoc93j 9 4 Wesselink Wesselink NNP cord-007547-gdsoc93j 9 5 and and CC cord-007547-gdsoc93j 9 6 colleagues colleague NNS cord-007547-gdsoc93j 9 7 2 2 CD cord-007547-gdsoc93j 9 8 have have VBP cord-007547-gdsoc93j 9 9 presented present VBN cord-007547-gdsoc93j 9 10 a a DT cord-007547-gdsoc93j 9 11 robust robust JJ cord-007547-gdsoc93j 9 12 , , , cord-007547-gdsoc93j 9 13 well well RB cord-007547-gdsoc93j 9 14 - - HYPH cord-007547-gdsoc93j 9 15 organised organise VBN cord-007547-gdsoc93j 9 16 systematic systematic JJ cord-007547-gdsoc93j 9 17 review review NN cord-007547-gdsoc93j 9 18 of of IN cord-007547-gdsoc93j 9 19 the the DT cord-007547-gdsoc93j 9 20 disparate disparate JJ cord-007547-gdsoc93j 9 21 studies study NNS cord-007547-gdsoc93j 9 22 on on IN cord-007547-gdsoc93j 9 23 the the DT cord-007547-gdsoc93j 9 24 association association NN cord-007547-gdsoc93j 9 25 between between IN cord-007547-gdsoc93j 9 26 intraoperative intraoperative JJ cord-007547-gdsoc93j 9 27 hypotension hypotension NN cord-007547-gdsoc93j 9 28 and and CC cord-007547-gdsoc93j 9 29 adverse adverse JJ cord-007547-gdsoc93j 9 30 postoperative postoperative JJ cord-007547-gdsoc93j 9 31 outcomes outcome NNS cord-007547-gdsoc93j 9 32 . . . cord-007547-gdsoc93j 10 1 Because because IN cord-007547-gdsoc93j 10 2 of of IN cord-007547-gdsoc93j 10 3 large large JJ cord-007547-gdsoc93j 10 4 variations variation NNS cord-007547-gdsoc93j 10 5 in in IN cord-007547-gdsoc93j 10 6 study study NN cord-007547-gdsoc93j 10 7 populations population NNS cord-007547-gdsoc93j 10 8 , , , cord-007547-gdsoc93j 10 9 definitions definition NNS cord-007547-gdsoc93j 10 10 of of IN cord-007547-gdsoc93j 10 11 hypotension hypotension NN cord-007547-gdsoc93j 10 12 , , , cord-007547-gdsoc93j 10 13 surgical surgical JJ cord-007547-gdsoc93j 10 14 procedures procedure NNS cord-007547-gdsoc93j 10 15 , , , cord-007547-gdsoc93j 10 16 outcome outcome NN cord-007547-gdsoc93j 10 17 measurements measurement NNS cord-007547-gdsoc93j 10 18 , , , cord-007547-gdsoc93j 10 19 and and CC cord-007547-gdsoc93j 10 20 analytic analytic JJ cord-007547-gdsoc93j 10 21 methodology methodology NN cord-007547-gdsoc93j 10 22 , , , cord-007547-gdsoc93j 10 23 we -PRON- PRP cord-007547-gdsoc93j 10 24 are be VBP cord-007547-gdsoc93j 10 25 still still RB cord-007547-gdsoc93j 10 26 unable unable JJ cord-007547-gdsoc93j 10 27 to to TO cord-007547-gdsoc93j 10 28 definitively definitively RB cord-007547-gdsoc93j 10 29 point point VB cord-007547-gdsoc93j 10 30 to to IN cord-007547-gdsoc93j 10 31 intraoperative intraoperative JJ cord-007547-gdsoc93j 10 32 hypotension hypotension NN cord-007547-gdsoc93j 10 33 as as IN cord-007547-gdsoc93j 10 34 the the DT cord-007547-gdsoc93j 10 35 culprit culprit NN cord-007547-gdsoc93j 10 36 of of IN cord-007547-gdsoc93j 10 37 adverse adverse JJ cord-007547-gdsoc93j 10 38 outcomes outcome NNS cord-007547-gdsoc93j 10 39 . . . cord-007547-gdsoc93j 11 1 Nonetheless nonetheless RB cord-007547-gdsoc93j 11 2 , , , cord-007547-gdsoc93j 11 3 the the DT cord-007547-gdsoc93j 11 4 review review NN cord-007547-gdsoc93j 11 5 reveals reveal VBZ cord-007547-gdsoc93j 11 6 multiple multiple JJ cord-007547-gdsoc93j 11 7 avenues avenue NNS cord-007547-gdsoc93j 11 8 for for IN cord-007547-gdsoc93j 11 9 future future JJ cord-007547-gdsoc93j 11 10 research research NN cord-007547-gdsoc93j 11 11 that that WDT cord-007547-gdsoc93j 11 12 may may MD cord-007547-gdsoc93j 11 13 bring bring VB cord-007547-gdsoc93j 11 14 us -PRON- PRP cord-007547-gdsoc93j 11 15 closer close RBR cord-007547-gdsoc93j 11 16 to to IN cord-007547-gdsoc93j 11 17 making make VBG cord-007547-gdsoc93j 11 18 sense sense NN cord-007547-gdsoc93j 11 19 of of IN cord-007547-gdsoc93j 11 20 hypotension hypotension NN cord-007547-gdsoc93j 11 21 . . . cord-007547-gdsoc93j 12 1 We -PRON- PRP cord-007547-gdsoc93j 12 2 may may MD cord-007547-gdsoc93j 12 3 not not RB cord-007547-gdsoc93j 12 4 know know VB cord-007547-gdsoc93j 12 5 how how WRB cord-007547-gdsoc93j 12 6 to to TO cord-007547-gdsoc93j 12 7 define define VB cord-007547-gdsoc93j 12 8 hypotension hypotension NN cord-007547-gdsoc93j 12 9 , , , cord-007547-gdsoc93j 12 10 let let VB cord-007547-gdsoc93j 12 11 us -PRON- PRP cord-007547-gdsoc93j 12 12 hope hope VB cord-007547-gdsoc93j 12 13 we -PRON- PRP cord-007547-gdsoc93j 12 14 recognise recognise VBP cord-007547-gdsoc93j 12 15 it -PRON- PRP cord-007547-gdsoc93j 12 16 when when WRB cord-007547-gdsoc93j 12 17 we -PRON- PRP cord-007547-gdsoc93j 12 18 see see VBP cord-007547-gdsoc93j 12 19 it -PRON- PRP cord-007547-gdsoc93j 12 20 . . . cord-007547-gdsoc93j 13 1 Discussed discuss VBD cord-007547-gdsoc93j 13 2 an an DT cord-007547-gdsoc93j 13 3 overview overview NN cord-007547-gdsoc93j 13 4 , , , cord-007547-gdsoc93j 13 5 contents content NNS cord-007547-gdsoc93j 13 6 , , , cord-007547-gdsoc93j 13 7 and and CC cord-007547-gdsoc93j 13 8 the the DT cord-007547-gdsoc93j 13 9 proposed propose VBN cord-007547-gdsoc93j 13 10 narrative narrative NN cord-007547-gdsoc93j 13 11 before before IN cord-007547-gdsoc93j 13 12 composing compose VBG cord-007547-gdsoc93j 13 13 the the DT cord-007547-gdsoc93j 13 14 manuscript manuscript NN cord-007547-gdsoc93j 13 15 : : : cord-007547-gdsoc93j 13 16 J.X.C.K. J.X.C.K. NNP cord-007547-gdsoc93j 13 17 , , , cord-007547-gdsoc93j 14 1 W.S.B. W.S.B. NNP cord-007547-gdsoc93j 14 2 Wrote write VBD cord-007547-gdsoc93j 14 3 the the DT cord-007547-gdsoc93j 14 4 first first JJ cord-007547-gdsoc93j 14 5 draft draft NN cord-007547-gdsoc93j 14 6 : : : cord-007547-gdsoc93j 15 1 J.X.C.K. J.X.C.K. NNP cord-007547-gdsoc93j 15 2 Edited edit VBD cord-007547-gdsoc93j 15 3 the the DT cord-007547-gdsoc93j 15 4 first first JJ cord-007547-gdsoc93j 15 5 and and CC cord-007547-gdsoc93j 15 6 subsequent subsequent JJ cord-007547-gdsoc93j 15 7 drafts draft NNS cord-007547-gdsoc93j 15 8 : : : cord-007547-gdsoc93j 15 9 R.B.G. R.B.G. NNP cord-007547-gdsoc93j 15 10 , , , cord-007547-gdsoc93j 16 1 W.S.B. W.S.B. NNP cord-007547-gdsoc93j 17 1 The the DT cord-007547-gdsoc93j 17 2 authors author NNS cord-007547-gdsoc93j 17 3 declare declare VBP cord-007547-gdsoc93j 17 4 that that IN cord-007547-gdsoc93j 17 5 they -PRON- PRP cord-007547-gdsoc93j 17 6 have have VBP cord-007547-gdsoc93j 17 7 no no DT cord-007547-gdsoc93j 17 8 conflicts conflict NNS cord-007547-gdsoc93j 17 9 of of IN cord-007547-gdsoc93j 17 10 interest interest NN cord-007547-gdsoc93j 17 11 . . . cord-007547-gdsoc93j 18 1 Cancellation cancellation NN cord-007547-gdsoc93j 18 2 on on IN cord-007547-gdsoc93j 18 3 the the DT cord-007547-gdsoc93j 18 4 day day NN cord-007547-gdsoc93j 18 5 of of IN cord-007547-gdsoc93j 18 6 surgery surgery NN cord-007547-gdsoc93j 18 7 is be VBZ cord-007547-gdsoc93j 18 8 a a DT cord-007547-gdsoc93j 18 9 major major JJ cord-007547-gdsoc93j 18 10 issue issue NN cord-007547-gdsoc93j 18 11 in in IN cord-007547-gdsoc93j 18 12 the the DT cord-007547-gdsoc93j 18 13 UK UK NNP cord-007547-gdsoc93j 18 14 NHS NHS NNP cord-007547-gdsoc93j 18 15 and and CC cord-007547-gdsoc93j 18 16 other other JJ cord-007547-gdsoc93j 18 17 healthcare healthcare NN cord-007547-gdsoc93j 18 18 systems system NNS cord-007547-gdsoc93j 18 19 . . . cord-007547-gdsoc93j 19 1 A a DT cord-007547-gdsoc93j 19 2 recent recent JJ cord-007547-gdsoc93j 19 3 prospective prospective JJ cord-007547-gdsoc93j 19 4 epidemiological epidemiological JJ cord-007547-gdsoc93j 19 5 study study NN cord-007547-gdsoc93j 19 6 over over IN cord-007547-gdsoc93j 19 7 a a DT cord-007547-gdsoc93j 19 8 1 1 CD cord-007547-gdsoc93j 19 9 week week NN cord-007547-gdsoc93j 19 10 period period NN cord-007547-gdsoc93j 19 11 in in IN cord-007547-gdsoc93j 19 12 NHS NHS NNP cord-007547-gdsoc93j 19 13 hospitals hospital NNS cord-007547-gdsoc93j 19 14 suggested suggest VBD cord-007547-gdsoc93j 19 15 a a DT cord-007547-gdsoc93j 19 16 cancellation cancellation NN cord-007547-gdsoc93j 19 17 rate rate NN cord-007547-gdsoc93j 19 18 of of IN cord-007547-gdsoc93j 19 19 between between IN cord-007547-gdsoc93j 19 20 10 10 CD cord-007547-gdsoc93j 19 21 % % NN cord-007547-gdsoc93j 19 22 and and CC cord-007547-gdsoc93j 19 23 14 14 CD cord-007547-gdsoc93j 19 24 % % NN cord-007547-gdsoc93j 19 25 and and CC cord-007547-gdsoc93j 19 26 that that IN cord-007547-gdsoc93j 19 27 only only RB cord-007547-gdsoc93j 19 28 one one CD cord-007547-gdsoc93j 19 29 - - HYPH cord-007547-gdsoc93j 19 30 third third NN cord-007547-gdsoc93j 19 31 of of IN cord-007547-gdsoc93j 19 32 these these DT cord-007547-gdsoc93j 19 33 were be VBD cord-007547-gdsoc93j 19 34 because because IN cord-007547-gdsoc93j 19 35 of of IN cord-007547-gdsoc93j 19 36 clinical clinical JJ cord-007547-gdsoc93j 19 37 reasons reason NNS cord-007547-gdsoc93j 19 38 . . . cord-007547-gdsoc93j 20 1 This this DT cord-007547-gdsoc93j 20 2 editorial editorial NN cord-007547-gdsoc93j 20 3 explores explore VBZ cord-007547-gdsoc93j 20 4 the the DT cord-007547-gdsoc93j 20 5 implications implication NNS cord-007547-gdsoc93j 20 6 of of IN cord-007547-gdsoc93j 20 7 the the DT cord-007547-gdsoc93j 20 8 findings finding NNS cord-007547-gdsoc93j 20 9 of of IN cord-007547-gdsoc93j 20 10 this this DT cord-007547-gdsoc93j 20 11 study study NN cord-007547-gdsoc93j 20 12 and and CC cord-007547-gdsoc93j 20 13 how how WRB cord-007547-gdsoc93j 20 14 clinicians clinician NNS cord-007547-gdsoc93j 20 15 , , , cord-007547-gdsoc93j 20 16 managers manager NNS cord-007547-gdsoc93j 20 17 , , , cord-007547-gdsoc93j 20 18 and and CC cord-007547-gdsoc93j 20 19 healthcare healthcare NN cord-007547-gdsoc93j 20 20 commissioners commissioner NNS cord-007547-gdsoc93j 20 21 might may MD cord-007547-gdsoc93j 20 22 reduce reduce VB cord-007547-gdsoc93j 20 23 this this DT cord-007547-gdsoc93j 20 24 problem problem NN cord-007547-gdsoc93j 20 25 . . . cord-007547-gdsoc93j 21 1 As as IN cord-007547-gdsoc93j 21 2 the the DT cord-007547-gdsoc93j 21 3 UK UK NNP cord-007547-gdsoc93j 21 4 NHS NHS NNP cord-007547-gdsoc93j 21 5 entered enter VBD cord-007547-gdsoc93j 21 6 its -PRON- PRP$ cord-007547-gdsoc93j 21 7 70th 70th JJ cord-007547-gdsoc93j 21 8 year year NN cord-007547-gdsoc93j 21 9 , , , cord-007547-gdsoc93j 21 10 figures figure NNS cord-007547-gdsoc93j 21 11 from from IN cord-007547-gdsoc93j 21 12 the the DT cord-007547-gdsoc93j 21 13 first first JJ cord-007547-gdsoc93j 21 14 quarter quarter NN cord-007547-gdsoc93j 21 15 of of IN cord-007547-gdsoc93j 21 16 2018 2018 CD cord-007547-gdsoc93j 21 17 showed show VBD cord-007547-gdsoc93j 21 18 that that IN cord-007547-gdsoc93j 21 19 25 25 CD cord-007547-gdsoc93j 21 20 475 475 CD cord-007547-gdsoc93j 21 21 operations operation NNS cord-007547-gdsoc93j 21 22 were be VBD cord-007547-gdsoc93j 21 23 cancelled cancel VBN cord-007547-gdsoc93j 21 24 in in IN cord-007547-gdsoc93j 21 25 NHS NHS NNP cord-007547-gdsoc93j 21 26 England England NNP cord-007547-gdsoc93j 21 27 on on IN cord-007547-gdsoc93j 21 28 the the DT cord-007547-gdsoc93j 21 29 day day NN cord-007547-gdsoc93j 21 30 of of IN cord-007547-gdsoc93j 21 31 surgery surgery NN cord-007547-gdsoc93j 21 32 . . . cord-007547-gdsoc93j 22 1 This this DT cord-007547-gdsoc93j 22 2 is be VBZ cord-007547-gdsoc93j 22 3 the the DT cord-007547-gdsoc93j 22 4 highest high JJS cord-007547-gdsoc93j 22 5 quarterly quarterly JJ cord-007547-gdsoc93j 22 6 figure figure NN cord-007547-gdsoc93j 22 7 recorded record VBN cord-007547-gdsoc93j 22 8 since since IN cord-007547-gdsoc93j 22 9 records record NNS cord-007547-gdsoc93j 22 10 began begin VBD cord-007547-gdsoc93j 22 11 in in IN cord-007547-gdsoc93j 22 12 1994 1994 CD cord-007547-gdsoc93j 22 13 . . . cord-007547-gdsoc93j 23 1 At at IN cord-007547-gdsoc93j 23 2 the the DT cord-007547-gdsoc93j 23 3 start start NN cord-007547-gdsoc93j 23 4 of of IN cord-007547-gdsoc93j 23 5 this this DT cord-007547-gdsoc93j 23 6 year year NN cord-007547-gdsoc93j 23 7 , , , cord-007547-gdsoc93j 23 8 NHS NHS NNP cord-007547-gdsoc93j 23 9 England England NNP cord-007547-gdsoc93j 23 10 recommended recommend VBD cord-007547-gdsoc93j 23 11 that that IN cord-007547-gdsoc93j 23 12 all all DT cord-007547-gdsoc93j 23 13 hospitals hospital NNS cord-007547-gdsoc93j 23 14 cancel cancel VBP cord-007547-gdsoc93j 23 15 elective elective JJ cord-007547-gdsoc93j 23 16 surgery surgery NN cord-007547-gdsoc93j 23 17 for for IN cord-007547-gdsoc93j 23 18 the the DT cord-007547-gdsoc93j 23 19 month month NN cord-007547-gdsoc93j 23 20 of of IN cord-007547-gdsoc93j 23 21 January January NNP cord-007547-gdsoc93j 23 22 . . . cord-007547-gdsoc93j 24 1 As as IN cord-007547-gdsoc93j 24 2 a a DT cord-007547-gdsoc93j 24 3 consequence consequence NN cord-007547-gdsoc93j 24 4 , , , cord-007547-gdsoc93j 24 5 government government NN cord-007547-gdsoc93j 24 6 targets target NNS cord-007547-gdsoc93j 24 7 to to TO cord-007547-gdsoc93j 24 8 treat treat VB cord-007547-gdsoc93j 24 9 92 92 CD cord-007547-gdsoc93j 24 10 % % NN cord-007547-gdsoc93j 24 11 of of IN cord-007547-gdsoc93j 24 12 patients patient NNS cord-007547-gdsoc93j 24 13 within within IN cord-007547-gdsoc93j 24 14 18 18 CD cord-007547-gdsoc93j 24 15 weeks week NNS cord-007547-gdsoc93j 24 16 were be VBD cord-007547-gdsoc93j 24 17 missed miss VBN cord-007547-gdsoc93j 24 18 for for IN cord-007547-gdsoc93j 24 19 the the DT cord-007547-gdsoc93j 24 20 second second JJ cord-007547-gdsoc93j 24 21 year year NN cord-007547-gdsoc93j 24 22 running run VBG cord-007547-gdsoc93j 24 23 . . . cord-007547-gdsoc93j 25 1 1 1 CD cord-007547-gdsoc93j 25 2 Winter winter NN cord-007547-gdsoc93j 25 3 bed bed NN cord-007547-gdsoc93j 25 4 pressures pressure NNS cord-007547-gdsoc93j 25 5 and and CC cord-007547-gdsoc93j 25 6 a a DT cord-007547-gdsoc93j 25 7 failure failure NN cord-007547-gdsoc93j 25 8 to to TO cord-007547-gdsoc93j 25 9 discharge discharge VB cord-007547-gdsoc93j 25 10 patients patient NNS cord-007547-gdsoc93j 25 11 awaiting await VBG cord-007547-gdsoc93j 25 12 social social JJ cord-007547-gdsoc93j 25 13 care care NN cord-007547-gdsoc93j 25 14 packages package NNS cord-007547-gdsoc93j 25 15 from from IN cord-007547-gdsoc93j 25 16 acute acute JJ cord-007547-gdsoc93j 25 17 beds bed NNS cord-007547-gdsoc93j 25 18 are be VBP cord-007547-gdsoc93j 25 19 routinely routinely RB cord-007547-gdsoc93j 25 20 blamed blame VBN cord-007547-gdsoc93j 25 21 for for IN cord-007547-gdsoc93j 25 22 cancelled cancel VBN cord-007547-gdsoc93j 25 23 surgery surgery NN cord-007547-gdsoc93j 25 24 . . . cord-007547-gdsoc93j 26 1 Recent recent JJ cord-007547-gdsoc93j 26 2 data datum NNS cord-007547-gdsoc93j 26 3 from from IN cord-007547-gdsoc93j 26 4 the the DT cord-007547-gdsoc93j 26 5 Royal Royal NNP cord-007547-gdsoc93j 26 6 College College NNP cord-007547-gdsoc93j 26 7 of of IN cord-007547-gdsoc93j 26 8 Surgeons Surgeons NNPS cord-007547-gdsoc93j 26 9 of of IN cord-007547-gdsoc93j 26 10 England England NNP cord-007547-gdsoc93j 26 11 and and CC cord-007547-gdsoc93j 26 12 The the DT cord-007547-gdsoc93j 26 13 King King NNP cord-007547-gdsoc93j 26 14 's 's POS cord-007547-gdsoc93j 26 15 Fund Fund NNP