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Table 1.

Characteristics of the surgeons and centers responding to the survey.

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Fig 1.

Low, moderate and high Hospital Bed Stress (A) and Critical Care Bed Stress (B), derived from the COVID-19 Load compared to the hospital and critical care bed capacities respectively. Centers with low hospital or critical care bed capacity and no COVID patients were determined to have a low stress, whereas similarly sized centers caring for <20 patients deemed at moderate stress. Centers with high hospital or critical care bed capacity and greater than 200 COVID patients were determined to have a high stress, whereas similarly sized centers caring for <200 patients deemed at moderate stress.

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Fig 2.

Box and whiskers plot of the relationship between national mortality rate from COVID-19 and either Hospital Bed Stress (A) or Critical Care Bed Stress (B). Black circles represent outliers and ‘x’ is a jitter plot of the raw data. p = <0.001 for all comparisons between groups.

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Table 2.

The global variation of COVID Load, Hospital Bed Stress and Critical Care Bed Stress.

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Table 3.

Change in diagnostic and therapeutic capabilities stratified by Hospital Bed Stress and Critical Care Bed Stress.

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Fig 3.

Violin plots of Change Score against Hospital Bed Stress and Critical Care Bed Stress metrics.

The summary boxes denote the mean +/- standard deviation for each group. The groups are statistically significantly different (p = 0.007 and <0.001 respectively).

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Fig 4.

Line plot of the Priority Scores for each variable when scheduling a patient for theatre, with the impact of high, moderate and low Hospital Bed Stress (A) and Critical Care Bed Stress (B) compared. Note: Higher score demonstrates a higher priority.

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Table 4.

Priority Scores for the six variables considered when scheduling patients for theatre, presented for all responses and by Hospital Bed Stress and Critical Bed Stress strata.

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