These days I'm much less chronically online than I used to be.. might not want to be chained to the phone for a long discussion all evening long.. happy to discuss intermittently here and there, without making it a featured event if you know what I mean?

How do the debates run?

The data from SNAP-2 that went into this study was collected by literally hundreds of collaborators across the UK back in 2016. My heartfelt thanks goes out to them for contributing to this and all the other papers that have resulted from that collaboration.

But also these data suggest that mechanistically the association might relate to poorer baseline fitness among people living in socioeconomically deprived areas. Perhaps these patients could benefit from targeted interventions to improve their baseline fitness.

This confirms much of what is already available in the literature: socioeconomic deprivation is associated with poorer postop outcomes.

Mortality risk was also higher: OR 1.75 (95% CI: 1.12–1.73) for IMD2 and OR 1.90 (95% CI: 1.22–2.95) for IMD1. However, after adjusting for markers of preoperative physical status and comorbidities, the association between deprivation and outcomes was attenuated.

Adjusting for patient characteristics and surgical factors, the odds ratios (ORs) for morbidity at day 7 were 1.26 (95% confidence interval [95% CI]: 1.09–1.47) for IMD2 and 1.32 (95% CI: 1.13–1.53) for IMD1, compared with IMD5.

We found those in more deprived groups were younger, had higher disease prevalence, and had greater illness severity to start off with.

The team looked at short term morbidity and 30-day mortality outcomes associations with socioeconomic deprivation, adjusting for baseline patient and surgical characteristics, in around 19k patients across around 240 hospitals in the UK.

Looking forward to working with everyone!

SO MEGA!

Thanks for highlighting Jon. There's much work to be done on this, but this is all in whilst governments around the world are turning their backs on immigration. Xenophobia, racism and ethnic diversity are all linked... This problem extends beyond anaesthesia.

www.bbc.com/news/article...

Are all the words hyphae-nated?

This is fascism. The censorship of scientific literature has begun. A new dark age is upon us.

Look after yourselves everyone. Apply the oxygen mask to yourself first. If you need to step away for a bit, do.