cord-007547-gdsoc93j 26 16 suggest suggest VBP cord-007547-gdsoc93j 26 17 that that IN cord-007547-gdsoc93j 26 18 not not RB cord-007547-gdsoc93j 26 19 only only RB cord-007547-gdsoc93j 26 20 is be VBZ cord-007547-gdsoc93j 26 21 this this DT cord-007547-gdsoc93j 26 22 problem problem NN cord-007547-gdsoc93j 26 23 increasing increase VBG cord-007547-gdsoc93j 26 24 year year NN cord-007547-gdsoc93j 26 25 on on IN cord-007547-gdsoc93j 26 26 year year NN cord-007547-gdsoc93j 26 27 , , , cord-007547-gdsoc93j 26 28 1 1 CD cord-007547-gdsoc93j 26 29 but but CC cord-007547-gdsoc93j 26 30 that that IN cord-007547-gdsoc93j 26 31 increased increase VBN cord-007547-gdsoc93j 26 32 hospital hospital NN cord-007547-gdsoc93j 26 33 occupancy occupancy NN cord-007547-gdsoc93j 26 34 extends extend VBZ cord-007547-gdsoc93j 26 35 all all DT cord-007547-gdsoc93j 26 36 year year NN cord-007547-gdsoc93j 26 37 round round IN cord-007547-gdsoc93j 26 38 as as IN cord-007547-gdsoc93j 26 39 hospitals hospital NNS cord-007547-gdsoc93j 26 40 attempt attempt VBP cord-007547-gdsoc93j 26 41 to to TO cord-007547-gdsoc93j 26 42 reschedule reschedule VB cord-007547-gdsoc93j 26 43 cancelled cancel VBN cord-007547-gdsoc93j 26 44 admissions admission NNS cord-007547-gdsoc93j 26 45 . . . cord-007547-gdsoc93j 27 1 2 2 LS cord-007547-gdsoc93j 27 2 Bed bed NN cord-007547-gdsoc93j 27 3 pressures pressure NNS cord-007547-gdsoc93j 27 4 , , , cord-007547-gdsoc93j 27 5 particularly particularly RB cord-007547-gdsoc93j 27 6 over over IN cord-007547-gdsoc93j 27 7 winter winter NN cord-007547-gdsoc93j 27 8 months month NNS cord-007547-gdsoc93j 27 9 , , , cord-007547-gdsoc93j 27 10 are be VBP cord-007547-gdsoc93j 27 11 not not RB cord-007547-gdsoc93j 27 12 the the DT cord-007547-gdsoc93j 27 13 sole sole JJ cord-007547-gdsoc93j 27 14 reason reason NN cord-007547-gdsoc93j 27 15 for for IN cord-007547-gdsoc93j 27 16 cancelled cancel VBN cord-007547-gdsoc93j 27 17 surgery surgery NN cord-007547-gdsoc93j 27 18 . . . cord-007547-gdsoc93j 28 1 Other other JJ cord-007547-gdsoc93j 28 2 issues issue NNS cord-007547-gdsoc93j 28 3 can can MD cord-007547-gdsoc93j 28 4 be be VB cord-007547-gdsoc93j 28 5 implicated implicate VBN cord-007547-gdsoc93j 28 6 , , , cord-007547-gdsoc93j 28 7 including include VBG cord-007547-gdsoc93j 28 8 failure failure NN cord-007547-gdsoc93j 28 9 of of IN cord-007547-gdsoc93j 28 10 adequate adequate JJ cord-007547-gdsoc93j 28 11 preoperative preoperative JJ cord-007547-gdsoc93j 28 12 assessment assessment NN cord-007547-gdsoc93j 28 13 , , , cord-007547-gdsoc93j 28 14 staff staff NN cord-007547-gdsoc93j 28 15 shortages shortage NNS cord-007547-gdsoc93j 28 16 , , , cord-007547-gdsoc93j 28 17 access access NN cord-007547-gdsoc93j 28 18 to to IN cord-007547-gdsoc93j 28 19 operating operating NN cord-007547-gdsoc93j 28 20 theatres theatre NNS cord-007547-gdsoc93j 28 21 , , , cord-007547-gdsoc93j 28 22 equipment equipment NN cord-007547-gdsoc93j 28 23 shortages shortage NNS cord-007547-gdsoc93j 28 24 , , , cord-007547-gdsoc93j 28 25 and and CC cord-007547-gdsoc93j 28 26 critical critical JJ cord-007547-gdsoc93j 28 27 care care NN cord-007547-gdsoc93j 28 28 capacity capacity NN cord-007547-gdsoc93j 28 29 . . . cord-007547-gdsoc93j 29 1 Cancellation cancellation NN cord-007547-gdsoc93j 29 2 on on IN cord-007547-gdsoc93j 29 3 the the DT cord-007547-gdsoc93j 29 4 day day NN cord-007547-gdsoc93j 29 5 of of IN cord-007547-gdsoc93j 29 6 surgery surgery NN cord-007547-gdsoc93j 29 7 is be VBZ cord-007547-gdsoc93j 29 8 costly costly JJ cord-007547-gdsoc93j 29 9 for for IN cord-007547-gdsoc93j 29 10 patients patient NNS cord-007547-gdsoc93j 29 11 and and CC cord-007547-gdsoc93j 29 12 healthcare healthcare NN cord-007547-gdsoc93j 29 13 providers provider NNS cord-007547-gdsoc93j 29 14 . . . cord-007547-gdsoc93j 30 1 In in IN cord-007547-gdsoc93j 30 2 addition addition NN cord-007547-gdsoc93j 30 3 , , , cord-007547-gdsoc93j 30 4 it -PRON- PRP cord-007547-gdsoc93j 30 5 can can MD cord-007547-gdsoc93j 30 6 have have VB cord-007547-gdsoc93j 30 7 profound profound JJ cord-007547-gdsoc93j 30 8 consequences consequence NNS cord-007547-gdsoc93j 30 9 on on IN cord-007547-gdsoc93j 30 10 patients patient NNS cord-007547-gdsoc93j 30 11 ' ' POS cord-007547-gdsoc93j 30 12 health health NN cord-007547-gdsoc93j 30 13 and and CC cord-007547-gdsoc93j 30 14 experience experience NN cord-007547-gdsoc93j 30 15 , , , cord-007547-gdsoc93j 30 16 extending extend VBG cord-007547-gdsoc93j 30 17 their -PRON- PRP$ cord-007547-gdsoc93j 30 18 period period NN cord-007547-gdsoc93j 30 19 of of IN cord-007547-gdsoc93j 30 20 pain pain NN cord-007547-gdsoc93j 30 21 or or CC cord-007547-gdsoc93j 30 22 debilitation debilitation NN cord-007547-gdsoc93j 30 23 and and CC cord-007547-gdsoc93j 30 24 even even RB cord-007547-gdsoc93j 30 25 worsening worsen VBG cord-007547-gdsoc93j 30 26 long long JJ cord-007547-gdsoc93j 30 27 - - HYPH cord-007547-gdsoc93j 30 28 term term NN cord-007547-gdsoc93j 30 29 outcomes outcome NNS cord-007547-gdsoc93j 30 30 in in IN cord-007547-gdsoc93j 30 31 surgery surgery NN cord-007547-gdsoc93j 30 32 for for IN cord-007547-gdsoc93j 30 33 cancer cancer NN cord-007547-gdsoc93j 30 34 or or CC cord-007547-gdsoc93j 30 35 cardiovascular cardiovascular JJ cord-007547-gdsoc93j 30 36 disease disease NN cord-007547-gdsoc93j 30 37 . . . cord-007547-gdsoc93j 31 1 Estimates estimate NNS cord-007547-gdsoc93j 31 2 quantify quantify VBP cord-007547-gdsoc93j 31 3 cancelled cancel VBN cord-007547-gdsoc93j 31 4 surgery surgery NN cord-007547-gdsoc93j 31 5 in in IN cord-007547-gdsoc93j 31 6 the the DT cord-007547-gdsoc93j 31 7 UK UK NNP cord-007547-gdsoc93j 31 8 at at IN cord-007547-gdsoc93j 31 9 1.3 1.3 CD cord-007547-gdsoc93j 31 10 % % NN cord-007547-gdsoc93j 31 11 of of IN cord-007547-gdsoc93j 31 12 all all DT cord-007547-gdsoc93j 31 13 hospital hospital NN cord-007547-gdsoc93j 31 14 admissions admission NNS cord-007547-gdsoc93j 31 15 . . . cord-007547-gdsoc93j 32 1 The the DT cord-007547-gdsoc93j 32 2 cost cost NN cord-007547-gdsoc93j 32 3 in in IN cord-007547-gdsoc93j 32 4 lost lose VBN cord-007547-gdsoc93j 32 5 operating operate VBG cord-007547-gdsoc93j 32 6 theatre theatre NN cord-007547-gdsoc93j 32 7 time time NN cord-007547-gdsoc93j 32 8 is be VBZ cord-007547-gdsoc93j 32 9 as as RB cord-007547-gdsoc93j 32 10 high high JJ cord-007547-gdsoc93j 32 11 as as IN cord-007547-gdsoc93j 32 12 £ £ $ cord-007547-gdsoc93j 32 13 400 400 CD cord-007547-gdsoc93j 32 14 million million CD cord-007547-gdsoc93j 32 15 per per IN cord-007547-gdsoc93j 32 16 year year NN cord-007547-gdsoc93j 32 17 . . . cord-007547-gdsoc93j 33 1 Hence hence RB cord-007547-gdsoc93j 33 2 , , , cord-007547-gdsoc93j 33 3 detailed detailed JJ cord-007547-gdsoc93j 33 4 information information NN cord-007547-gdsoc93j 33 5 on on IN cord-007547-gdsoc93j 33 6 the the DT cord-007547-gdsoc93j 33 7 reasons reason NNS cord-007547-gdsoc93j 33 8 for for IN cord-007547-gdsoc93j 33 9 cancelled cancel VBN cord-007547-gdsoc93j 33 10 surgery surgery NN cord-007547-gdsoc93j 33 11 and and CC cord-007547-gdsoc93j 33 12 strategies strategy NNS cord-007547-gdsoc93j 33 13 to to TO cord-007547-gdsoc93j 33 14 reduce reduce VB cord-007547-gdsoc93j 33 15 this this DT cord-007547-gdsoc93j 33 16 is be VBZ cord-007547-gdsoc93j 33 17 of of IN cord-007547-gdsoc93j 33 18 great great JJ cord-007547-gdsoc93j 33 19 interest interest NN cord-007547-gdsoc93j 33 20 to to IN cord-007547-gdsoc93j 33 21 healthcare healthcare NN cord-007547-gdsoc93j 33 22 providers provider NNS cord-007547-gdsoc93j 33 23 , , , cord-007547-gdsoc93j 33 24 clinicians clinician NNS cord-007547-gdsoc93j 33 25 , , , cord-007547-gdsoc93j 33 26 and and CC cord-007547-gdsoc93j 33 27 the the DT cord-007547-gdsoc93j 33 28 public public NN cord-007547-gdsoc93j 33 29 . . . cord-007547-gdsoc93j 34 1 In in IN cord-007547-gdsoc93j 34 2 this this DT cord-007547-gdsoc93j 34 3 issue issue NN cord-007547-gdsoc93j 34 4 of of IN cord-007547-gdsoc93j 34 5 the the DT cord-007547-gdsoc93j 34 6 British British NNP cord-007547-gdsoc93j 34 7 Journal Journal NNP cord-007547-gdsoc93j 34 8 of of IN cord-007547-gdsoc93j 34 9 Anaesthesia Anaesthesia NNP cord-007547-gdsoc93j 34 10 , , , cord-007547-gdsoc93j 34 11 Wong Wong NNP cord-007547-gdsoc93j 34 12 and and CC cord-007547-gdsoc93j 34 13 colleagues colleague NNS cord-007547-gdsoc93j 34 14 3 3 CD cord-007547-gdsoc93j 34 15 present present VBP cord-007547-gdsoc93j 34 16 a a DT cord-007547-gdsoc93j 34 17 prospective prospective JJ cord-007547-gdsoc93j 34 18 observational observational JJ cord-007547-gdsoc93j 34 19 study study NN cord-007547-gdsoc93j 34 20 exploring explore VBG cord-007547-gdsoc93j 34 21 the the DT cord-007547-gdsoc93j 34 22 reasons reason NNS cord-007547-gdsoc93j 34 23 for for IN cord-007547-gdsoc93j 34 24 cancellation cancellation NN cord-007547-gdsoc93j 34 25 on on IN cord-007547-gdsoc93j 34 26 the the DT cord-007547-gdsoc93j 34 27 day day NN cord-007547-gdsoc93j 34 28 of of IN cord-007547-gdsoc93j 34 29 surgery surgery NN cord-007547-gdsoc93j 34 30 in in IN cord-007547-gdsoc93j 34 31 245 245 CD cord-007547-gdsoc93j 34 32 NHS NHS NNP cord-007547-gdsoc93j 34 33 hospitals hospital NNS cord-007547-gdsoc93j 34 34 across across IN cord-007547-gdsoc93j 34 35 the the DT cord-007547-gdsoc93j 34 36 UK UK NNP cord-007547-gdsoc93j 34 37 . . . cord-007547-gdsoc93j 35 1 Theirs -PRON- PRP cord-007547-gdsoc93j 35 2 was be VBD cord-007547-gdsoc93j 35 3 a a DT cord-007547-gdsoc93j 35 4 planned plan VBN cord-007547-gdsoc93j 35 5 sub sub NN cord-007547-gdsoc93j 35 6 - - JJ cord-007547-gdsoc93j 35 7 study study NN cord-007547-gdsoc93j 35 8 of of IN cord-007547-gdsoc93j 35 9 the the DT cord-007547-gdsoc93j 35 10 Second Second NNP cord-007547-gdsoc93j 35 11 Sprint Sprint NNP cord-007547-gdsoc93j 35 12 National National NNP cord-007547-gdsoc93j 35 13 Anaesthesia Anaesthesia NNP cord-007547-gdsoc93j 35 14 Project Project NNP cord-007547-gdsoc93j 35 15 : : : cord-007547-gdsoc93j 35 16 EPIdemiology EPIdemiology NNP cord-007547-gdsoc93j 35 17 of of IN cord-007547-gdsoc93j 35 18 Critical Critical NNP cord-007547-gdsoc93j 35 19 Care Care NNP cord-007547-gdsoc93j 35 20 provision provision NN cord-007547-gdsoc93j 35 21 after after IN cord-007547-gdsoc93j 35 22 Surgery Surgery NNP cord-007547-gdsoc93j 35 23 Study Study NNP cord-007547-gdsoc93j 35 24 ( ( -LRB- cord-007547-gdsoc93j 35 25 SNAP-2 SNAP-2 NNP cord-007547-gdsoc93j 35 26 : : : cord-007547-gdsoc93j 35 27 EPICCS EPICCS NNP cord-007547-gdsoc93j 35 28 ) ) -RRB- cord-007547-gdsoc93j 35 29 . . . cord-007547-gdsoc93j 36 1 This this DT cord-007547-gdsoc93j 36 2 prospective prospective JJ cord-007547-gdsoc93j 36 3 , , , cord-007547-gdsoc93j 36 4 observational observational JJ cord-007547-gdsoc93j 36 5 , , , cord-007547-gdsoc93j 36 6 cross cross JJ cord-007547-gdsoc93j 36 7 - - JJ cord-007547-gdsoc93j 36 8 sectional sectional JJ cord-007547-gdsoc93j 36 9 study study NN cord-007547-gdsoc93j 36 10 into into IN cord-007547-gdsoc93j 36 11 critical critical JJ cord-007547-gdsoc93j 36 12 care care NN cord-007547-gdsoc93j 36 13 provision provision NN cord-007547-gdsoc93j 36 14 for for IN cord-007547-gdsoc93j 36 15 adult adult NN cord-007547-gdsoc93j 36 16 surgery surgery NN cord-007547-gdsoc93j 36 17 was be VBD cord-007547-gdsoc93j 36 18 conducted conduct VBN cord-007547-gdsoc93j 36 19 over over IN cord-007547-gdsoc93j 36 20 one one CD cord-007547-gdsoc93j 36 21 week week NN cord-007547-gdsoc93j 36 22 in in IN cord-007547-gdsoc93j 36 23 2017 2017 CD cord-007547-gdsoc93j 36 24 . . . cord-007547-gdsoc93j 37 1 Of of IN cord-007547-gdsoc93j 37 2 15 15 CD cord-007547-gdsoc93j 37 3 000 000 CD cord-007547-gdsoc93j 37 4 patient patient JJ cord-007547-gdsoc93j 37 5 episodes episode NNS cord-007547-gdsoc93j 37 6 , , , cord-007547-gdsoc93j 37 7 10 10 CD cord-007547-gdsoc93j 37 8 % % NN cord-007547-gdsoc93j 37 9 of of IN cord-007547-gdsoc93j 37 10 patients patient NNS cord-007547-gdsoc93j 37 11 enrolled enrol VBN cord-007547-gdsoc93j 37 12 had have VBD cord-007547-gdsoc93j 37 13 been be VBN cord-007547-gdsoc93j 37 14 previously previously RB cord-007547-gdsoc93j 37 15 cancelled cancel VBN cord-007547-gdsoc93j 37 16 for for IN cord-007547-gdsoc93j 37 17 the the DT cord-007547-gdsoc93j 37 18 same same JJ cord-007547-gdsoc93j 37 19 procedure procedure NN cord-007547-gdsoc93j 37 20 . . . cord-007547-gdsoc93j 38 1 Moreover moreover RB cord-007547-gdsoc93j 38 2 , , , cord-007547-gdsoc93j 38 3 13.9 13.9 CD cord-007547-gdsoc93j 38 4 % % NN cord-007547-gdsoc93j 38 5 of of IN cord-007547-gdsoc93j 38 6 patients patient NNS cord-007547-gdsoc93j 38 7 attending attend VBG cord-007547-gdsoc93j 38 8 for for IN cord-007547-gdsoc93j 38 9 inpatient inpatient JJ cord-007547-gdsoc93j 38 10 surgery surgery NN cord-007547-gdsoc93j 38 11 on on IN cord-007547-gdsoc93j 38 12 the the DT cord-007547-gdsoc93j 38 13 week week NN cord-007547-gdsoc93j 38 14 of of IN cord-007547-gdsoc93j 38 15 the the DT cord-007547-gdsoc93j 38 16 study study NN cord-007547-gdsoc93j 38 17 had have VBD cord-007547-gdsoc93j 38 18 their -PRON- PRP$ cord-007547-gdsoc93j 38 19 surgery surgery NN cord-007547-gdsoc93j 38 20 postponed postpone VBN cord-007547-gdsoc93j 38 21 . . . cord-007547-gdsoc93j 39 1 The the DT cord-007547-gdsoc93j 39 2 investigators investigator NNS cord-007547-gdsoc93j 39 3 used use VBD cord-007547-gdsoc93j 39 4 statistical statistical JJ cord-007547-gdsoc93j 39 5 modelling modelling NN cord-007547-gdsoc93j 39 6 to to TO cord-007547-gdsoc93j 39 7 identify identify VB cord-007547-gdsoc93j 39 8 factors factor NNS cord-007547-gdsoc93j 39 9 associated associate VBN cord-007547-gdsoc93j 39 10 with with IN cord-007547-gdsoc93j 39 11 postponement postponement NN cord-007547-gdsoc93j 39 12 of of IN cord-007547-gdsoc93j 39 13 surgery surgery NN cord-007547-gdsoc93j 39 14 at at IN cord-007547-gdsoc93j 39 15 patient patient NN cord-007547-gdsoc93j 39 16 and and CC cord-007547-gdsoc93j 39 17 hospital hospital NN cord-007547-gdsoc93j 39 18 levels level NNS cord-007547-gdsoc93j 39 19 . . . cord-007547-gdsoc93j 40 1 Although although IN cord-007547-gdsoc93j 40 2 non non JJ cord-007547-gdsoc93j 40 3 - - JJ cord-007547-gdsoc93j 40 4 clinical clinical JJ cord-007547-gdsoc93j 40 5 factors factor NNS cord-007547-gdsoc93j 40 6 such such JJ cord-007547-gdsoc93j 40 7 as as IN cord-007547-gdsoc93j 40 8 hospital hospital NN cord-007547-gdsoc93j 40 9 bed bed NN cord-007547-gdsoc93j 40 10 capacity capacity NN cord-007547-gdsoc93j 40 11 and and CC cord-007547-gdsoc93j 40 12 operating operate VBG cord-007547-gdsoc93j 40 13 theatre theatre NN cord-007547-gdsoc93j 40 14 capacity capacity NN cord-007547-gdsoc93j 40 15 were be VBD cord-007547-gdsoc93j 40 16 highlighted highlight VBN cord-007547-gdsoc93j 40 17 , , , cord-007547-gdsoc93j 40 18 clinical clinical JJ cord-007547-gdsoc93j 40 19 reasons reason NNS cord-007547-gdsoc93j 40 20 were be VBD cord-007547-gdsoc93j 40 21 responsible responsible JJ cord-007547-gdsoc93j 40 22 for for IN cord-007547-gdsoc93j 40 23 33 33 