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Danny Wong (黄永年)

@dannyjnwong.bsky.social

1.6K followers 960 following 340 posts

Husband & Father of 2 | Anaesthetist | PhD in Health Services Research | Geriatric Millennial 📝: https://scholar.google.co.uk/citations?hl=en&user=C4JgGlgAAAAJ 🌐: https://dannyjnwong.github.io/blog/

scholar.google.co.uk

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Danny Wong (黄永年) @dannyjnwong.bsky.social · 17d

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?

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Danny Wong (黄永年) @dannyjnwong.bsky.social · 19d

How do the debates run?

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Danny Wong (黄永年) @dannyjnwong.bsky.social · 22d

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.

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Danny Wong (黄永年) @dannyjnwong.bsky.social · 22d

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.

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Danny Wong (黄永年) @dannyjnwong.bsky.social · 22d

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

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Danny Wong (黄永年) @dannyjnwong.bsky.social · 22d

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.

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Danny Wong (黄永年) @dannyjnwong.bsky.social · 22d

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.

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Danny Wong (黄永年) @dannyjnwong.bsky.social · 22d

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

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Danny Wong (黄永年) @dannyjnwong.bsky.social · 22d

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.

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Danny Wong (黄永年) @dannyjnwong.bsky.social · 22d

New paper just dropped today, a secondary analysis using data from my PhD! Hard work spearheaded by Eimear Lusby.

Link: www.sciencedirect.com/science/arti...

Social deprivation and morbidity and mortality after surgery: a UK national observational cohort study

Socioeconomic deprivation is associated with poor surgical outcomes. We assessed associations between deprivation and postoperative morbidity and mort…

www.sciencedirect.com

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Reposted by Danny Wong (黄永年)

Ben Morton @benmorton.bsky.social · 24d

💥 Global Health Clinical PhD Opportunity 💥

🩺🧪

www.liverpool.ac.uk/infection-ve...

Liverpool Clinical PhD Programme (LCPP) | Institute of Infection, Veterinary and Ecological Sciences | University of Liverpool

www.liverpool.ac.uk

Danny Wong (黄永年) @dannyjnwong.bsky.social · 27d

Looking forward to working with everyone!

Reposted by Danny Wong (黄永年)

Anaesthesia @anaesjournal.bsky.social · 27d

We are delighted to welcome Danny Wong to our editorial board!

@dannyjnwong.bsky.social

#AnSky

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Danny Wong (黄永年) @dannyjnwong.bsky.social · 27d

I’m happy to share that I have been appointed as an Editor at @anaesjournal.bsky.social! Excited to start contributing to evidence based medicine and forwarding anaesthetic and scientific knowledge from the other side of the peer review process!

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Danny Wong (黄永年) @dannyjnwong.bsky.social · Jul 29

During the worst of the pandemic I'd make my way home after a shift on COVID ICU listening to songs on a playlist I kept.

Just listened to a few songs on this playlist this evening and suddenly felt a surge of emotion wash over me.

Resident doctors: don't underestimate how important you are. 🦀🦀🦀

Danny Wong (黄永年) @dannyjnwong.bsky.social · May 30

SO MEGA!

Danny Wong (黄永年) @dannyjnwong.bsky.social · May 30

So tempted to just submit. I mean it's the MEGA JOURNAL OF SURGERY!

Email invite to submit an article to the MEGA journal of surgery.

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Danny Wong (黄永年) @dannyjnwong.bsky.social · May 13

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...

Keir Starmer promises migration drop as he unveils plans for 'tighter' visa rules

Plans to ban the recruitment of care workers from overseas are among efforts to curb near record net migration.

www.bbc.com

Reposted by Danny Wong (黄永年)

Jon Chambers @drjonchambers1.bsky.social · May 12

Thank you @sethina.bsky.social @dannyjnwong.bsky.social and Krithi Ravi for this podcast. The data is clear and the need for change is now. A must listen for all anaesthetists open.spotify.com/episode/6gw8...