Postoperative Outcomes in Surgical COVID-19 Patients
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According to a study published in the BMC Anesthesiology mortality rate in COVID-19 patients who undergoes surgery is higher.

In this study, researchers described COVID-19 patients who underwent surgery and the pandemic impact on surgical activities.

Investigators conducted a multicenter cohort study. They included all COVID-19 patients who underwent surgery in the pandemic. They also included concomitant suspected COVID-19 (subsequently confirmed not to have COVID-19) patients and patients who had recovered from it. Data were collected on baseline characteristics, postoperative complications, and postoperative mortality. The primary outcome was 30-day mortality. Researchers also collected data on overall surgical activities during this first wave and during the same period in 2019.

The study included 44 COVID-19 patients, 18 suspected patients, and 18 patients who had recovered from COVID-19 at the time of surgery. Among the 44 COVID-19 patients, 31 surgeries were urgent and 16 were major. The results were;

--In these patients, pulmonary complications were frequent and 30-day mortality was high.

--This mortality was higher in patients with symptoms compared to those without symptoms, although not statistically significant.

--Of the total 22616 cases performed among participating centers during the study period, only 0.19% had COVID-19 at the time of surgery.

--Fewer procedures were performed during the study period compared to the same period in 2019.

In particular, postoperative 30-day mortality in COVID-19 patients undergoing surgery was high (15.9%). Although few surgeries were performed on COVID-19 patients, the pandemic impact on surgical activity volume was important.

Source: https://doi.org/10.1186/s12871-021-01233-9
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