CD cord-007547-gdsoc93j 40 24 % % NN cord-007547-gdsoc93j 40 25 of of IN cord-007547-gdsoc93j 40 26 historical historical JJ cord-007547-gdsoc93j 40 27 cancellations cancellation NNS cord-007547-gdsoc93j 40 28 and and CC cord-007547-gdsoc93j 40 29 28 28 CD cord-007547-gdsoc93j 40 30 % % NN cord-007547-gdsoc93j 40 31 of of IN cord-007547-gdsoc93j 40 32 contemporaneous contemporaneous JJ cord-007547-gdsoc93j 40 33 cancellations cancellation NNS cord-007547-gdsoc93j 40 34 . . . cord-007547-gdsoc93j 41 1 Patients patient NNS cord-007547-gdsoc93j 41 2 who who WP cord-007547-gdsoc93j 41 3 required require VBD cord-007547-gdsoc93j 41 4 postoperative postoperative JJ cord-007547-gdsoc93j 41 5 critical critical JJ cord-007547-gdsoc93j 41 6 care care NN cord-007547-gdsoc93j 41 7 were be VBD cord-007547-gdsoc93j 41 8 at at IN cord-007547-gdsoc93j 41 9 higher high JJR cord-007547-gdsoc93j 41 10 risk risk NN cord-007547-gdsoc93j 41 11 of of IN cord-007547-gdsoc93j 41 12 being be VBG cord-007547-gdsoc93j 41 13 cancelled cancel VBN cord-007547-gdsoc93j 41 14 , , , cord-007547-gdsoc93j 41 15 while while IN cord-007547-gdsoc93j 41 16 those those DT cord-007547-gdsoc93j 41 17 undergoing undergo VBG cord-007547-gdsoc93j 41 18 obstetric obstetric JJ cord-007547-gdsoc93j 41 19 surgery surgery NN cord-007547-gdsoc93j 41 20 , , , cord-007547-gdsoc93j 41 21 emergency emergency NN cord-007547-gdsoc93j 41 22 surgery surgery NN cord-007547-gdsoc93j 41 23 , , , cord-007547-gdsoc93j 41 24 or or CC cord-007547-gdsoc93j 41 25 cancer cancer NN cord-007547-gdsoc93j 41 26 surgery surgery NN cord-007547-gdsoc93j 41 27 were be VBD cord-007547-gdsoc93j 41 28 at at IN cord-007547-gdsoc93j 41 29 reduced reduce VBN cord-007547-gdsoc93j 41 30 risk risk NN cord-007547-gdsoc93j 41 31 . . . cord-007547-gdsoc93j 42 1 Hospital hospital NN cord-007547-gdsoc93j 42 2 factors factor NNS cord-007547-gdsoc93j 42 3 associated associate VBN cord-007547-gdsoc93j 42 4 with with IN cord-007547-gdsoc93j 42 5 a a DT cord-007547-gdsoc93j 42 6 risk risk NN cord-007547-gdsoc93j 42 7 of of IN cord-007547-gdsoc93j 42 8 cancellation cancellation NN cord-007547-gdsoc93j 42 9 were be VBD cord-007547-gdsoc93j 42 10 the the DT cord-007547-gdsoc93j 42 11 presence presence NN cord-007547-gdsoc93j 42 12 of of IN cord-007547-gdsoc93j 42 13 an an DT cord-007547-gdsoc93j 42 14 emergency emergency NN cord-007547-gdsoc93j 42 15 department department NN cord-007547-gdsoc93j 42 16 and and CC cord-007547-gdsoc93j 42 17 enhanced enhance VBD cord-007547-gdsoc93j 42 18 ward ward NN cord-007547-gdsoc93j 42 19 care care NN cord-007547-gdsoc93j 42 20 areas area NNS cord-007547-gdsoc93j 42 21 . . . cord-007547-gdsoc93j 43 1 This this DT cord-007547-gdsoc93j 43 2 study study NN cord-007547-gdsoc93j 43 3 increases increase VBZ cord-007547-gdsoc93j 43 4 our -PRON- PRP$ cord-007547-gdsoc93j 43 5 understanding understanding NN cord-007547-gdsoc93j 43 6 of of IN cord-007547-gdsoc93j 43 7 what what WP cord-007547-gdsoc93j 43 8 seems seem VBZ cord-007547-gdsoc93j 43 9 to to TO cord-007547-gdsoc93j 43 10 be be VB cord-007547-gdsoc93j 43 11 an an DT cord-007547-gdsoc93j 43 12 intractable intractable JJ cord-007547-gdsoc93j 43 13 problem problem NN cord-007547-gdsoc93j 43 14 in in IN cord-007547-gdsoc93j 43 15 NHS NHS NNP cord-007547-gdsoc93j 43 16 institutions institution NNS cord-007547-gdsoc93j 43 17 and and CC cord-007547-gdsoc93j 43 18 beyond beyond IN cord-007547-gdsoc93j 43 19 . . . cord-007547-gdsoc93j 44 1 This this DT cord-007547-gdsoc93j 44 2 was be VBD cord-007547-gdsoc93j 44 3 a a DT cord-007547-gdsoc93j 44 4 large large JJ cord-007547-gdsoc93j 44 5 study study NN cord-007547-gdsoc93j 44 6 involving involve VBG cord-007547-gdsoc93j 44 7 more more JJR cord-007547-gdsoc93j 44 8 than than IN cord-007547-gdsoc93j 44 9 90 90 CD cord-007547-gdsoc93j 44 10 % % NN cord-007547-gdsoc93j 44 11 of of IN cord-007547-gdsoc93j 44 12 UK UK NNP cord-007547-gdsoc93j 44 13 hospitals hospital NNS cord-007547-gdsoc93j 44 14 . . . cord-007547-gdsoc93j 45 1 However however RB cord-007547-gdsoc93j 45 2 , , , cord-007547-gdsoc93j 45 3 in in IN cord-007547-gdsoc93j 45 4 common common JJ cord-007547-gdsoc93j 45 5 with with IN cord-007547-gdsoc93j 45 6 many many JJ cord-007547-gdsoc93j 45 7 epidemiological epidemiological JJ cord-007547-gdsoc93j 45 8 studies study NNS cord-007547-gdsoc93j 45 9 , , , cord-007547-gdsoc93j 45 10 there there EX cord-007547-gdsoc93j 45 11 are be VBP cord-007547-gdsoc93j 45 12 limitations limitation NNS cord-007547-gdsoc93j 45 13 . . . cord-007547-gdsoc93j 46 1 The the DT cord-007547-gdsoc93j 46 2 study study NN cord-007547-gdsoc93j 46 3 period period NN cord-007547-gdsoc93j 46 4 was be VBD cord-007547-gdsoc93j 46 5 a a DT cord-007547-gdsoc93j 46 6 single single JJ cord-007547-gdsoc93j 46 7 week week NN cord-007547-gdsoc93j 46 8 in in IN cord-007547-gdsoc93j 46 9 March March NNP cord-007547-gdsoc93j 46 10 , , , cord-007547-gdsoc93j 46 11 and and CC cord-007547-gdsoc93j 46 12 thus thus RB cord-007547-gdsoc93j 46 13 may may MD cord-007547-gdsoc93j 46 14 not not RB cord-007547-gdsoc93j 46 15 be be VB cord-007547-gdsoc93j 46 16 representative representative JJ cord-007547-gdsoc93j 46 17 of of IN cord-007547-gdsoc93j 46 18 conditions condition NNS cord-007547-gdsoc93j 46 19 throughout throughout IN cord-007547-gdsoc93j 46 20 the the DT cord-007547-gdsoc93j 46 21 year year NN cord-007547-gdsoc93j 46 22 , , , cord-007547-gdsoc93j 46 23 particularly particularly RB cord-007547-gdsoc93j 46 24 in in IN cord-007547-gdsoc93j 46 25 winter winter NN cord-007547-gdsoc93j 46 26 months month NNS cord-007547-gdsoc93j 46 27 when when WRB cord-007547-gdsoc93j 46 28 hospital hospital NN cord-007547-gdsoc93j 46 29 occupancy occupancy NN cord-007547-gdsoc93j 46 30 and and CC cord-007547-gdsoc93j 46 31 cancellation cancellation NN cord-007547-gdsoc93j 46 32 rates rate NNS cord-007547-gdsoc93j 46 33 are be VBP cord-007547-gdsoc93j 46 34 known know VBN cord-007547-gdsoc93j 46 35 to to TO cord-007547-gdsoc93j 46 36 be be VB cord-007547-gdsoc93j 46 37 higher high JJR cord-007547-gdsoc93j 46 38 . . . cord-007547-gdsoc93j 47 1 2 2 LS cord-007547-gdsoc93j 48 1 There there EX cord-007547-gdsoc93j 48 2 was be VBD cord-007547-gdsoc93j 48 3 limited limit VBN cord-007547-gdsoc93j 48 4 granularity granularity NN cord-007547-gdsoc93j 48 5 in in IN cord-007547-gdsoc93j 48 6 the the DT cord-007547-gdsoc93j 48 7 clinical clinical JJ cord-007547-gdsoc93j 48 8 reasons reason NNS cord-007547-gdsoc93j 48 9 for for IN cord-007547-gdsoc93j 48 10 cancellation cancellation NN cord-007547-gdsoc93j 49 1 ( ( -LRB- cord-007547-gdsoc93j 49 2 e.g. e.g. RB cord-007547-gdsoc93j 49 3 was be VBD cord-007547-gdsoc93j 49 4 it -PRON- PRP cord-007547-gdsoc93j 49 5 because because IN cord-007547-gdsoc93j 49 6 of of IN cord-007547-gdsoc93j 49 7 poor poor JJ cord-007547-gdsoc93j 49 8 preparation preparation NN cord-007547-gdsoc93j 49 9 or or CC cord-007547-gdsoc93j 49 10 unexpected unexpected JJ cord-007547-gdsoc93j 49 11 deterioration deterioration NN cord-007547-gdsoc93j 49 12 in in IN cord-007547-gdsoc93j 49 13 patient patient JJ cord-007547-gdsoc93j 49 14 health health NN cord-007547-gdsoc93j 49 15 ) ) -RRB- cord-007547-gdsoc93j 49 16 . . . cord-007547-gdsoc93j 50 1 In in IN cord-007547-gdsoc93j 50 2 14 14 CD cord-007547-gdsoc93j 50 3 % % NN cord-007547-gdsoc93j 50 4 of of IN cord-007547-gdsoc93j 50 5 historical historical JJ cord-007547-gdsoc93j 50 6 cancellations cancellation NNS cord-007547-gdsoc93j 50 7 and and CC cord-007547-gdsoc93j 50 8 57 57 CD cord-007547-gdsoc93j 50 9 % % NN cord-007547-gdsoc93j 50 10 of of IN cord-007547-gdsoc93j 50 11 contemporaneous contemporaneous JJ cord-007547-gdsoc93j 50 12 cancellations cancellation NNS cord-007547-gdsoc93j 50 13 , , , cord-007547-gdsoc93j 50 14 no no DT cord-007547-gdsoc93j 50 15 reason reason NN cord-007547-gdsoc93j 50 16 was be VBD cord-007547-gdsoc93j 50 17 identified identify VBN cord-007547-gdsoc93j 50 18 at at RB cord-007547-gdsoc93j 50 19 all all RB cord-007547-gdsoc93j 50 20 . . . cord-007547-gdsoc93j 51 1 Finally finally RB cord-007547-gdsoc93j 51 2 , , , cord-007547-gdsoc93j 51 3 the the DT cord-007547-gdsoc93j 51 4 UK UK NNP cord-007547-gdsoc93j 51 5 has have VBZ cord-007547-gdsoc93j 51 6 a a DT cord-007547-gdsoc93j 51 7 unique unique JJ cord-007547-gdsoc93j 51 8 healthcare healthcare NN cord-007547-gdsoc93j 51 9 structure structure NN cord-007547-gdsoc93j 51 10 and and CC cord-007547-gdsoc93j 51 11 the the DT cord-007547-gdsoc93j 51 12 results result NNS cord-007547-gdsoc93j 51 13 of of IN cord-007547-gdsoc93j 51 14 this this DT cord-007547-gdsoc93j 51 15 study study NN cord-007547-gdsoc93j 51 16 may may MD cord-007547-gdsoc93j 51 17 not not RB cord-007547-gdsoc93j 51 18 be be VB cord-007547-gdsoc93j 51 19 applicable applicable JJ cord-007547-gdsoc93j 51 20 to to IN cord-007547-gdsoc93j 51 21 an an DT cord-007547-gdsoc93j 51 22 international international JJ cord-007547-gdsoc93j 51 23 audience audience NN cord-007547-gdsoc93j 51 24 . . . cord-007547-gdsoc93j 52 1 Despite despite IN cord-007547-gdsoc93j 52 2 these these DT cord-007547-gdsoc93j 52 3 , , , cord-007547-gdsoc93j 52 4 what what WDT cord-007547-gdsoc93j 52 5 relevant relevant JJ cord-007547-gdsoc93j 52 6 information information NN cord-007547-gdsoc93j 52 7 from from IN cord-007547-gdsoc93j 52 8 this this DT cord-007547-gdsoc93j 52 9 study study NN cord-007547-gdsoc93j 52 10 can can MD cord-007547-gdsoc93j 52 11 be be VB cord-007547-gdsoc93j 52 12 learned learn VBN cord-007547-gdsoc93j 52 13 and and CC cord-007547-gdsoc93j 52 14 applied apply VBN cord-007547-gdsoc93j 52 15 by by IN cord-007547-gdsoc93j 52 16 those those DT cord-007547-gdsoc93j 52 17 delivering deliver VBG cord-007547-gdsoc93j 52 18 surgical surgical JJ cord-007547-gdsoc93j 52 19 care care NN cord-007547-gdsoc93j 52 20 to to TO cord-007547-gdsoc93j 52 21 minimise minimise VB cord-007547-gdsoc93j 52 22 the the DT cord-007547-gdsoc93j 52 23 risk risk NN cord-007547-gdsoc93j 52 24 of of IN cord-007547-gdsoc93j 52 25 cancellation cancellation NN cord-007547-gdsoc93j 52 26 ? ? . cord-007547-gdsoc93j 53 1 Provision provision NN cord-007547-gdsoc93j 53 2 of of IN cord-007547-gdsoc93j 53 3 acute acute JJ cord-007547-gdsoc93j 53 4 hospital hospital NN cord-007547-gdsoc93j 53 5 beds bed NNS cord-007547-gdsoc93j 53 6 clearly clearly RB cord-007547-gdsoc93j 53 7 remains remain VBZ cord-007547-gdsoc93j 53 8 an an DT cord-007547-gdsoc93j 53 9 issue issue NN cord-007547-gdsoc93j 53 10 , , , cord-007547-gdsoc93j 53 11 particularly particularly RB cord-007547-gdsoc93j 53 12 at at IN cord-007547-gdsoc93j 53 13 times time NNS cord-007547-gdsoc93j 53 14 of of IN cord-007547-gdsoc93j 53 15 peak peak NN cord-007547-gdsoc93j 53 16 demand demand NN cord-007547-gdsoc93j 53 17 . . . cord-007547-gdsoc93j 54 1 Tied tie VBN cord-007547-gdsoc93j 54 2 in in RP cord-007547-gdsoc93j 54 3 with with IN cord-007547-gdsoc93j 54 4 this this DT cord-007547-gdsoc93j 54 5 issue issue NN cord-007547-gdsoc93j 54 6 is be VBZ cord-007547-gdsoc93j 54 7 access access NN cord-007547-gdsoc93j 54 8 to to IN cord-007547-gdsoc93j 54 9 long long JJ cord-007547-gdsoc93j 54 10 - - HYPH cord-007547-gdsoc93j 54 11 term term NN cord-007547-gdsoc93j 54 12 care care NN cord-007547-gdsoc93j 54 13 beds bed NNS cord-007547-gdsoc93j 54 14 , , , cord-007547-gdsoc93j 54 15 rehabilitation rehabilitation NN cord-007547-gdsoc93j 54 16 beds bed NNS cord-007547-gdsoc93j 54 17 , , , cord-007547-gdsoc93j 54 18 and and CC cord-007547-gdsoc93j 54 19 availability availability NN cord-007547-gdsoc93j 54 20 of of IN cord-007547-gdsoc93j 54 21 home home NN cord-007547-gdsoc93j 54 22 care care NN cord-007547-gdsoc93j 54 23 support support NN cord-007547-gdsoc93j 54 24 packages package NNS cord-007547-gdsoc93j 54 25 , , , cord-007547-gdsoc93j 54 26 preventing prevent VBG cord-007547-gdsoc93j 54 27 discharge discharge NN cord-007547-gdsoc93j 54 28 . . . cord-007547-gdsoc93j 55 1 This this DT cord-007547-gdsoc93j 55 2 is be VBZ cord-007547-gdsoc93j 55 3 also also RB cord-007547-gdsoc93j 55 4 a a DT cord-007547-gdsoc93j 55 5 major major JJ cord-007547-gdsoc93j 55 6 issue issue NN cord-007547-gdsoc93j 55 7 in in IN cord-007547-gdsoc93j 55 8 other other JJ cord-007547-gdsoc93j 55 9 healthcare healthcare NN cord-007547-gdsoc93j 55 10 systems system NNS cord-007547-gdsoc93j 55 11 including include VBG cord-007547-gdsoc93j 55 12 North North NNP cord-007547-gdsoc93j 55 13 America America NNP cord-007547-gdsoc93j 55 14 ; ; : cord-007547-gdsoc93j 55 15 for for IN cord-007547-gdsoc93j 55 16 example example NN cord-007547-gdsoc93j 55 17 in in IN cord-007547-gdsoc93j 55 18 Ontario Ontario NNP cord-007547-gdsoc93j 55 19 , , , cord-007547-gdsoc93j 55 20 hospital hospital NN cord-007547-gdsoc93j 55 21 overcrowding overcrowding NN cord-007547-gdsoc93j 55 22 and and CC cord-007547-gdsoc93j 55 23 occupancy occupancy NN cord-007547-gdsoc93j 55 24 of of IN cord-007547-gdsoc93j 55 25 more more JJR cord-007547-gdsoc93j 55 26 than than IN cord-007547-gdsoc93j 55 27 100 100 CD cord-007547-gdsoc93j 55 28 % % NN cord-007547-gdsoc93j 55 29 has have VBZ cord-007547-gdsoc93j 55 30 also also RB cord-007547-gdsoc93j 55 31 become become VBN cord-007547-gdsoc93j 55 32 the the DT cord-007547-gdsoc93j 55 33 norm norm NN cord-007547-gdsoc93j 55 34 . . . cord-007547-gdsoc93j 56 1 4 4 LS cord-007547-gdsoc93j 57 1 In in IN cord-007547-gdsoc93j 57 2 this this DT cord-007547-gdsoc93j 57 3 study study NN cord-007547-gdsoc93j 57 4 , , , cord-007547-gdsoc93j 57 5 the the DT cord-007547-gdsoc93j 57 6 presence presence NN cord-007547-gdsoc93j 57 7 of of IN cord-007547-gdsoc93j 57 8 an an DT cord-007547-gdsoc93j 57 9 emergency emergency NN cord-007547-gdsoc93j 57 10 department department NN cord-007547-gdsoc93j 57 11 was be VBD cord-007547-gdsoc93j 57 12 strongly strongly RB cord-007547-gdsoc93j 57 13 associated associate VBN cord-007547-gdsoc93j 57 14 with with IN cord-007547-gdsoc93j 57 15 risk risk NN cord-007547-gdsoc93j 57 16 of of IN cord-007547-gdsoc93j 57 17 cancellation cancellation NN cord-007547-gdsoc93j 57 18 . . . cord-007547-gdsoc93j 58 1 Unsurprisingly unsurprisingly RB cord-007547-gdsoc93j 58 2 , , , cord-007547-gdsoc93j 58 3 the the DT cord-007547-gdsoc93j 58 4 co co NN cord-007547-gdsoc93j 58 5 - - NN cord-007547-gdsoc93j 58 6 provision provision NN cord-007547-gdsoc93j 58 7 of of IN cord-007547-gdsoc93j 58 8 acute acute NN cord-007547-gdsoc93j 58 9 and and CC cord-007547-gdsoc93j 58 10 emergency emergency NN cord-007547-gdsoc93j 58 11 services service NNS cord-007547-gdsoc93j 58 12 in in IN cord-007547-gdsoc93j 58 13 NHS NHS NNP cord-007547-gdsoc93j 58 14 hospitals hospital NNS cord-007547-gdsoc93j 58 15 may may MD cord-007547-gdsoc93j 58 16 result result VB cord-007547-gdsoc93j 58 17 in in IN cord-007547-gdsoc93j 58 18 emergency emergency NN cord-007547-gdsoc93j 58 19 admissions admission NNS cord-007547-gdsoc93j 58 20 being be VBG cord-007547-gdsoc93j 58 21 prioritised prioritise VBN cord-007547-gdsoc93j 58 22 over over IN cord-007547-gdsoc93j 58 23 admission admission NN cord-007547-gdsoc93j 58 24 for for IN cord-007547-gdsoc93j 58 25 elective elective JJ cord-007547-gdsoc93j 58 26 procedures procedure NNS cord-007547-gdsoc93j 58 27 , , , cord-007547-gdsoc93j 58 28 thus thus RB cord-007547-gdsoc93j 58 29 resulting result VBG cord-007547-gdsoc93j 58 30 in in IN cord-007547-gdsoc93j 58 31 cancelled cancel VBN cord-007547-gdsoc93j 58 32 surgery surgery NN cord-007547-gdsoc93j 58 33 . . . cord-007547-gdsoc93j 59 1 This this DT cord-007547-gdsoc93j 59 2 may may MD cord-007547-gdsoc93j 59 3 be be VB cord-007547-gdsoc93j 59 4 compounded compound VBN cord-007547-gdsoc93j 59 5 in in IN cord-007547-gdsoc93j 59 6 the the DT cord-007547-gdsoc93j 59 7 presence presence NN cord-007547-gdsoc93j 59 8 of of IN cord-007547-gdsoc93j 59 9 competing compete VBG cord-007547-gdsoc93j 59 10 government government NN cord-007547-gdsoc93j 59 11 targets target NNS cord-007547-gdsoc93j 59 12 , , , cord-007547-gdsoc93j 59 13 for for IN cord-007547-gdsoc93j 59 14 example example NN cord-007547-gdsoc93j 59 15 simultaneous simultaneous JJ cord-007547-gdsoc93j 59 16 delivery delivery NN cord-007547-gdsoc93j 59 17 of of IN cord-007547-gdsoc93j 59 18 the the DT cord-007547-gdsoc93j 59 19 emergency emergency NN cord-007547-gdsoc93j 59 20 department department NN cord-007547-gdsoc93j 60 1 4-h 4-h CD cord-007547-gdsoc93j 60 2 wait wait VBP cord-007547-gdsoc93j 60 3 target target VB cord-007547-gdsoc93j 60 4 and and CC cord-007547-gdsoc93j 60 5 the the DT cord-007547-gdsoc93j 60 6 18-week 18-week JJ cord-007547-gdsoc93j 60 7 maximum maximum JJ cord-007547-gdsoc93j 60 8 waiting waiting NN cord-007547-gdsoc93j 60 9 time time NN cord-007547-gdsoc93j 60 10 for for IN cord-007547-gdsoc93j 60 11 elective elective JJ cord-007547-gdsoc93j 60 12 treatment treatment NN cord-007547-gdsoc93j 60 13 . . . cord-007547-gdsoc93j 61 1 This this DT cord-007547-gdsoc93j 61 2 and and CC cord-007547-gdsoc93j 61 3 the the DT cord-007547-gdsoc93j 61 4 time time NN cord-007547-gdsoc93j 61 5 - - HYPH cord-007547-gdsoc93j 61 6 critical critical JJ cord-007547-gdsoc93j 61 7 nature nature NN cord-007547-gdsoc93j 61 8 of of IN cord-007547-gdsoc93j 61 9 cancer cancer NN cord-007547-gdsoc93j 61 10 surgery surgery NN cord-007547-gdsoc93j 61 11 may may MD cord-007547-gdsoc93j 61 12 explain explain VB cord-007547-gdsoc93j 61 13 the the DT cord-007547-gdsoc93j 61 14 finding finding NN cord-007547-gdsoc93j 61 15 that that IN cord-007547-gdsoc93j 61 16 cancer cancer NN cord-007547-gdsoc93j 61 17 surgery surgery NN cord-007547-gdsoc93j 61 18 was be VBD cord-007547-gdsoc93j 61 19 less less RBR cord-007547-gdsoc93j 61 20 prone prone JJ cord-007547-gdsoc93j 61 21 to to IN cord-007547-gdsoc93j 61 22 cancellation cancellation NN cord-007547-gdsoc93j 61 23 . . . cord-007547-gdsoc93j 62 1 In in IN cord-007547-gdsoc93j 62 2 the the DT cord-007547-gdsoc93j 62 3 UK UK NNP cord-007547-gdsoc93j 62 4 , , , cord-007547-gdsoc93j 62 5 these these DT cord-007547-gdsoc93j 62 6 patients patient NNS cord-007547-gdsoc93j 62 7 are be VBP cord-007547-gdsoc93j 62 8 prioritised prioritise VBN cord-007547-gdsoc93j 62 9 by by IN cord-007547-gdsoc93j 62 10 clinicians clinician NNS cord-007547-gdsoc93j 62 11 and and CC cord-007547-gdsoc93j 62 12 hospital hospital NN cord-007547-gdsoc93j 62 13 managers manager NNS cord-007547-gdsoc93j 62 14 , , , cord-007547-gdsoc93j 62 15 and and CC cord-007547-gdsoc93j 62 16 are be VBP cord-007547-gdsoc93j 62 17 thus thus RB cord-007547-gdsoc93j 62 18 less less RBR cord-007547-gdsoc93j 62 19 likely likely JJ cord-007547-gdsoc93j 62 20 to to TO cord-007547-gdsoc93j 62 21 be be VB cord-007547-gdsoc93j 62 22 postponed postpone VBN cord-007547-gdsoc93j 62 23 . . . cord-007547-gdsoc93j 63 1 Data datum NNS cord-007547-gdsoc93j 63 2 from from IN cord-007547-gdsoc93j 63 3 Canada Canada NNP cord-007547-gdsoc93j 63 4 suggest suggest VBP cord-007547-gdsoc93j 63 5 that that IN cord-007547-gdsoc93j 63 6 this this DT cord-007547-gdsoc93j 63 7 approach approach NN cord-007547-gdsoc93j 63 8 does do VBZ cord-007547-gdsoc93j 63 9 not not RB cord-007547-gdsoc93j 63 10 impact impact VB cord-007547-gdsoc93j 63 11 adversely adversely RB cord-007547-gdsoc93j 63 12 on on IN cord-007547-gdsoc93j 63 13 other other JJ cord-007547-gdsoc93j 63 14 nonprioritised nonprioritised JJ cord-007547-gdsoc93j 63 15 surgery surgery NN cord-007547-gdsoc93j 63 16 ( ( -LRB- cord-007547-gdsoc93j 63 17 e.g. e.g. IN cord-007547-gdsoc93j 63 18 elective elective JJ cord-007547-gdsoc93j 63 19 major major JJ cord-007547-gdsoc93j 63 20 joint joint JJ cord-007547-gdsoc93j 63 21 replacement replacement NN cord-007547-gdsoc93j 63 22 ) ) -RRB- cord-007547-gdsoc93j 63 23 . . . cord-007547-gdsoc93j 64 1 5 5 LS cord-007547-gdsoc93j 65 1 To to TO cord-007547-gdsoc93j 65 2 apply apply VB cord-007547-gdsoc93j 65 3 the the DT cord-007547-gdsoc93j 65 4 findings finding NNS cord-007547-gdsoc93j 65 5 of of IN cord-007547-gdsoc93j 65 6 this this DT cord-007547-gdsoc93j 65 7 study study NN cord-007547-gdsoc93j 65 8 to to IN cord-007547-gdsoc93j 65 9 a a DT cord-007547-gdsoc93j 65 10 broader broad JJR cord-007547-gdsoc93j 65 11 setting setting NN cord-007547-gdsoc93j 65 12 than than IN cord-007547-gdsoc93j 65 13 the the DT cord-007547-gdsoc93j 65 14 UK UK NNP cord-007547-gdsoc93j 65 15 , , , cord-007547-gdsoc93j 65 16 one one PRP cord-007547-gdsoc93j 65 17 must must MD cord-007547-gdsoc93j 65 18 first first RB cord-007547-gdsoc93j 65 19 consider consider VB cord-007547-gdsoc93j 65 20 the the DT cord-007547-gdsoc93j 65 21 funding funding NN cord-007547-gdsoc93j 65 22 model model NN cord-007547-gdsoc93j 65 23 for for IN cord-007547-gdsoc93j 65 24 each each DT cord-007547-gdsoc93j 65 25 system system NN cord-007547-gdsoc93j 65 26 , , , cord-007547-gdsoc93j 65 27 for for IN cord-007547-gdsoc93j 65 28 example example NN cord-007547-gdsoc93j 65 29 whether whether IN cord-007547-gdsoc93j 65 30 institutions institution NNS cord-007547-gdsoc93j 65 31 receive receive VBP cord-007547-gdsoc93j 65 32 a a DT cord-007547-gdsoc93j 65 33 fixed fix VBN cord-007547-gdsoc93j 65 34 amount amount NN cord-007547-gdsoc93j 65 35 of of IN cord-007547-gdsoc93j 65 36 money money NN cord-007547-gdsoc93j 65 37 to to TO cord-007547-gdsoc93j 65 38 deliver deliver VB cord-007547-gdsoc93j 65 39 surgical surgical JJ cord-007547-gdsoc93j 65 40 care care NN cord-007547-gdsoc93j 65 41 to to IN cord-007547-gdsoc93j 65 42 a a DT cord-007547-gdsoc93j 65 43 population population NN cord-007547-gdsoc93j 65 44 or or CC cord-007547-gdsoc93j 65 45 where where WRB cord-007547-gdsoc93j 65 46 funding funding NN cord-007547-gdsoc93j 65 47 is be VBZ cord-007547-gdsoc93j 65 48 based base VBN cord-007547-gdsoc93j 65 49 on on IN cord-007547-gdsoc93j 65 50 activity activity NN cord-007547-gdsoc93j 65 51 . . . cord-007547-gdsoc93j 66 1 In in IN cord-007547-gdsoc93j 66 2 the the DT cord-007547-gdsoc93j 66 3 latter latter JJ cord-007547-gdsoc93j 66 4 , , , cord-007547-gdsoc93j 66 5 institutions institution NNS cord-007547-gdsoc93j 66 6 would would MD cord-007547-gdsoc93j 66 7 be be VB cord-007547-gdsoc93j 66 8 incentivised incentivise VBN cord-007547-gdsoc93j 66 9 to to TO cord-007547-gdsoc93j 66 10 hire hire VB cord-007547-gdsoc93j 66 11 more more JJR cord-007547-gdsoc93j 66 12 staff staff NN cord-007547-gdsoc93j 66 13 and and CC cord-007547-gdsoc93j 66 14 open open VB cord-007547-gdsoc93j 66 15 more more JJR cord-007547-gdsoc93j 66 16 beds bed NNS cord-007547-gdsoc93j 66 17 to to TO cord-007547-gdsoc93j 66 18 accommodate accommodate VB cord-007547-gdsoc93j 66 19 additional additional JJ cord-007547-gdsoc93j 66 20 activity activity NN cord-007547-gdsoc93j 66 21 at at IN cord-007547-gdsoc93j 66 22 times time NNS cord-007547-gdsoc93j 66 23 of of IN cord-007547-gdsoc93j 66 24 peak peak NN cord-007547-gdsoc93j 66 25 demand demand NN cord-007547-gdsoc93j 66 26 . . . cord-007547-gdsoc93j 67 1 Reducing reduce VBG cord-007547-gdsoc93j 67 2 or or CC cord-007547-gdsoc93j 67 3 even even RB cord-007547-gdsoc93j 67 4 stopping stop VBG cord-007547-gdsoc93j 67 5 elective elective JJ cord-007547-gdsoc93j 67 6 operating operating NN cord-007547-gdsoc93j 67 7 completely completely RB cord-007547-gdsoc93j 67 8 in in IN cord-007547-gdsoc93j 67 9 winter winter NN cord-007547-gdsoc93j 67 10 months month NNS cord-007547-gdsoc93j 67 11 is be VBZ cord-007547-gdsoc93j 67 12 unlikely unlikely JJ cord-007547-gdsoc93j 67 13 to to TO cord-007547-gdsoc93j 67 14 be be VB cord-007547-gdsoc93j 67 15 a a DT cord-007547-gdsoc93j 67 16 long long JJ cord-007547-gdsoc93j 67 17 - - HYPH cord-007547-gdsoc93j 67 18 term term NN cord-007547-gdsoc93j 67 19 solution solution NN cord-007547-gdsoc93j 67 20 to to IN cord-007547-gdsoc93j 67 21 this this DT cord-007547-gdsoc93j 67 22 problem problem NN cord-007547-gdsoc93j 67 23 , , , cord-007547-gdsoc93j 67 24 as as IN cord-007547-gdsoc93j 67 25 many many JJ cord-007547-gdsoc93j 67 26 hospitals hospital NNS cord-007547-gdsoc93j 67 27 report report VBP cord-007547-gdsoc93j 67 28 capacity capacity NN cord-007547-gdsoc93j 67 29 issues issue NNS cord-007547-gdsoc93j 67 30 beyond beyond IN cord-007547-gdsoc93j 67 31 the the DT cord-007547-gdsoc93j 67 32 traditional traditional JJ cord-007547-gdsoc93j 67 33 winter winter NN cord-007547-gdsoc93j 67 34 months month NNS cord-007547-gdsoc93j 67 35 and and CC cord-007547-gdsoc93j 67 36 the the DT cord-007547-gdsoc93j 67 37 postponed postpone VBN cord-007547-gdsoc93j 67 38 surgery surgery NN cord-007547-gdsoc93j 67 39 must must MD cord-007547-gdsoc93j 67 40 be be VB cord-007547-gdsoc93j 67 41 accommodated accommodate VBN cord-007547-gdsoc93j 67 42 at at IN cord-007547-gdsoc93j 67 43 another another DT cord-007547-gdsoc93j 67 44 time time NN cord-007547-gdsoc93j 67 45 in in IN cord-007547-gdsoc93j 67 46 the the DT cord-007547-gdsoc93j 67 47 year year NN cord-007547-gdsoc93j 67 48 . . . cord-007547-gdsoc93j 68 1 2 2 LS cord-007547-gdsoc93j 69 1 There there EX cord-007547-gdsoc93j 69 2 are be VBP cord-007547-gdsoc93j 69 3 advantages advantage NNS cord-007547-gdsoc93j 69 4 to to IN cord-007547-gdsoc93j 69 5 creating create VBG cord-007547-gdsoc93j 69 6 virtually virtually RB cord-007547-gdsoc93j 69 7 or or CC cord-007547-gdsoc93j 69 8 physically physically RB cord-007547-gdsoc93j 69 9 separate separate JJ cord-007547-gdsoc93j 69 10 elective elective JJ cord-007547-gdsoc93j 69 11 operating operating NN cord-007547-gdsoc93j 69 12 centres centre NNS cord-007547-gdsoc93j 69 13 , , , cord-007547-gdsoc93j 69 14 or or CC cord-007547-gdsoc93j 69 15 at at IN cord-007547-gdsoc93j 69 16 least least JJS cord-007547-gdsoc93j 69 17 ensuring ensure VBG cord-007547-gdsoc93j 69 18 ring ring NN cord-007547-gdsoc93j 69 19 - - HYPH cord-007547-gdsoc93j 69 20 fenced fence VBN cord-007547-gdsoc93j 69 21 beds bed NNS cord-007547-gdsoc93j 69 22 within within IN cord-007547-gdsoc93j 69 23 an an DT cord-007547-gdsoc93j 69 24 acute acute JJ cord-007547-gdsoc93j 69 25 hospital hospital NN cord-007547-gdsoc93j 69 26 . . . cord-007547-gdsoc93j 70 1 This this DT cord-007547-gdsoc93j 70 2 approach approach NN cord-007547-gdsoc93j 70 3 can can MD cord-007547-gdsoc93j 70 4 not not RB cord-007547-gdsoc93j 70 5 only only RB cord-007547-gdsoc93j 70 6 reduce reduce VB cord-007547-gdsoc93j 70 7 cancellations cancellation NNS cord-007547-gdsoc93j 70 8 , , , cord-007547-gdsoc93j 70 9 but but CC cord-007547-gdsoc93j 70 10 also also RB cord-007547-gdsoc93j 70 11 the the DT cord-007547-gdsoc93j 70 12 length length NN cord-007547-gdsoc93j 70 13 of of IN cord-007547-gdsoc93j 70 14 stay stay NN cord-007547-gdsoc93j 70 15 and and CC cord-007547-gdsoc93j 70 16 postoperative postoperative JJ cord-007547-gdsoc93j 70 17 complications complication NNS cord-007547-gdsoc93j 70 18 . . . cord-007547-gdsoc93j 71 1 6 6 CD cord-007547-gdsoc93j 72 1 This this DT cord-007547-gdsoc93j 72 2 may may MD cord-007547-gdsoc93j 72 3 also also RB cord-007547-gdsoc93j 72 4 prove prove VB cord-007547-gdsoc93j 72 5 a a DT cord-007547-gdsoc93j 72 6 strong strong JJ cord-007547-gdsoc93j 72 7 argument argument NN cord-007547-gdsoc93j 72 8 for for IN cord-007547-gdsoc93j 72 9 the the DT cord-007547-gdsoc93j 72 10 creation creation NN cord-007547-gdsoc93j 72 11 of of IN cord-007547-gdsoc93j 72 12 cancer cancer NN cord-007547-gdsoc93j 72 13 treatment treatment NN cord-007547-gdsoc93j 72 14 centres centre NNS cord-007547-gdsoc93j 72 15 , , , cord-007547-gdsoc93j 72 16 where where WRB cord-007547-gdsoc93j 72 17 prompt prompt JJ cord-007547-gdsoc93j 72 18 access access NN cord-007547-gdsoc93j 72 19 to to IN cord-007547-gdsoc93j 72 20 surgical surgical JJ cord-007547-gdsoc93j 72 21 treatment treatment NN cord-007547-gdsoc93j 72 22 may may MD cord-007547-gdsoc93j 72 23 be be VB cord-007547-gdsoc93j 72 24 only only RB cord-007547-gdsoc93j 72 25 one one CD cord-007547-gdsoc93j 72 26 of of IN cord-007547-gdsoc93j 72 27 several several JJ cord-007547-gdsoc93j 72 28 advantages advantage NNS cord-007547-gdsoc93j 72 29 , , , cord-007547-gdsoc93j 72 30 for for IN cord-007547-gdsoc93j 72 31 example example NN cord-007547-gdsoc93j 72 32 more more RBR cord-007547-gdsoc93j 72 33 seamless seamless JJ cord-007547-gdsoc93j 72 34 preparation preparation NN cord-007547-gdsoc93j 72 35 for for IN cord-007547-gdsoc93j 72 36 and and CC cord-007547-gdsoc93j 72 37 delivery delivery NN cord-007547-gdsoc93j 72 38 of of IN cord-007547-gdsoc93j 72 39 preoperative preoperative JJ cord-007547-gdsoc93j 72 40 and and CC cord-007547-gdsoc93j 72 41 postoperative postoperative JJ cord-007547-gdsoc93j 72 42 chemotherapy chemotherapy NN cord-007547-gdsoc93j 72 43 or or CC cord-007547-gdsoc93j 72 44 radiotherapy radiotherapy NN cord-007547-gdsoc93j 72 45 . . . cord-007547-gdsoc93j 73 1 Access access NN cord-007547-gdsoc93j 73 2 to to IN cord-007547-gdsoc93j 73 3 operating operating NN cord-007547-gdsoc93j 73 4 theatres theatre NNS cord-007547-gdsoc93j 73 5 is be VBZ cord-007547-gdsoc93j 73 6 another another DT cord-007547-gdsoc93j 73 7 area area NN cord-007547-gdsoc93j 73 8 where where WRB cord-007547-gdsoc93j 73 9 improvements improvement NNS cord-007547-gdsoc93j 73 10 might may MD cord-007547-gdsoc93j 73 11 result result VB cord-007547-gdsoc93j 73 12 in in IN cord-007547-gdsoc93j 73 13 reduced reduced JJ cord-007547-gdsoc93j 73 14 rates rate NNS cord-007547-gdsoc93j 73 15 of of IN cord-007547-gdsoc93j 73 16 cancellation cancellation NN cord-007547-gdsoc93j 73 17 . . . cord-007547-gdsoc93j 74 1 The the DT cord-007547-gdsoc93j 74 2 investigators investigator NNS cord-007547-gdsoc93j 74 3 found find VBD cord-007547-gdsoc93j 74 4 that that IN cord-007547-gdsoc93j 74 5 obstetric obstetric JJ cord-007547-gdsoc93j 74 6 and and CC cord-007547-gdsoc93j 74 7 emergency emergency NN cord-007547-gdsoc93j 74 8 surgery surgery NN cord-007547-gdsoc93j 74 9 were be VBD cord-007547-gdsoc93j 74 10 less less RBR cord-007547-gdsoc93j 74 11 prone prone JJ cord-007547-gdsoc93j 74 12 to to IN cord-007547-gdsoc93j 74 13 cancellation cancellation NN cord-007547-gdsoc93j 74 14 . . . cord-007547-gdsoc93j 75 1 This this DT cord-007547-gdsoc93j 75 2 might may MD cord-007547-gdsoc93j 75 3 be be VB cord-007547-gdsoc93j 75 4 explained explain VBN cord-007547-gdsoc93j 75 5 by by IN cord-007547-gdsoc93j 75 6 appropriate appropriate JJ cord-007547-gdsoc93j 75 7 clinical clinical JJ cord-007547-gdsoc93j 75 8 prioritisation prioritisation NN cord-007547-gdsoc93j 75 9 of of IN cord-007547-gdsoc93j 75 10 these these DT cord-007547-gdsoc93j 75 11 patients patient NNS cord-007547-gdsoc93j 75 12 . . . cord-007547-gdsoc93j 76 1 However however RB cord-007547-gdsoc93j 76 2 , , , cord-007547-gdsoc93j 76 3 obstetric obstetric JJ cord-007547-gdsoc93j 76 4 and and CC cord-007547-gdsoc93j 76 5 emergency emergency NN cord-007547-gdsoc93j 76 6 cases case NNS cord-007547-gdsoc93j 76 7 also also RB cord-007547-gdsoc93j 76 8 tend tend VBP cord-007547-gdsoc93j 76 9 to to TO cord-007547-gdsoc93j 76 10 have have VB cord-007547-gdsoc93j 76 11 dedicated dedicate VBN cord-007547-gdsoc93j 76 12 operating operating NN cord-007547-gdsoc93j 76 13 theatres theatre NNS cord-007547-gdsoc93j 76 14 that that WDT cord-007547-gdsoc93j 76 15 can can MD cord-007547-gdsoc93j 76 16 improve improve VB cord-007547-gdsoc93j 76 17 throughput throughput NN cord-007547-gdsoc93j 76 18 and and CC cord-007547-gdsoc93j 76 19 reduce reduce VB cord-007547-gdsoc93j 76 20 cancellation cancellation NN cord-007547-gdsoc93j 76 21 . . . cord-007547-gdsoc93j 77 1 Interestingly interestingly RB cord-007547-gdsoc93j 77 2 , , , cord-007547-gdsoc93j 77 3 even even RB cord-007547-gdsoc93j 77 4 during during IN cord-007547-gdsoc93j 77 5 the the DT cord-007547-gdsoc93j 77 6 severe severe JJ cord-007547-gdsoc93j 77 7 acute acute JJ cord-007547-gdsoc93j 77 8 respiratory respiratory JJ cord-007547-gdsoc93j 77 9 syndrome syndrome NN cord-007547-gdsoc93j 77 10 ( ( -LRB- cord-007547-gdsoc93j 77 11 SARS SARS NNP cord-007547-gdsoc93j 77 12 ) ) -RRB- cord-007547-gdsoc93j 77 13 crisis crisis NN cord-007547-gdsoc93j 77 14 in in IN cord-007547-gdsoc93j 77 15 2003 2003 CD cord-007547-gdsoc93j 77 16 , , , cord-007547-gdsoc93j 77 17 emergency emergency NN cord-007547-gdsoc93j 77 18 care care NN cord-007547-gdsoc93j 77 19 in in IN cord-007547-gdsoc93j 77 20 Toronto Toronto NNP cord-007547-gdsoc93j 77 21 hospitals hospital NNS cord-007547-gdsoc93j 77 22 was be VBD cord-007547-gdsoc93j 77 23 largely largely RB cord-007547-gdsoc93j 77 24 preserved preserve VBN cord-007547-gdsoc93j 77 25 , , , cord-007547-gdsoc93j 77 26 while while IN cord-007547-gdsoc93j 77 27 elective elective JJ cord-007547-gdsoc93j 77 28 cases case NNS cord-007547-gdsoc93j 77 29 were be VBD cord-007547-gdsoc93j 77 30 reduced reduce VBN cord-007547-gdsoc93j 77 31 , , , cord-007547-gdsoc93j 77 32 consistent consistent JJ cord-007547-gdsoc93j 77 33 with with IN cord-007547-gdsoc93j 77 34 the the DT cord-007547-gdsoc93j 77 35 vulnerability vulnerability NN cord-007547-gdsoc93j 77 36 of of IN cord-007547-gdsoc93j 77 37 elective elective JJ cord-007547-gdsoc93j 77 38 surgery surgery NN cord-007547-gdsoc93j 77 39 to to IN cord-007547-gdsoc93j 77 40 competing compete VBG cord-007547-gdsoc93j 77 41 hospital hospital NN cord-007547-gdsoc93j 77 42 pressures pressure NNS cord-007547-gdsoc93j 77 43 . . . cord-007547-gdsoc93j 78 1 7 7 CD cord-007547-gdsoc93j 79 1 Ensuring ensure VBG cord-007547-gdsoc93j 79 2 that that IN cord-007547-gdsoc93j 79 3 there there EX cord-007547-gdsoc93j 79 4 is be VBZ cord-007547-gdsoc93j 79 5 adequate adequate JJ cord-007547-gdsoc93j 79 6 dedicated dedicated JJ cord-007547-gdsoc93j 79 7 operating operating NN cord-007547-gdsoc93j 79 8 theatre theatre NN cord-007547-gdsoc93j 79 9 capacity capacity NN cord-007547-gdsoc93j 79 10 for for IN cord-007547-gdsoc93j 79 11 emergency emergency NN cord-007547-gdsoc93j 79 12 general general JJ cord-007547-gdsoc93j 79 13 surgery surgery NN cord-007547-gdsoc93j 79 14 and and CC cord-007547-gdsoc93j 79 15 orthopaedic orthopaedic JJ cord-007547-gdsoc93j 79 16 trauma trauma NN cord-007547-gdsoc93j 79 17 to to TO cord-007547-gdsoc93j 79 18 minimise minimise VB cord-007547-gdsoc93j 79 19 delay delay NN cord-007547-gdsoc93j 79 20 in in IN cord-007547-gdsoc93j 79 21 treatment treatment NN cord-007547-gdsoc93j 79 22 is be VBZ cord-007547-gdsoc93j 79 23 strongly strongly RB cord-007547-gdsoc93j 79 24 linked link VBN cord-007547-gdsoc93j 79 25 with with IN cord-007547-gdsoc93j 79 26 outcome outcome NN cord-007547-gdsoc93j 79 27 , , , cord-007547-gdsoc93j 79 28 and and CC cord-007547-gdsoc93j 79 29 might may MD cord-007547-gdsoc93j 79 30 also also RB cord-007547-gdsoc93j 79 31 minimise minimise VB cord-007547-gdsoc93j 79 32 cancellation cancellation NN cord-007547-gdsoc93j 79 33 and and CC cord-007547-gdsoc93j 79 34 delay delay NN cord-007547-gdsoc93j 79 35 for for IN cord-007547-gdsoc93j 79 36 other other JJ cord-007547-gdsoc93j 79 37 patients patient NNS cord-007547-gdsoc93j 79 38 undergoing undergo VBG cord-007547-gdsoc93j 79 39 elective elective JJ cord-007547-gdsoc93j 79 40 surgery surgery NN cord-007547-gdsoc93j 79 41 . . . cord-007547-gdsoc93j 80 1 Inadequate inadequate JJ cord-007547-gdsoc93j 80 2 critical critical JJ cord-007547-gdsoc93j 80 3 care care NN cord-007547-gdsoc93j 80 4 provision provision NN cord-007547-gdsoc93j 80 5 has have VBZ cord-007547-gdsoc93j 80 6 long long RB cord-007547-gdsoc93j 80 7 been be VBN cord-007547-gdsoc93j 80 8 cited cite VBN cord-007547-gdsoc93j 80 9 as as IN cord-007547-gdsoc93j 80 10 a a DT cord-007547-gdsoc93j 80 11 reason reason NN cord-007547-gdsoc93j 80 12 for for IN cord-007547-gdsoc93j 80 13 postponed postpone VBN cord-007547-gdsoc93j 80 14 surgery surgery NN cord-007547-gdsoc93j 80 15 and and CC cord-007547-gdsoc93j 80 16 inferior inferior JJ cord-007547-gdsoc93j 80 17 patient patient JJ cord-007547-gdsoc93j 80 18 outcomes outcome NNS cord-007547-gdsoc93j 80 19 after after IN cord-007547-gdsoc93j 80 20 high high JJ cord-007547-gdsoc93j 80 21 - - HYPH cord-007547-gdsoc93j 80 22 risk risk NN cord-007547-gdsoc93j 80 23 surgery surgery NN cord-007547-gdsoc93j 80 24 . . . cord-007547-gdsoc93j 81 1 In in IN cord-007547-gdsoc93j 81 2 this this DT cord-007547-gdsoc93j 81 3 study study NN cord-007547-gdsoc93j 81 4 , , , cord-007547-gdsoc93j 81 5 the the DT cord-007547-gdsoc93j 81 6 requirement requirement NN cord-007547-gdsoc93j 81 7 for for IN cord-007547-gdsoc93j 81 8 postoperative postoperative JJ cord-007547-gdsoc93j 81 9 critical critical JJ cord-007547-gdsoc93j 81 10 care care NN cord-007547-gdsoc93j 81 11 was be VBD cord-007547-gdsoc93j 81 12 associated associate VBN cord-007547-gdsoc93j 81 13 with with IN cord-007547-gdsoc93j 81 14 an an DT cord-007547-gdsoc93j 81 15 increased increase VBN cord-007547-gdsoc93j 81 16 risk risk NN cord-007547-gdsoc93j 81 17 of of IN cord-007547-gdsoc93j 81 18 cancellation cancellation NN cord-007547-gdsoc93j 81 19 . . . cord-007547-gdsoc93j 82 1 Although although IN cord-007547-gdsoc93j 82 2 admission admission NN cord-007547-gdsoc93j 82 3 to to IN cord-007547-gdsoc93j 82 4 critical critical JJ cord-007547-gdsoc93j 82 5 care care NN cord-007547-gdsoc93j 82 6 is be VBZ cord-007547-gdsoc93j 82 7 recommended recommend VBN cord-007547-gdsoc93j 82 8 for for IN cord-007547-gdsoc93j 82 9 many many JJ cord-007547-gdsoc93j 82 10 types type NNS cord-007547-gdsoc93j 82 11 of of IN cord-007547-gdsoc93j 82 12 high high JJ cord-007547-gdsoc93j 82 13 - - HYPH cord-007547-gdsoc93j 82 14 risk risk NN cord-007547-gdsoc93j 82 15 surgery surgery NN cord-007547-gdsoc93j 82 16 , , , cord-007547-gdsoc93j 82 17 data datum NNS cord-007547-gdsoc93j 82 18 from from IN cord-007547-gdsoc93j 82 19 epidemiological epidemiological JJ cord-007547-gdsoc93j 82 20 studies study NNS cord-007547-gdsoc93j 82 21 do do VBP cord-007547-gdsoc93j 82 22 not not RB cord-007547-gdsoc93j 82 23 support support VB cord-007547-gdsoc93j 82 24 routine routine JJ cord-007547-gdsoc93j 82 25 admission admission NN cord-007547-gdsoc93j 82 26 to to IN cord-007547-gdsoc93j 82 27 critical critical JJ cord-007547-gdsoc93j 82 28 care care NN cord-007547-gdsoc93j 82 29 after after IN cord-007547-gdsoc93j 82 30 elective elective JJ cord-007547-gdsoc93j 82 31 surgery surgery NN cord-007547-gdsoc93j 82 32 , , , cord-007547-gdsoc93j 82 33 8,9 8,9 CD cord-007547-gdsoc93j 82 34 except except IN cord-007547-gdsoc93j 82 35 in in IN cord-007547-gdsoc93j 82 36 the the DT cord-007547-gdsoc93j 82 37 highest high JJS cord-007547-gdsoc93j 82 38 risk risk NN cord-007547-gdsoc93j 82 39 groups group NNS cord-007547-gdsoc93j 82 40 . . . cord-007547-gdsoc93j 83 1 10 10 CD cord-007547-gdsoc93j 84 1 Although although IN cord-007547-gdsoc93j 84 2 the the DT cord-007547-gdsoc93j 84 3 UK UK NNP cord-007547-gdsoc93j 84 4 is be VBZ cord-007547-gdsoc93j 84 5 thought think VBN cord-007547-gdsoc93j 84 6 to to TO cord-007547-gdsoc93j 84 7 have have VB cord-007547-gdsoc93j 84 8 fewer few JJR cord-007547-gdsoc93j 84 9 critical critical JJ cord-007547-gdsoc93j 84 10 care care NN cord-007547-gdsoc93j 84 11 beds bed NNS cord-007547-gdsoc93j 84 12 per per IN cord-007547-gdsoc93j 84 13 capita capita NN cord-007547-gdsoc93j 84 14 than than IN cord-007547-gdsoc93j 84 15 other other JJ cord-007547-gdsoc93j 84 16 developed develop VBN cord-007547-gdsoc93j 84 17 countries country NNS cord-007547-gdsoc93j 84 18 , , , cord-007547-gdsoc93j 84 19 international international JJ cord-007547-gdsoc93j 84 20 definitions definition NNS cord-007547-gdsoc93j 84 21 of of IN cord-007547-gdsoc93j 84 22 critical critical JJ cord-007547-gdsoc93j 84 23 care care NN cord-007547-gdsoc93j 84 24 beds bed NNS cord-007547-gdsoc93j 84 25 are be VBP cord-007547-gdsoc93j 84 26 not not RB cord-007547-gdsoc93j 84 27 standardised standardised JJ cord-007547-gdsoc93j 84 28 . . . cord-007547-gdsoc93j 85 1 Research research NN cord-007547-gdsoc93j 85 2 within within IN cord-007547-gdsoc93j 85 3 the the DT cord-007547-gdsoc93j 85 4 UK UK NNP cord-007547-gdsoc93j 85 5 suggests suggest VBZ cord-007547-gdsoc93j 85 6 that that IN cord-007547-gdsoc93j 85 7 per per IN cord-007547-gdsoc93j 85 8 capita capita FW cord-007547-gdsoc93j 85 9 critical critical JJ cord-007547-gdsoc93j 85 10 care care NN cord-007547-gdsoc93j 85 11 provision provision NN cord-007547-gdsoc93j 85 12 is be VBZ cord-007547-gdsoc93j 85 13 not not RB cord-007547-gdsoc93j 85 14 linked link VBN cord-007547-gdsoc93j 85 15 with with IN cord-007547-gdsoc93j 85 16 improved improved JJ cord-007547-gdsoc93j 85 17 outcome outcome NN cord-007547-gdsoc93j 85 18 . . . cord-007547-gdsoc93j 86 1 11 11 CD cord-007547-gdsoc93j 86 2 Patients patient NNS cord-007547-gdsoc93j 86 3 selected select VBN cord-007547-gdsoc93j 86 4 for for IN cord-007547-gdsoc93j 86 5 direct direct JJ cord-007547-gdsoc93j 86 6 postoperative postoperative JJ cord-007547-gdsoc93j 86 7 admission admission NN cord-007547-gdsoc93j 86 8 to to IN cord-007547-gdsoc93j 86 9 a a DT cord-007547-gdsoc93j 86 10 critical critical JJ cord-007547-gdsoc93j 86 11 care care NN cord-007547-gdsoc93j 86 12 area area NN cord-007547-gdsoc93j 86 13 are be VBP cord-007547-gdsoc93j 86 14 likely likely JJ cord-007547-gdsoc93j 86 15 to to TO cord-007547-gdsoc93j 86 16 have have VB cord-007547-gdsoc93j 86 17 more more JJR cord-007547-gdsoc93j 86 18 co co NNS cord-007547-gdsoc93j 86 19 - - NNS cord-007547-gdsoc93j 86 20 morbidities morbidity NNS cord-007547-gdsoc93j 86 21 10 10 CD cord-007547-gdsoc93j 87 1 and and CC cord-007547-gdsoc93j 87 2 this this DT cord-007547-gdsoc93j 87 3 may may MD cord-007547-gdsoc93j 87 4 also also RB cord-007547-gdsoc93j 87 5 explain explain VB cord-007547-gdsoc93j 87 6 the the DT cord-007547-gdsoc93j 87 7 increased increase VBN cord-007547-gdsoc93j 87 8 risk risk NN cord-007547-gdsoc93j 87 9 of of IN cord-007547-gdsoc93j 87 10 cancellation cancellation NN cord-007547-gdsoc93j 87 11 seen see VBN cord-007547-gdsoc93j 87 12 in in IN cord-007547-gdsoc93j 87 13 this this DT cord-007547-gdsoc93j 87 14 study study NN cord-007547-gdsoc93j 87 15 . . . cord-007547-gdsoc93j 88 1 It -PRON- PRP cord-007547-gdsoc93j 88 2 is be VBZ cord-007547-gdsoc93j 88 3 also also RB cord-007547-gdsoc93j 88 4 known know VBN cord-007547-gdsoc93j 88 5 that that IN cord-007547-gdsoc93j 88 6 there there EX cord-007547-gdsoc93j 88 7 is be VBZ cord-007547-gdsoc93j 88 8 a a DT cord-007547-gdsoc93j 88 9 wide wide JJ cord-007547-gdsoc93j 88 10 variation variation NN cord-007547-gdsoc93j 88 11 in in IN cord-007547-gdsoc93j 88 12 ICU ICU NNP cord-007547-gdsoc93j 88 13 admission admission NN cord-007547-gdsoc93j 88 14 practice practice NN cord-007547-gdsoc93j 88 15 after after IN cord-007547-gdsoc93j 88 16 surgery surgery NN cord-007547-gdsoc93j 88 17 , , , cord-007547-gdsoc93j 88 18 much much JJ cord-007547-gdsoc93j 88 19 of of IN cord-007547-gdsoc93j 88 20 which which WDT cord-007547-gdsoc93j 88 21 is be VBZ cord-007547-gdsoc93j 88 22 at at IN cord-007547-gdsoc93j 88 23 hospital hospital NN cord-007547-gdsoc93j 88 24 level level NN cord-007547-gdsoc93j 88 25 . . . cord-007547-gdsoc93j 89 1 Even even RB cord-007547-gdsoc93j 89 2 without without IN cord-007547-gdsoc93j 89 3 clear clear JJ cord-007547-gdsoc93j 89 4 evidence evidence NN cord-007547-gdsoc93j 89 5 that that IN cord-007547-gdsoc93j 89 6 critical critical JJ cord-007547-gdsoc93j 89 7 care care NN cord-007547-gdsoc93j 89 8 improves improve VBZ cord-007547-gdsoc93j 89 9 postoperative postoperative JJ cord-007547-gdsoc93j 89 10 outcomes outcome NNS cord-007547-gdsoc93j 89 11 , , , cord-007547-gdsoc93j 89 12 there there EX cord-007547-gdsoc93j 89 13 is be VBZ cord-007547-gdsoc93j 89 14 a a DT cord-007547-gdsoc93j 89 15 need need NN cord-007547-gdsoc93j 89 16 to to TO cord-007547-gdsoc93j 89 17 better better RB cord-007547-gdsoc93j 89 18 standardise standardise VB cord-007547-gdsoc93j 89 19 criteria criterion NNS cord-007547-gdsoc93j 89 20 for for IN cord-007547-gdsoc93j 89 21 postoperative postoperative JJ cord-007547-gdsoc93j 89 22 critical critical JJ cord-007547-gdsoc93j 89 23 care care NN cord-007547-gdsoc93j 89 24 admission admission NN cord-007547-gdsoc93j 89 25 across across IN cord-007547-gdsoc93j 89 26 hospitals hospital NNS cord-007547-gdsoc93j 89 27 . . . cord-007547-gdsoc93j 90 1 12 12 CD cord-007547-gdsoc93j 91 1 Enhanced enhanced JJ cord-007547-gdsoc93j 91 2 care care NN cord-007547-gdsoc93j 91 3 wards ward NNS cord-007547-gdsoc93j 91 4 have have VBP cord-007547-gdsoc93j 91 5 been be VBN cord-007547-gdsoc93j 91 6 suggested suggest VBN cord-007547-gdsoc93j 91 7 as as IN cord-007547-gdsoc93j 91 8 an an DT cord-007547-gdsoc93j 91 9 alternative alternative NN cord-007547-gdsoc93j 91 10 to to IN cord-007547-gdsoc93j 91 11 critical critical JJ cord-007547-gdsoc93j 91 12 care care NN cord-007547-gdsoc93j 91 13 for for IN cord-007547-gdsoc93j 91 14 patients patient NNS cord-007547-gdsoc93j 91 15 undergoing undergo VBG cord-007547-gdsoc93j 91 16 major major JJ cord-007547-gdsoc93j 91 17 surgery surgery NN cord-007547-gdsoc93j 91 18 , , , cord-007547-gdsoc93j 91 19 however however RB cord-007547-gdsoc93j 91 20 , , , cord-007547-gdsoc93j 91 21 this this DT cord-007547-gdsoc93j 91 22 study study NN cord-007547-gdsoc93j 91 23 did do VBD cord-007547-gdsoc93j 91 24 not not RB cord-007547-gdsoc93j 91 25 suggest suggest VB cord-007547-gdsoc93j 91 26 that that IN cord-007547-gdsoc93j 91 27 their -PRON- PRP$ cord-007547-gdsoc93j 91 28 presence presence NN cord-007547-gdsoc93j 91 29 reduced reduce VBD cord-007547-gdsoc93j 91 30 the the DT cord-007547-gdsoc93j 91 31 rate rate NN cord-007547-gdsoc93j 91 32 of of IN cord-007547-gdsoc93j 91 33 cancellation cancellation NN cord-007547-gdsoc93j 91 34 . . . cord-007547-gdsoc93j 92 1 Although although IN cord-007547-gdsoc93j 92 2 it -PRON- PRP cord-007547-gdsoc93j 92 3 is be VBZ cord-007547-gdsoc93j 92 4 tempting tempt VBG cord-007547-gdsoc93j 92 5 to to TO cord-007547-gdsoc93j 92 6 attribute attribute VB cord-007547-gdsoc93j 92 7 many many JJ cord-007547-gdsoc93j 92 8 of of IN cord-007547-gdsoc93j 92 9 the the DT cord-007547-gdsoc93j 92 10 reasons reason NNS cord-007547-gdsoc93j 92 11 for for IN cord-007547-gdsoc93j 92 12 cancelled cancel VBN cord-007547-gdsoc93j 92 13 surgery surgery NN cord-007547-gdsoc93j 92 14 to to IN cord-007547-gdsoc93j 92 15 hospital hospital NN cord-007547-gdsoc93j 92 16 factors factor NNS cord-007547-gdsoc93j 92 17 , , , cord-007547-gdsoc93j 92 18 government government NN cord-007547-gdsoc93j 92 19 policy policy NN cord-007547-gdsoc93j 92 20 , , , cord-007547-gdsoc93j 92 21 or or CC cord-007547-gdsoc93j 92 22 healthcare healthcare NN cord-007547-gdsoc93j 92 23 delivery delivery NN cord-007547-gdsoc93j 92 24 , , , cord-007547-gdsoc93j 92 25 we -PRON- PRP cord-007547-gdsoc93j 92 26 must must MD cord-007547-gdsoc93j 92 27 acknowledge acknowledge VB cord-007547-gdsoc93j 92 28 the the DT cord-007547-gdsoc93j 92 29 finding finding NN cord-007547-gdsoc93j 92 30 that that IN cord-007547-gdsoc93j 92 31 up up RP cord-007547-gdsoc93j 92 32 to to IN cord-007547-gdsoc93j 92 33 a a DT cord-007547-gdsoc93j 92 34 third third NN cord-007547-gdsoc93j 92 35 of of IN cord-007547-gdsoc93j 92 36 cancellations cancellation NNS cord-007547-gdsoc93j 92 37 in in IN cord-007547-gdsoc93j 92 38 this this DT cord-007547-gdsoc93j 92 39 study study NN cord-007547-gdsoc93j 92 40 were be VBD cord-007547-gdsoc93j 92 41 for for IN cord-007547-gdsoc93j 92 42 clinical clinical JJ cord-007547-gdsoc93j 92 43 reasons reason NNS cord-007547-gdsoc93j 92 44 . . . cord-007547-gdsoc93j 93 1 3 3 LS cord-007547-gdsoc93j 94 1 While while IN cord-007547-gdsoc93j 94 2 we -PRON- PRP cord-007547-gdsoc93j 94 3 do do VBP cord-007547-gdsoc93j 94 4 not not RB cord-007547-gdsoc93j 94 5 know know VB cord-007547-gdsoc93j 94 6 if if IN cord-007547-gdsoc93j 94 7 this this DT cord-007547-gdsoc93j 94 8 was be VBD cord-007547-gdsoc93j 94 9 because because IN cord-007547-gdsoc93j 94 10 of of IN cord-007547-gdsoc93j 94 11 unexpected unexpected JJ cord-007547-gdsoc93j 94 12 clinical clinical JJ cord-007547-gdsoc93j 94 13 deterioration deterioration NN cord-007547-gdsoc93j 94 14 , , , cord-007547-gdsoc93j 94 15 intercurrent intercurrent NN cord-007547-gdsoc93j 94 16 illness illness NN cord-007547-gdsoc93j 94 17 , , , cord-007547-gdsoc93j 94 18 or or CC cord-007547-gdsoc93j 94 19 inadequate inadequate JJ cord-007547-gdsoc93j 94 20 preoperative preoperative JJ cord-007547-gdsoc93j 94 21 preparation preparation NN cord-007547-gdsoc93j 94 22 , , , cord-007547-gdsoc93j 94 23 we -PRON- PRP cord-007547-gdsoc93j 94 24 must must MD cord-007547-gdsoc93j 94 25 consider consider VB cord-007547-gdsoc93j 94 26 the the DT cord-007547-gdsoc93j 94 27 possibility possibility NN cord-007547-gdsoc93j 94 28 that that IN cord-007547-gdsoc93j 94 29 better well JJR cord-007547-gdsoc93j 94 30 preoperative preoperative JJ cord-007547-gdsoc93j 94 31 assessment assessment NN cord-007547-gdsoc93j 94 32 , , , cord-007547-gdsoc93j 94 33 risk risk NN cord-007547-gdsoc93j 94 34 stratification stratification NN cord-007547-gdsoc93j 94 35 , , , cord-007547-gdsoc93j 94 36 and and CC cord-007547-gdsoc93j 94 37 optimisation optimisation NN cord-007547-gdsoc93j 94 38 of of IN cord-007547-gdsoc93j 94 39 pre pre JJ cord-007547-gdsoc93j 94 40 - - JJ cord-007547-gdsoc93j 94 41 existing existing JJ cord-007547-gdsoc93j 94 42 medical medical JJ cord-007547-gdsoc93j 94 43 conditions condition NNS cord-007547-gdsoc93j 94 44 might may MD cord-007547-gdsoc93j 94 45 reduce reduce VB cord-007547-gdsoc93j 94 46 the the DT cord-007547-gdsoc93j 94 47 risk risk NN cord-007547-gdsoc93j 94 48 of of IN cord-007547-gdsoc93j 94 49 cancellation cancellation NN cord-007547-gdsoc93j 94 50 on on IN cord-007547-gdsoc93j 94 51 the the DT cord-007547-gdsoc93j 94 52 day day NN cord-007547-gdsoc93j 94 53 of of IN cord-007547-gdsoc93j 94 54 surgery surgery NN cord-007547-gdsoc93j 94 55 . . . cord-007547-gdsoc93j 95 1 With with IN cord-007547-gdsoc93j 95 2 admission admission NN cord-007547-gdsoc93j 95 3 on on IN cord-007547-gdsoc93j 95 4 the the DT cord-007547-gdsoc93j 95 5 day day NN cord-007547-gdsoc93j 95 6 of of IN cord-007547-gdsoc93j 95 7 surgery surgery NN cord-007547-gdsoc93j 95 8 now now RB cord-007547-gdsoc93j 95 9 the the DT cord-007547-gdsoc93j 95 10 norm norm NN cord-007547-gdsoc93j 95 11 , , , cord-007547-gdsoc93j 95 12 there there EX cord-007547-gdsoc93j 95 13 is be VBZ cord-007547-gdsoc93j 95 14 limited limited JJ cord-007547-gdsoc93j 95 15 time time NN cord-007547-gdsoc93j 95 16 for for IN cord-007547-gdsoc93j 95 17 additional additional JJ cord-007547-gdsoc93j 95 18 investigations investigation NNS cord-007547-gdsoc93j 95 19 or or CC cord-007547-gdsoc93j 95 20 treatments treatment NNS cord-007547-gdsoc93j 95 21 for for IN cord-007547-gdsoc93j 95 22 unexpected unexpected JJ cord-007547-gdsoc93j 95 23 issues issue NNS cord-007547-gdsoc93j 95 24 that that WDT cord-007547-gdsoc93j 95 25 arise arise VBP cord-007547-gdsoc93j 95 26 on on IN cord-007547-gdsoc93j 95 27 the the DT cord-007547-gdsoc93j 95 28 day day NN cord-007547-gdsoc93j 95 29 of of IN cord-007547-gdsoc93j 95 30 surgery surgery NN cord-007547-gdsoc93j 95 31 . . . cord-007547-gdsoc93j 96 1 Anaesthesia anaesthesia NN cord-007547-gdsoc93j 96 2 - - HYPH cord-007547-gdsoc93j 96 3 led lead VBN cord-007547-gdsoc93j 96 4 preoperative preoperative JJ cord-007547-gdsoc93j 96 5 evaluation evaluation NN cord-007547-gdsoc93j 96 6 clinics clinic NNS cord-007547-gdsoc93j 96 7 have have VBP cord-007547-gdsoc93j 96 8 been be VBN cord-007547-gdsoc93j 96 9 shown show VBN cord-007547-gdsoc93j 96 10 to to TO cord-007547-gdsoc93j 96 11 significantly significantly RB cord-007547-gdsoc93j 96 12 reduce reduce VB cord-007547-gdsoc93j 96 13 rates rate NNS cord-007547-gdsoc93j 96 14 of of IN cord-007547-gdsoc93j 96 15 last last JJ cord-007547-gdsoc93j 96 16 minute minute NN cord-007547-gdsoc93j 96 17 cancellations cancellation NNS cord-007547-gdsoc93j 96 18 . . . cord-007547-gdsoc93j 97 1 13 13 CD cord-007547-gdsoc93j 98 1 These these DT cord-007547-gdsoc93j 98 2 are be VBP cord-007547-gdsoc93j 98 3 clinics clinic NNS cord-007547-gdsoc93j 98 4 that that IN cord-007547-gdsoc93j 98 5 in in IN cord-007547-gdsoc93j 98 6 some some DT cord-007547-gdsoc93j 98 7 way way NN cord-007547-gdsoc93j 98 8 assessdin assessdin NNP cord-007547-gdsoc93j 98 9 person person NN cord-007547-gdsoc93j 98 10 or or CC cord-007547-gdsoc93j 98 11 by by IN cord-007547-gdsoc93j 98 12 phonedalmost phonedalmost VBN cord-007547-gdsoc93j 98 13 all all DT cord-007547-gdsoc93j 98 14 elective elective JJ cord-007547-gdsoc93j 98 15 surgical surgical JJ cord-007547-gdsoc93j 98 16 cases case NNS cord-007547-gdsoc93j 98 17 . . . cord-007547-gdsoc93j 99 1 Such such JJ cord-007547-gdsoc93j 99 2 clinics clinic NNS cord-007547-gdsoc93j 99 3 have have VBP cord-007547-gdsoc93j 99 4 a a DT cord-007547-gdsoc93j 99 5 broader broad JJR cord-007547-gdsoc93j 99 6 role role NN cord-007547-gdsoc93j 99 7 than than IN cord-007547-gdsoc93j 99 8 specialised specialised JJ cord-007547-gdsoc93j 99 9 preoperative preoperative JJ cord-007547-gdsoc93j 99 10 cardiopulmonary cardiopulmonary JJ cord-007547-gdsoc93j 99 11 exercise exercise NN cord-007547-gdsoc93j 99 12 testing testing NN cord-007547-gdsoc93j 99 13 clinics clinic NNS cord-007547-gdsoc93j 99 14 . . . cord-007547-gdsoc93j 100 1 Comprehensive comprehensive JJ cord-007547-gdsoc93j 100 2 preoperative preoperative JJ cord-007547-gdsoc93j 100 3 assessment assessment NN cord-007547-gdsoc93j 100 4 , , , cord-007547-gdsoc93j 100 5 with with IN cord-007547-gdsoc93j 100 6 involvement involvement NN cord-007547-gdsoc93j 100 7 of of IN cord-007547-gdsoc93j 100 8 other other JJ cord-007547-gdsoc93j 100 9 specialties specialty NNS cord-007547-gdsoc93j 100 10 and and CC cord-007547-gdsoc93j 100 11 assessment assessment NN cord-007547-gdsoc93j 100 12 of of IN cord-007547-gdsoc93j 100 13 functional functional JJ cord-007547-gdsoc93j 100 14 capacity capacity NN cord-007547-gdsoc93j 100 15 , , , cord-007547-gdsoc93j 100 16 is be VBZ cord-007547-gdsoc93j 100 17 critical critical JJ cord-007547-gdsoc93j 100 18 to to IN cord-007547-gdsoc93j 100 19 minimising minimise VBG cord-007547-gdsoc93j 100 20 cancellations cancellation NNS cord-007547-gdsoc93j 100 21 on on IN cord-007547-gdsoc93j 100 22 the the DT cord-007547-gdsoc93j 100 23 day day NN cord-007547-gdsoc93j 100 24 of of IN cord-007547-gdsoc93j 100 25 surgery surgery NN cord-007547-gdsoc93j 100 26 . . . cord-007547-gdsoc93j 101 1 If if IN cord-007547-gdsoc93j 101 2 such such JJ cord-007547-gdsoc93j 101 3 clinics clinic NNS cord-007547-gdsoc93j 101 4 help help VBP cord-007547-gdsoc93j 101 5 reduce reduce VB cord-007547-gdsoc93j 101 6 costly costly JJ cord-007547-gdsoc93j 101 7 lastminute lastminute NN cord-007547-gdsoc93j 101 8 cancellations cancellation NNS cord-007547-gdsoc93j 101 9 , , , cord-007547-gdsoc93j 101 10 hospitals hospital NNS cord-007547-gdsoc93j 101 11 may may MD cord-007547-gdsoc93j 101 12 be be VB cord-007547-gdsoc93j 101 13 incentivised incentivise VBN cord-007547-gdsoc93j 101 14 to to TO cord-007547-gdsoc93j 101 15 fund fund VB cord-007547-gdsoc93j 101 16 them -PRON- PRP cord-007547-gdsoc93j 101 17 . . . cord-007547-gdsoc93j 102 1 This this DT cord-007547-gdsoc93j 102 2 is be VBZ cord-007547-gdsoc93j 102 3 recognised recognise VBN cord-007547-gdsoc93j 102 4 as as IN cord-007547-gdsoc93j 102 5 a a DT cord-007547-gdsoc93j 102 6 goal goal NN cord-007547-gdsoc93j 102 7 of of IN cord-007547-gdsoc93j 102 8 perioperative perioperative JJ cord-007547-gdsoc93j 102 9 medicine medicine NN cord-007547-gdsoc93j 102 10 delivery delivery NN cord-007547-gdsoc93j 102 11 and and CC cord-007547-gdsoc93j 102 12 the the DT cord-007547-gdsoc93j 102 13 role role NN cord-007547-gdsoc93j 102 14 of of IN cord-007547-gdsoc93j 102 15 interventions intervention NNS cord-007547-gdsoc93j 102 16 to to TO cord-007547-gdsoc93j 102 17 improve improve VB cord-007547-gdsoc93j 102 18 physical physical JJ cord-007547-gdsoc93j 102 19 , , , cord-007547-gdsoc93j 102 20 nutritional nutritional JJ cord-007547-gdsoc93j 102 21 , , , cord-007547-gdsoc93j 102 22 and and CC cord-007547-gdsoc93j 102 23 psychological psychological JJ cord-007547-gdsoc93j 102 24 condition condition NN cord-007547-gdsoc93j 102 25 before before IN cord-007547-gdsoc93j 102 26 surgery surgery NN cord-007547-gdsoc93j 102 27 has have VBZ cord-007547-gdsoc93j 102 28 been be VBN cord-007547-gdsoc93j 102 29 identified identify VBN cord-007547-gdsoc93j 102 30 as as IN cord-007547-gdsoc93j 102 31 an an DT cord-007547-gdsoc93j 102 32 area area NN cord-007547-gdsoc93j 102 33 in in IN cord-007547-gdsoc93j 102 34 which which WDT cord-007547-gdsoc93j 102 35 more more JJR cord-007547-gdsoc93j 102 36 research research NN cord-007547-gdsoc93j 102 37 is be VBZ cord-007547-gdsoc93j 102 38 required require VBN cord-007547-gdsoc93j 102 39 . . . cord-007547-gdsoc93j 103 1 14 14 CD cord-007547-gdsoc93j 104 1 In in IN cord-007547-gdsoc93j 104 2 conclusion conclusion NN cord-007547-gdsoc93j 104 3 , , , cord-007547-gdsoc93j 104 4 this this DT cord-007547-gdsoc93j 104 5 study study NN cord-007547-gdsoc93j 104 6 highlights highlight VBZ cord-007547-gdsoc93j 104 7 the the DT cord-007547-gdsoc93j 104 8 scale scale NN cord-007547-gdsoc93j 104 9 of of IN cord-007547-gdsoc93j 104 10 the the DT cord-007547-gdsoc93j 104 11 problem problem NN cord-007547-gdsoc93j 104 12 of of IN cord-007547-gdsoc93j 104 13 surgical surgical JJ cord-007547-gdsoc93j 104 14 cancellation cancellation NN cord-007547-gdsoc93j 104 15 along along IN cord-007547-gdsoc93j 104 16 with with IN cord-007547-gdsoc93j 104 17 its -PRON- PRP$ cord-007547-gdsoc93j 104 18 implications implication NNS cord-007547-gdsoc93j 104 19 for for IN cord-007547-gdsoc93j 104 20 patients patient NNS cord-007547-gdsoc93j 104 21 and and CC cord-007547-gdsoc93j 104 22 optimal optimal JJ cord-007547-gdsoc93j 104 23 use use NN cord-007547-gdsoc93j 104 24 of of IN cord-007547-gdsoc93j 104 25 resources resource NNS cord-007547-gdsoc93j 104 26 . . . cord-007547-gdsoc93j 105 1 It -PRON- PRP cord-007547-gdsoc93j 105 2 also also RB cord-007547-gdsoc93j 105 3 offers offer VBZ cord-007547-gdsoc93j 105 4 us -PRON- PRP cord-007547-gdsoc93j 105 5 insights insight NNS cord-007547-gdsoc93j 105 6 into into IN cord-007547-gdsoc93j 105 7 associations association NNS cord-007547-gdsoc93j 105 8 with with IN cord-007547-gdsoc93j 105 9 clinical clinical JJ cord-007547-gdsoc93j 105 10 and and CC cord-007547-gdsoc93j 105 11 healthcare healthcare NN cord-007547-gdsoc93j 105 12 delivery delivery NN cord-007547-gdsoc93j 105 13 factors factor NNS cord-007547-gdsoc93j 105 14 . . . cord-007547-gdsoc93j 106 1 The the DT cord-007547-gdsoc93j 106 2 problem problem NN cord-007547-gdsoc93j 106 3 of of IN cord-007547-gdsoc93j 106 4 cancelled cancel VBN cord-007547-gdsoc93j 106 5 surgery surgery NN cord-007547-gdsoc93j 106 6 is be VBZ cord-007547-gdsoc93j 106 7 complex complex JJ cord-007547-gdsoc93j 106 8 , , , cord-007547-gdsoc93j 106 9 and and CC cord-007547-gdsoc93j 106 10 the the DT cord-007547-gdsoc93j 106 11 results result NNS cord-007547-gdsoc93j 106 12 of of IN cord-007547-gdsoc93j 106 13 this this DT cord-007547-gdsoc93j 106 14 study study NN cord-007547-gdsoc93j 106 15 underscore underscore VBP cord-007547-gdsoc93j 106 16 the the DT cord-007547-gdsoc93j 106 17 need need NN cord-007547-gdsoc93j 106 18 for for IN cord-007547-gdsoc93j 106 19 clinicians clinician NNS cord-007547-gdsoc93j 106 20 and and CC cord-007547-gdsoc93j 106 21 healthcare healthcare NN cord-007547-gdsoc93j 106 22 providers provider NNS cord-007547-gdsoc93j 106 23 to to TO cord-007547-gdsoc93j 106 24 work work VB cord-007547-gdsoc93j 106 25 together together RB cord-007547-gdsoc93j 106 26 to to TO cord-007547-gdsoc93j 106 27 develop develop VB cord-007547-gdsoc93j 106 28 systems system NNS cord-007547-gdsoc93j 106 29 that that WDT cord-007547-gdsoc93j 106 30 ensure ensure VBP cord-007547-gdsoc93j 106 31 that that IN cord-007547-gdsoc93j 106 32 there there EX cord-007547-gdsoc93j 106 33 is be VBZ cord-007547-gdsoc93j 106 34 adequate adequate JJ cord-007547-gdsoc93j 106 35 bed bed NN cord-007547-gdsoc93j 106 36 and and CC cord-007547-gdsoc93j 106 37 operating operate VBG cord-007547-gdsoc93j 106 38 theatre theatre NN cord-007547-gdsoc93j 106 39 capacity capacity NN cord-007547-gdsoc93j 106 40 for for IN cord-007547-gdsoc93j 106 41 elective elective JJ cord-007547-gdsoc93j 106 42 surgery surgery NN cord-007547-gdsoc93j 106 43 . . . cord-007547-gdsoc93j 107 1 The the DT cord-007547-gdsoc93j 107 2 ' ' `` cord-007547-gdsoc93j 107 3 systems system NNS cord-007547-gdsoc93j 107 4 ' ' '' cord-007547-gdsoc93j 107 5 here here RB cord-007547-gdsoc93j 107 6 must must MD cord-007547-gdsoc93j 107 7 extend extend VB cord-007547-gdsoc93j 107 8 beyond beyond IN cord-007547-gdsoc93j 107 9 the the DT cord-007547-gdsoc93j 107 10 acute acute JJ cord-007547-gdsoc93j 107 11 care care NN cord-007547-gdsoc93j 107 12 hospital hospital NN cord-007547-gdsoc93j 107 13 to to TO cord-007547-gdsoc93j 107 14 encompass encompass VB cord-007547-gdsoc93j 107 15 long long JJ cord-007547-gdsoc93j 107 16 - - HYPH cord-007547-gdsoc93j 107 17 term term NN cord-007547-gdsoc93j 107 18 care care NN cord-007547-gdsoc93j 107 19 beds bed NNS cord-007547-gdsoc93j 107 20 and and CC cord-007547-gdsoc93j 107 21 home home NN cord-007547-gdsoc93j 107 22 nursing nursing NN cord-007547-gdsoc93j 107 23 care care NN cord-007547-gdsoc93j 107 24 provision provision NN cord-007547-gdsoc93j 107 25 . . . cord-007547-gdsoc93j 108 1 They -PRON- PRP cord-007547-gdsoc93j 108 2 must must MD cord-007547-gdsoc93j 108 3 also also RB cord-007547-gdsoc93j 108 4 encompass encompass VB cord-007547-gdsoc93j 108 5 optimal optimal JJ cord-007547-gdsoc93j 108 6 patient patient NN cord-007547-gdsoc93j 108 7 preparation preparation NN cord-007547-gdsoc93j 108 8 and and CC cord-007547-gdsoc93j 108 9 accurate accurate JJ cord-007547-gdsoc93j 108 10 assessment assessment NN cord-007547-gdsoc93j 108 11 of of IN cord-007547-gdsoc93j 108 12 risk risk NN cord-007547-gdsoc93j 108 13 so so IN cord-007547-gdsoc93j 108 14 that that IN cord-007547-gdsoc93j 108 15 costly costly JJ cord-007547-gdsoc93j 108 16 and and CC cord-007547-gdsoc93j 108 17 finite finite JJ cord-007547-gdsoc93j 108 18 resources resource NNS cord-007547-gdsoc93j 108 19 , , , cord-007547-gdsoc93j 108 20 such such JJ cord-007547-gdsoc93j 108 21 as as IN cord-007547-gdsoc93j 108 22 critical critical JJ cord-007547-gdsoc93j 108 23 care care NN cord-007547-gdsoc93j 108 24 and and CC cord-007547-gdsoc93j 108 25 operating operate VBG cord-007547-gdsoc93j 108 26 theatre theatre NN cord-007547-gdsoc93j 108 27 capacity capacity NN cord-007547-gdsoc93j 108 28 , , , cord-007547-gdsoc93j 108 29 can can MD cord-007547-gdsoc93j 108 30 be be VB cord-007547-gdsoc93j 108 31 utilised utilise VBN cord-007547-gdsoc93j 108 32 effectively effectively RB cord-007547-gdsoc93j 108 33 . . . cord-007547-gdsoc93j 109 1 Sugammadex Sugammadex NNP cord-007547-gdsoc93j 109 2 , , , cord-007547-gdsoc93j 109 3 a a DT cord-007547-gdsoc93j 109 4 modified modify VBN cord-007547-gdsoc93j 109 5 cyclodextrin cyclodextrin NN cord-007547-gdsoc93j 109 6 molecule molecule NN cord-007547-gdsoc93j 109 7 , , , cord-007547-gdsoc93j 109 8 encapsulates encapsulate VBZ cord-007547-gdsoc93j 109 9 rocuronium rocuronium NN cord-007547-gdsoc93j 109 10 and and CC cord-007547-gdsoc93j 109 11 other other JJ cord-007547-gdsoc93j 109 12 aminosteroid aminosteroid JJ cord-007547-gdsoc93j 109 13 neuromuscular neuromuscular NN cord-007547-gdsoc93j 109 14 blocking block VBG cord-007547-gdsoc93j 109 15 agents agent NNS cord-007547-gdsoc93j 109 16 ( ( -LRB- cord-007547-gdsoc93j 109 17 NMBAs nmba NNS cord-007547-gdsoc93j 109 18 ) ) -RRB- cord-007547-gdsoc93j 109 19 to to TO cord-007547-gdsoc93j 109 20 provide provide VB cord-007547-gdsoc93j 109 21 rapid rapid JJ cord-007547-gdsoc93j 109 22 and and CC cord-007547-gdsoc93j 109 23 reliable reliable JJ cord-007547-gdsoc93j 109 24 reversal reversal NN cord-007547-gdsoc93j 109 25 of of IN cord-007547-gdsoc93j 109 26 neuromuscular neuromuscular JJ cord-007547-gdsoc93j 109 27 block block NN cord-007547-gdsoc93j 109 28 . . . cord-007547-gdsoc93j 110 1 In in IN cord-007547-gdsoc93j 110 2 comparison comparison NN cord-007547-gdsoc93j 110 3 to to IN cord-007547-gdsoc93j 110 4 the the DT cord-007547-gdsoc93j 110 5 standard standard JJ cord-007547-gdsoc93j 110 6 reversal reversal NN cord-007547-gdsoc93j 110 7 agent agent NN cord-007547-gdsoc93j 110 8 , , , cord-007547-gdsoc93j 110 9 neostigmine neostigmine NNP cord-007547-gdsoc93j 110 10 , , , cord-007547-gdsoc93j 110 11 the the DT cord-007547-gdsoc93j 110 12 quality quality NN cord-007547-gdsoc93j 110 13 and and CC cord-007547-gdsoc93j 110 14 speed speed NN cord-007547-gdsoc93j 110 15 of of IN cord-007547-gdsoc93j 110 16 reversal reversal NN cord-007547-gdsoc93j 110 17 are be VBP cord-007547-gdsoc93j 110 18 impressive impressive JJ cord-007547-gdsoc93j 110 19 , , , cord-007547-gdsoc93j 110 20 reversing reverse VBG cord-007547-gdsoc93j 110 21 moderate moderate JJ cord-007547-gdsoc93j 110 22 block block NN cord-007547-gdsoc93j 110 23 around around IN cord-007547-gdsoc93j 110 24 17 17 CD cord-007547-gdsoc93j 110 25 times time NNS cord-007547-gdsoc93j 110 26 faster fast JJR cord-007547-gdsoc93j 110 27 1 1 CD cord-007547-gdsoc93j 110 28 and and CC cord-007547-gdsoc93j 110 29 with with IN cord-007547-gdsoc93j 110 30 fewer few JJR cord-007547-gdsoc93j 110 31 episodes episode NNS cord-007547-gdsoc93j 110 32 of of IN cord-007547-gdsoc93j 110 33 partial partial JJ cord-007547-gdsoc93j 110 34 reversal reversal NN cord-007547-gdsoc93j 110 35 in in IN cord-007547-gdsoc93j 110 36 recovery recovery NN cord-007547-gdsoc93j 110 37 . . . cord-007547-gdsoc93j 111 1 2 2 LS cord-007547-gdsoc93j 111 2 , , , cord-007547-gdsoc93j 111 3 3 3 CD cord-007547-gdsoc93j 112 1 In in IN cord-007547-gdsoc93j 112 2 addition addition NN cord-007547-gdsoc93j 112 3 , , , cord-007547-gdsoc93j 112 4 it -PRON- PRP cord-007547-gdsoc93j 112 5 can can MD cord-007547-gdsoc93j 112 6 provide provide VB cord-007547-gdsoc93j 112 7 reversal reversal NN cord-007547-gdsoc93j 112 8 from from IN cord-007547-gdsoc93j 112 9 deep deep JJ cord-007547-gdsoc93j 112 10 blockade blockade NN cord-007547-gdsoc93j 112 11 , , , cord-007547-gdsoc93j 112 12 3,4 3,4 CD cord-007547-gdsoc93j 112 13 a a DT cord-007547-gdsoc93j 112 14 feature feature NN cord-007547-gdsoc93j 112 15 not not RB cord-007547-gdsoc93j 112 16 possible possible JJ cord-007547-gdsoc93j 112 17 with with IN cord-007547-gdsoc93j 112 18 neostigmine neostigmine NNP cord-007547-gdsoc93j 112 19 . . . cord-007547-gdsoc93j 113 1 Arguably arguably RB cord-007547-gdsoc93j 113 2 , , , cord-007547-gdsoc93j 113 3 sugammadex sugammadex NN cord-007547-gdsoc93j 113 4 is be VBZ cord-007547-gdsoc93j 113 5 the the DT cord-007547-gdsoc93j 113 6 ideal ideal JJ cord-007547-gdsoc93j 113 7 reversal reversal NN cord-007547-gdsoc93j 113 8 agent agent NN cord-007547-gdsoc93j 113 9 whenever whenever WRB cord-007547-gdsoc93j 113 10 an an DT cord-007547-gdsoc93j 113 11 aminosteroid aminosteroid JJ cord-007547-gdsoc93j 113 12 NMBA NMBA NNP cord-007547-gdsoc93j 113 13 is be VBZ cord-007547-gdsoc93j 113 14 used use VBN cord-007547-gdsoc93j 113 15 , , , cord-007547-gdsoc93j 113 16 as as IN cord-007547-gdsoc93j 113 17 it -PRON- PRP cord-007547-gdsoc93j 113 18 can can MD cord-007547-gdsoc93j 113 19 potentially potentially RB cord-007547-gdsoc93j 113 20 speed speed VB cord-007547-gdsoc93j 113 21 recovery recovery NN cord-007547-gdsoc93j 113 22 and and CC cord-007547-gdsoc93j 113 23 improve improve VB cord-007547-gdsoc93j 113 24 turnaround turnaround NN cord-007547-gdsoc93j 113 25 time time NN cord-007547-gdsoc93j 113 26 in in IN cord-007547-gdsoc93j 113 27 surgical surgical JJ cord-007547-gdsoc93j 113 28 lists list NNS cord-007547-gdsoc93j 113 29 . . . cord-007547-gdsoc93j 114 1 5 5 LS cord-007547-gdsoc93j 114 2 Sugammadex Sugammadex NNP cord-007547-gdsoc93j 114 3 has have VBZ cord-007547-gdsoc93j 114 4 also also RB cord-007547-gdsoc93j 114 5 been be VBN cord-007547-gdsoc93j 114 6 proposed propose VBN cord-007547-gdsoc93j 114 7 as as IN cord-007547-gdsoc93j 114 8 an an DT cord-007547-gdsoc93j 114 9 agent agent NN cord-007547-gdsoc93j 114 10 to to TO cord-007547-gdsoc93j 114 11 treat treat VB cord-007547-gdsoc93j 114 12 rocuronium rocuronium NN cord-007547-gdsoc93j 114 13 - - HYPH cord-007547-gdsoc93j 114 14 induced induce VBN cord-007547-gdsoc93j 114 15 anaphylaxis anaphylaxis NN cord-007547-gdsoc93j 114 16 , , , cord-007547-gdsoc93j 114 17 with with IN cord-007547-gdsoc93j 114 18 isolated isolate VBN cord-007547-gdsoc93j 114 19 case case NN cord-007547-gdsoc93j 114 20 reports report NNS cord-007547-gdsoc93j 114 21 in in IN cord-007547-gdsoc93j 114 22 the the DT cord-007547-gdsoc93j 114 23 literature literature NN cord-007547-gdsoc93j 114 24 suggesting suggest VBG cord-007547-gdsoc93j 114 25 an an DT cord-007547-gdsoc93j 114 26 almost almost RB cord-007547-gdsoc93j 114 27 immediate immediate JJ cord-007547-gdsoc93j 114 28 reversal reversal NN cord-007547-gdsoc93j 114 29 of of IN cord-007547-gdsoc93j 114 30 the the DT cord-007547-gdsoc93j 114 31 anaphylaxis anaphylaxis NN cord-007547-gdsoc93j 114 32 cascade cascade NN cord-007547-gdsoc93j 114 33 when when WRB cord-007547-gdsoc93j 114 34 sugammadex sugammadex NNP cord-007547-gdsoc93j 114 35 was be VBD cord-007547-gdsoc93j 114 36 administered administer VBN cord-007547-gdsoc93j 114 37 . . . cord-007547-gdsoc93j 115 1 6 6 CD cord-007547-gdsoc93j 115 2 , , , cord-007547-gdsoc93j 115 3 7 7 CD cord-007547-gdsoc93j 116 1 The the DT cord-007547-gdsoc93j 116 2 main main JJ cord-007547-gdsoc93j 116 3 barrier barrier NN cord-007547-gdsoc93j 116 4 to to IN cord-007547-gdsoc93j 116 5 the the DT cord-007547-gdsoc93j 116 6 use use NN cord-007547-gdsoc93j 116 7 of of IN cord-007547-gdsoc93j 116 8 sugammadex sugammadex NN cord-007547-gdsoc93j 116 9 , , , cord-007547-gdsoc93j 116 10 in in IN cord-007547-gdsoc93j 116 11 the the DT cord-007547-gdsoc93j 116 12 majority majority NN cord-007547-gdsoc93j 116 13 of of IN cord-007547-gdsoc93j 116 14 countries country NNS cord-007547-gdsoc93j 116 15 , , , cord-007547-gdsoc93j 116 16 is be VBZ cord-007547-gdsoc93j 116 17 cost cost VBN cord-007547-gdsoc93j 116 18 . . . cord-007547-gdsoc93j 117 1 It -PRON- PRP cord-007547-gdsoc93j 117 2 is be VBZ cord-007547-gdsoc93j 117 3 up up IN cord-007547-gdsoc93j 117 4 to to TO cord-007547-gdsoc93j 117 5 20 20 CD cord-007547-gdsoc93j 117 6 times time NNS cord-007547-gdsoc93j 117 7 more more RBR cord-007547-gdsoc93j 117 8 expensive expensive JJ cord-007547-gdsoc93j 117 9 than than IN cord-007547-gdsoc93j 117 10 neostigmine neostigmine NN cord-007547-gdsoc93j 117 11 at at IN cord-007547-gdsoc93j 117 12 a a DT cord-007547-gdsoc93j 117 13 dose dose NN cord-007547-gdsoc93j 117 14 of of IN cord-007547-gdsoc93j 117 15 2e4 2e4 CD cord-007547-gdsoc93j 117 16 mg mg NNP cord-007547-gdsoc93j 117 17 kg kg NNP cord-007547-gdsoc93j 117 18 À1 À1 NNP cord-007547-gdsoc93j 117 19 ( ( -LRB- cord-007547-gdsoc93j 117 20 for for IN cord-007547-gdsoc93j 117 21 reversal reversal NN cord-007547-gdsoc93j 117 22 of of IN cord-007547-gdsoc93j 117 23 moderate moderate JJ cord-007547-gdsoc93j 117 24 block block NN cord-007547-gdsoc93j 117 25 ) ) -RRB- cord-007547-gdsoc93j 117 26 , , , cord-007547-gdsoc93j 117 27 and and CC cord-007547-gdsoc93j 117 28 clearly clearly RB cord-007547-gdsoc93j 117 29 even even RB cord-007547-gdsoc93j 117 30 more more RBR cord-007547-gdsoc93j 117 31 expensive expensive JJ cord-007547-gdsoc93j 117 32 with with IN cord-007547-gdsoc93j 117 33 the the DT cord-007547-gdsoc93j 117 34 16 16 CD cord-007547-gdsoc93j 117 35 mg mg NNP cord-007547-gdsoc93j 117 36 kg kg NNP cord-007547-gdsoc93j 117 37 À1 À1 NNP cord-007547-gdsoc93j 117 38 dose dose NN cord-007547-gdsoc93j 117 39 ( ( -LRB- cord-007547-gdsoc93j 117 40 for for IN cord-007547-gdsoc93j 117 41 reversal reversal NN cord-007547-gdsoc93j 117 42 of of IN cord-007547-gdsoc93j 117 43 profound profound JJ cord-007547-gdsoc93j 117 44 block block NN cord-007547-gdsoc93j 117 45 ) ) -RRB- cord-007547-gdsoc93j 117 46 . . . cord-007547-gdsoc93j 118 1 In in IN cord-007547-gdsoc93j 118 2 Japan Japan NNP cord-007547-gdsoc93j 118 3 , , , cord-007547-gdsoc93j 118 4 however however RB cord-007547-gdsoc93j 118 5 , , , cord-007547-gdsoc93j 118 6 the the DT cord-007547-gdsoc93j 118 7 national national NNP cord-007547-gdsoc93j 118 8 healthcare healthcare NNP cord-007547-gdsoc93j 118 9 insurance insurance NN cord-007547-gdsoc93j 118 10 system system NN cord-007547-gdsoc93j 118 11 subsidises subsidise VBZ cord-007547-gdsoc93j 118 12 patient patient JJ cord-007547-gdsoc93j 118 13 care care NN cord-007547-gdsoc93j 118 14 , , , cord-007547-gdsoc93j 118 15 and and CC cord-007547-gdsoc93j 118 16 the the DT cord-007547-gdsoc93j 118 17 cost cost NN cord-007547-gdsoc93j 118 18 of of IN cord-007547-gdsoc93j 118 19 drugs drug NNS cord-007547-gdsoc93j 118 20 seems seem VBZ cord-007547-gdsoc93j 118 21 only only RB cord-007547-gdsoc93j 118 22 a a DT cord-007547-gdsoc93j 118 23 minor minor JJ cord-007547-gdsoc93j 118 24 consideration consideration NN cord-007547-gdsoc93j 118 25 for for IN cord-007547-gdsoc93j 118 26 anaesthetists anaesthetist NNS cord-007547-gdsoc93j 118 27 . . . cord-007547-gdsoc93j 119 1 Here here RB cord-007547-gdsoc93j 119 2 , , , cord-007547-gdsoc93j 119 3 sugammadex sugammadex NN cord-007547-gdsoc93j 119 4 is be VBZ cord-007547-gdsoc93j 119 5 used use VBN cord-007547-gdsoc93j 119 6 routinely routinely RB cord-007547-gdsoc93j 119 7 , , , cord-007547-gdsoc93j 119 8 and and CC cord-007547-gdsoc93j 119 9 an an DT cord-007547-gdsoc93j 119 10 estimated estimate VBN cord-007547-gdsoc93j 119 11 10 10 CD cord-007547-gdsoc93j 119 12 % % NN cord-007547-gdsoc93j 119 13 of of IN cord-007547-gdsoc93j 119 14 the the DT cord-007547-gdsoc93j 119 15 population population NN cord-007547-gdsoc93j 119 16 received receive VBD cord-007547-gdsoc93j 119 17 sugammadex sugammadex NN cord-007547-gdsoc93j 119 18 during during IN cord-007547-gdsoc93j 119 19 an an DT cord-007547-gdsoc93j 119 20 8 8 CD cord-007547-gdsoc93j 119 21 yr yr NN cord-007547-gdsoc93j 119 22 period period NN cord-007547-gdsoc93j 119 23 from from IN cord-007547-gdsoc93j 119 24 2010 2010 CD cord-007547-gdsoc93j 119 25 to to IN cord-007547-gdsoc93j 119 26 2018 2018 CD cord-007547-gdsoc93j 119 27 . . . cord-007547-gdsoc93j 120 1 8 8 CD cord-007547-gdsoc93j 121 1 Another another DT cord-007547-gdsoc93j 121 2 concern concern NN cord-007547-gdsoc93j 121 3 around around IN cord-007547-gdsoc93j 121 4 the the DT cord-007547-gdsoc93j 121 5 use use NN cord-007547-gdsoc93j 121 6 of of IN cord-007547-gdsoc93j 121 7 sugammadex sugammadex NN cord-007547-gdsoc93j 121 8 is be VBZ cord-007547-gdsoc93j 121 9 the the DT cord-007547-gdsoc93j 121 10 risk risk NN cord-007547-gdsoc93j 121 11 of of IN cord-007547-gdsoc93j 121 12 hypersensitivity hypersensitivity NN cord-007547-gdsoc93j 121 13 . . . cord-007547-gdsoc93j 122 1 Indeed indeed RB cord-007547-gdsoc93j 122 2 , , , cord-007547-gdsoc93j 122 3 sugammadex sugammadex NN cord-007547-gdsoc93j 122 4 was be VBD cord-007547-gdsoc93j 122 5 only only RB cord-007547-gdsoc93j 122 6 approved approve VBN cord-007547-gdsoc93j 122 7 for for IN cord-007547-gdsoc93j 122 8 use use NN cord-007547-gdsoc93j 122 9 in in IN cord-007547-gdsoc93j 122 10 the the DT cord-007547-gdsoc93j 122 11 United United NNP cord-007547-gdsoc93j 122 12 States States NNP cord-007547-gdsoc93j 122 13 in in IN cord-007547-gdsoc93j 122 14 2015 2015 CD cord-007547-gdsoc93j 122 15 ( ( -LRB- cord-007547-gdsoc93j 122 16 compared compare VBN cord-007547-gdsoc93j 122 17 with with IN cord-007547-gdsoc93j 122 18 2008 2008 CD cord-007547-gdsoc93j 122 19 in in IN cord-007547-gdsoc93j 122 20 Europe Europe NNP cord-007547-gdsoc93j 122 21 and and CC cord-007547-gdsoc93j 122 22 Australia Australia NNP cord-007547-gdsoc93j 122 23 ) ) -RRB- cord-007547-gdsoc93j 122 24 because because IN cord-007547-gdsoc93j 122 25 of of IN cord-007547-gdsoc93j 122 26 concerns concern NNS cord-007547-gdsoc93j 122 27 about about IN cord-007547-gdsoc93j 122 28 hypersensitivity hypersensitivity NN cord-007547-gdsoc93j 122 29 . . . cord-007547-gdsoc93j 123 1 It -PRON- PRP cord-007547-gdsoc93j 123 2 is be VBZ cord-007547-gdsoc93j 123 3 ironic ironic JJ cord-007547-gdsoc93j 123 4 that that IN cord-007547-gdsoc93j 123 5 , , , cord-007547-gdsoc93j 123 6 as as IN cord-007547-gdsoc93j 123 7 sugammadex sugammadex NN cord-007547-gdsoc93j 123 8 was be VBD cord-007547-gdsoc93j 123 9 approved approve VBN cord-007547-gdsoc93j 123 10 by by IN cord-007547-gdsoc93j 123 11 the the DT cord-007547-gdsoc93j 123 12 US US NNP cord-007547-gdsoc93j 123 13 Food Food NNP cord-007547-gdsoc93j 123 14 and and CC cord-007547-gdsoc93j 123 15 Drug Drug NNP cord-007547-gdsoc93j 123 16 Administration Administration NNP cord-007547-gdsoc93j 123 17 ( ( -LRB- cord-007547-gdsoc93j 123 18 FDA FDA NNP cord-007547-gdsoc93j 123 19 ) ) -RRB- cord-007547-gdsoc93j 123 20 , , , cord-007547-gdsoc93j 123 21 the the DT cord-007547-gdsoc93j 123 22 body body NN cord-007547-gdsoc93j 123 23 of of IN cord-007547-gdsoc93j 123 24 evidence evidence NN cord-007547-gdsoc93j 123 25 of of IN cord-007547-gdsoc93j 123 26 hypersensitivity hypersensitivity NN cord-007547-gdsoc93j 123 27 to to IN cord-007547-gdsoc93j 123 28 the the DT cord-007547-gdsoc93j 123 29 drug drug NN cord-007547-gdsoc93j 123 30 in in IN cord-007547-gdsoc93j 123 31 clinical clinical JJ cord-007547-gdsoc93j 123 32 settings setting NNS cord-007547-gdsoc93j 123 33 seems seem VBZ cord-007547-gdsoc93j 123 34 to to TO cord-007547-gdsoc93j 123 35 be be VB cord-007547-gdsoc93j 123 36 strengthening strengthen VBG cord-007547-gdsoc93j 123 37 : : : cord-007547-gdsoc93j 123 38 in in IN cord-007547-gdsoc93j 123 39 Japan Japan NNP cord-007547-gdsoc93j 123 40 , , , cord-007547-gdsoc93j 123 41 sugammadex sugammadex NN cord-007547-gdsoc93j 123 42 is be VBZ cord-007547-gdsoc93j 123 43 now now RB cord-007547-gdsoc93j 123 44 the the DT cord-007547-gdsoc93j 123 45 leading leading JJ cord-007547-gdsoc93j 123 46 cause cause NN cord-007547-gdsoc93j 123 47 of of IN cord-007547-gdsoc93j 123 48 perioperative perioperative JJ cord-007547-gdsoc93j 123 49 anaphylaxis anaphylaxis NN cord-007547-gdsoc93j 123 50 . . . cord-007547-gdsoc93j 124 1 8 8 CD cord-007547-gdsoc93j 124 2 Two two CD cord-007547-gdsoc93j 124 3 papers paper NNS cord-007547-gdsoc93j 124 4 in in IN cord-007547-gdsoc93j 124 5 this this DT cord-007547-gdsoc93j 124 6 issue issue NN cord-007547-gdsoc93j 124 7 of of IN cord-007547-gdsoc93j 124 8 the the DT cord-007547-gdsoc93j 124 9 British British NNP cord-007547-gdsoc93j 124 10 Journal Journal NNP cord-007547-gdsoc93j 124 11 of of IN cord-007547-gdsoc93j 124 12 Anaesthesia Anaesthesia NNP cord-007547-gdsoc93j 124 13 report report NN cord-007547-gdsoc93j 124 14 investigations investigation NNS cord-007547-gdsoc93j 124 15 of of IN cord-007547-gdsoc93j 124 16 sugammadex sugammadex JJ cord-007547-gdsoc93j 124 17 hypersensitivity hypersensitivity NN cord-007547-gdsoc93j 124 18 . . . cord-007547-gdsoc93j 125 1 9,10 9,10 CD cord-007547-gdsoc93j 126 1 These these DT cord-007547-gdsoc93j 126 2 clinical clinical JJ cord-007547-gdsoc93j 126 3 trials trial NNS cord-007547-gdsoc93j 126 4 undertaken undertake VBN cord-007547-gdsoc93j 126 5 before before IN cord-007547-gdsoc93j 126 6 FDA FDA NNP cord-007547-gdsoc93j 126 7 approval approval NN cord-007547-gdsoc93j 126 8 and and CC cord-007547-gdsoc93j 126 9 funded fund VBN cord-007547-gdsoc93j 126 10 by by IN cord-007547-gdsoc93j 126 11 the the DT cord-007547-gdsoc93j 126 12 manufacturer manufacturer NN cord-007547-gdsoc93j 126 13 of of IN cord-007547-gdsoc93j 126 14 sugammadex sugammadex NNP cord-007547-gdsoc93j 126 15 were be VBD cord-007547-gdsoc93j 126 16 presumably presumably RB cord-007547-gdsoc93j 126 17 done do VBN cord-007547-gdsoc93j 126 18 with with IN cord-007547-gdsoc93j 126 19 a a DT cord-007547-gdsoc93j 126 20 view view NN cord-007547-gdsoc93j 126 21 to to IN cord-007547-gdsoc93j 126 22 allaying allay VBG cord-007547-gdsoc93j 126 23 concerns concern NNS cord-007547-gdsoc93j 126 24 about about IN cord-007547-gdsoc93j 126 25 the the DT cord-007547-gdsoc93j 126 26 incidence incidence NN cord-007547-gdsoc93j 126 27 of of IN cord-007547-gdsoc93j 126 28 hypersensitivity hypersensitivity NN cord-007547-gdsoc93j 126 29 , , , cord-007547-gdsoc93j 126 30 whereas whereas IN cord-007547-gdsoc93j 126 31 they -PRON- PRP cord-007547-gdsoc93j 126 32 may may MD cord-007547-gdsoc93j 126 33 have have VB cord-007547-gdsoc93j 126 34 had have VBN cord-007547-gdsoc93j 126 35 the the DT cord-007547-gdsoc93j 126 36 opposite opposite JJ cord-007547-gdsoc93j 126 37 effect effect NN cord-007547-gdsoc93j 126 38 . . . cord-007547-gdsoc93j 127 1 Both both DT cord-007547-gdsoc93j 127 2 trials trial NNS cord-007547-gdsoc93j 127 3 involved involve VBD cord-007547-gdsoc93j 127 4 giving give VBG cord-007547-gdsoc93j 127 5 sugammadex sugammadex NN cord-007547-gdsoc93j 127 6 at at IN cord-007547-gdsoc93j 127 7 doses dose NNS cord-007547-gdsoc93j 127 8 of of IN cord-007547-gdsoc93j 127 9 either either DT cord-007547-gdsoc93j 127 10 4 4 CD cord-007547-gdsoc93j 127 11 or or CC cord-007547-gdsoc93j 127 12 16 16 CD cord-007547-gdsoc93j 127 13 mg mg NN cord-007547-gdsoc93j 127 14 kg kg NNP cord-007547-gdsoc93j 127 15 À1 À1 NNP cord-007547-gdsoc93j 127 16 , , , cord-007547-gdsoc93j 127 17 or or CC cord-007547-gdsoc93j 127 18 placebo placebo NN cord-007547-gdsoc93j 127 19 , , , cord-007547-gdsoc93j 127 20 repeated repeat VBN cord-007547-gdsoc93j 127 21 twice twice RB cord-007547-gdsoc93j 127 22 at at IN cord-007547-gdsoc93j 127 23 weekly weekly JJ cord-007547-gdsoc93j 127 24 intervals interval NNS cord-007547-gdsoc93j 127 25 , , , cord-007547-gdsoc93j 127 26 to to IN cord-007547-gdsoc93j 127 27 healthy healthy JJ cord-007547-gdsoc93j 127 28 non non JJ cord-007547-gdsoc93j 127 29 - - JJ cord-007547-gdsoc93j 127 30 anaesthetised anaesthetised JJ cord-007547-gdsoc93j 127 31 subjects subject NNS cord-007547-gdsoc93j 127 32 . . . cord-007547-gdsoc93j 128 1 The the DT cord-007547-gdsoc93j 128 2 aim aim NN cord-007547-gdsoc93j 128 3 was be VBD cord-007547-gdsoc93j 128 4 to to TO cord-007547-gdsoc93j 128 5 establish establish VB cord-007547-gdsoc93j 128 6 the the DT cord-007547-gdsoc93j 128 7 rate rate NN cord-007547-gdsoc93j 128 8 of of IN cord-007547-gdsoc93j 128 9 hypersensitivity hypersensitivity NN cord-007547-gdsoc93j 128 10 and and CC cord-007547-gdsoc93j 128 11 to to TO cord-007547-gdsoc93j 128 12 determine determine VB cord-007547-gdsoc93j 128 13 whether whether IN cord-007547-gdsoc93j 128 14 hypersensitivity hypersensitivity NN cord-007547-gdsoc93j 128 15 became become VBD cord-007547-gdsoc93j 128 16 more more RBR cord-007547-gdsoc93j 128 17 likely likely JJ cord-007547-gdsoc93j 128 18 after after IN cord-007547-gdsoc93j 128 19 repeated repeat VBN cord-007547-gdsoc93j 128 20 administrations administration NNS cord-007547-gdsoc93j 128 21 . . . cord-007547-gdsoc93j 129 1 They -PRON- PRP cord-007547-gdsoc93j 129 2 also also RB cord-007547-gdsoc93j 129 3 sought seek VBD cord-007547-gdsoc93j 129 4 to to TO cord-007547-gdsoc93j 129 5 determine determine VB cord-007547-gdsoc93j 129 6 the the DT cord-007547-gdsoc93j 129 7 underlying underlying JJ cord-007547-gdsoc93j 129 8 mechanism mechanism NN cord-007547-gdsoc93j 129 9 of of IN cord-007547-gdsoc93j 129 10 hypersensitivity hypersensitivity NN cord-007547-gdsoc93j 129 11 , , , cord-007547-gdsoc93j 129 12 and and CC cord-007547-gdsoc93j 129 13 specifically specifically RB cord-007547-gdsoc93j 129 14 whether whether IN cord-007547-gdsoc93j 129 15 this this DT cord-007547-gdsoc93j 129 16 was be VBD cord-007547-gdsoc93j 129 17 an an DT cord-007547-gdsoc93j 129 18 immunoglobulin immunoglobulin NN cord-007547-gdsoc93j 129 19 ( ( -LRB- cord-007547-gdsoc93j 129 20 Ig)E Ig)E NNP cord-007547-gdsoc93j 129 21 - - HYPH cord-007547-gdsoc93j 129 22 or or CC cord-007547-gdsoc93j 129 23 IgG igg NN cord-007547-gdsoc93j 129 24 - - HYPH cord-007547-gdsoc93j 129 25 mediated mediate VBN cord-007547-gdsoc93j 129 26 process process NN cord-007547-gdsoc93j 129 27 . . . cord-007547-gdsoc93j 130 1 After after IN cord-007547-gdsoc93j 130 2 completion completion NN cord-007547-gdsoc93j 130 3 of of IN cord-007547-gdsoc93j 130 4 data datum NNS cord-007547-gdsoc93j 130 5 collection collection NN cord-007547-gdsoc93j 130 6 in in IN cord-007547-gdsoc93j 130 7 the the DT cord-007547-gdsoc93j 130 8 first first JJ cord-007547-gdsoc93j 130 9 study study NN cord-007547-gdsoc93j 130 10 , , , cord-007547-gdsoc93j 130 11 9 9 CD cord-007547-gdsoc93j 130 12 _SP cord-007547-gdsoc93j 130 13 Over over IN cord-007547-gdsoc93j 130 14 62,000 62,000 CD cord-007547-gdsoc93j 130 15 fewer few JJR cord-007547-gdsoc93j 130 16 operations operation NNS cord-007547-gdsoc93j 130 17 performed perform VBD cord-007547-gdsoc93j 130 18 this this DT cord-007547-gdsoc93j 130 19 winter winter NN cord-007547-gdsoc93j 130 20 , , , cord-007547-gdsoc93j 130 21 following follow VBG cord-007547-gdsoc93j 130 22 necessary necessary JJ cord-007547-gdsoc93j 130 23 cancellations cancellation NNS cord-007547-gdsoc93j 130 24 The the DT cord-007547-gdsoc93j 130 25 King King NNP cord-007547-gdsoc93j 130 26 's 's POS cord-007547-gdsoc93j 130 27 Fund Fund NNP cord-007547-gdsoc93j 130 28 . . . cord-007547-gdsoc93j 131 1 An an DT cord-007547-gdsoc93j 131 2 NHS NHS NNP cord-007547-gdsoc93j 131 3 winter winter NN cord-007547-gdsoc93j 131 4 that that WDT cord-007547-gdsoc93j 131 5 never never RB cord-007547-gdsoc93j 131 6 seems seem VBZ cord-007547-gdsoc93j 131 7 to to TO cord-007547-gdsoc93j 131 8 end end VB cord-007547-gdsoc93j 131 9 Cancelled cancel VBN cord-007547-gdsoc93j 131 10 operations operation NNS cord-007547-gdsoc93j 131 11 in in IN cord-007547-gdsoc93j 131 12 the the DT cord-007547-gdsoc93j 131 13 UK UK NNP cord-007547-gdsoc93j 131 14 e e NN cord-007547-gdsoc93j 131 15 a a DT cord-007547-gdsoc93j 131 16 7 7 CD cord-007547-gdsoc93j 131 17 day day NN cord-007547-gdsoc93j 131 18 cohort cohort NN cord-007547-gdsoc93j 131 19 study study NN cord-007547-gdsoc93j 131 20 of of IN cord-007547-gdsoc93j 131 21 planned plan VBN cord-007547-gdsoc93j 131 22 adult adult NN cord-007547-gdsoc93j 131 23 inpatient inpatient JJ cord-007547-gdsoc93j 131 24 surgery surgery NN cord-007547-gdsoc93j 131 25 in in IN cord-007547-gdsoc93j 131 26 245 245 CD cord-007547-gdsoc93j 131 27 NHS NHS NNP cord-007547-gdsoc93j 131 28 hospitals hospital NNS cord-007547-gdsoc93j 132 1 The the DT cord-007547-gdsoc93j 132 2 Globe Globe NNP cord-007547-gdsoc93j 132 3 and and CC cord-007547-gdsoc93j 132 4 Mail Mail NNP cord-007547-gdsoc93j 132 5 . . . cord-007547-gdsoc93j 133 1 Hospital hospital NN cord-007547-gdsoc93j 133 2 overcrowding overcrowding NN cord-007547-gdsoc93j 133 3 has have VBZ cord-007547-gdsoc93j 133 4 become become VBN cord-007547-gdsoc93j 133 5 the the DT cord-007547-gdsoc93j 133 6 norm norm NN cord-007547-gdsoc93j 133 7 in in IN cord-007547-gdsoc93j 133 8 Ontario Ontario NNP cord-007547-gdsoc93j 133 9 , , , cord-007547-gdsoc93j 133 10 figures figure NNS cord-007547-gdsoc93j 133 11 show show VBP cord-007547-gdsoc93j 133 12 The the DT cord-007547-gdsoc93j 133 13 Ontario Ontario NNP cord-007547-gdsoc93j 133 14 wait wait VB cord-007547-gdsoc93j 133 15 time time NN cord-007547-gdsoc93j 133 16 strategy strategy NN cord-007547-gdsoc93j 133 17 , , , cord-007547-gdsoc93j 133 18 no no DT cord-007547-gdsoc93j 133 19 evidence evidence NN cord-007547-gdsoc93j 133 20 of of IN cord-007547-gdsoc93j 133 21 an an DT cord-007547-gdsoc93j 133 22 adverse adverse JJ cord-007547-gdsoc93j 133 23 impact impact NN cord-007547-gdsoc93j 133 24 on on IN cord-007547-gdsoc93j 133 25 other other JJ cord-007547-gdsoc93j 133 26 surgeries surgery NNS cord-007547-gdsoc93j 134 1 A a DT cord-007547-gdsoc93j 134 2 national national JJ cord-007547-gdsoc93j 134 3 review review NN cord-007547-gdsoc93j 134 4 of of IN cord-007547-gdsoc93j 134 5 adult adult NN cord-007547-gdsoc93j 134 6 elective elective JJ cord-007547-gdsoc93j 134 7 orthopaedic orthopaedic JJ cord-007547-gdsoc93j 134 8 services service NNS cord-007547-gdsoc93j 134 9 in in IN cord-007547-gdsoc93j 134 10 England England NNP cord-007547-gdsoc93j 134 11 : : : cord-007547-gdsoc93j 134 12 getting get VBG cord-007547-gdsoc93j 134 13 it -PRON- PRP cord-007547-gdsoc93j 134 14 right right JJ cord-007547-gdsoc93j 134 15 first first JJ cord-007547-gdsoc93j 134 16 time time NN cord-007547-gdsoc93j 134 17 . . . cord-007547-gdsoc93j 135 1 London London NNP cord-007547-gdsoc93j 135 2 : : : cord-007547-gdsoc93j 135 3 British British NNP cord-007547-gdsoc93j 135 4 Orthopaedic Orthopaedic NNP cord-007547-gdsoc93j 135 5 Association Association NNP cord-007547-gdsoc93j 135 6 Effect Effect NNP cord-007547-gdsoc93j 135 7 of of IN cord-007547-gdsoc93j 135 8 widespread widespread JJ cord-007547-gdsoc93j 135 9 restrictions restriction NNS cord-007547-gdsoc93j 135 10 on on IN cord-007547-gdsoc93j 135 11 the the DT cord-007547-gdsoc93j 135 12 use use NN cord-007547-gdsoc93j 135 13 of of IN cord-007547-gdsoc93j 135 14 hospital hospital NN cord-007547-gdsoc93j 135 15 services service NNS cord-007547-gdsoc93j 135 16 during during IN cord-007547-gdsoc93j 135 17 an an DT cord-007547-gdsoc93j 135 18 outbreak outbreak NN cord-007547-gdsoc93j 135 19 of of IN cord-007547-gdsoc93j 135 20 severe severe JJ cord-007547-gdsoc93j 135 21 acute acute JJ cord-007547-gdsoc93j 135 22 respiratory respiratory JJ cord-007547-gdsoc93j 135 23 syndrome syndrome NN cord-007547-gdsoc93j 136 1 The the DT cord-007547-gdsoc93j 136 2 authors author NNS cord-007547-gdsoc93j 136 3 declare declare VBP cord-007547-gdsoc93j 136 4 that that IN cord-007547-gdsoc93j 136 5 they -PRON- PRP cord-007547-gdsoc93j 136 6 have have VBP cord-007547-gdsoc93j 136 7 no no DT cord-007547-gdsoc93j 136 8 conflicts conflict NNS cord-007547-gdsoc93j 136 9 of of IN cord-007547-gdsoc93j 136 10 interest interest NN cord-007547-gdsoc93j 136 11 . . .