| Title: |
Timing of surgery following SARS-CoV-2 infection : an international prospective cohort study |
| Authors: |
Nepogodiev, D.; Simoes, Joana F. F.; Li, Elizabeth; Picciochi, Maria; Glasbey, James C.; Baiocchi, Glauco; Blanco-Colino, Ruth; Chaudhry, Daoud; AlAmeer, Ehab; El-Boghdadly, Kariem; Wuraola, Funmilola; Ghosh, Dhruva; Gujjuri, Rohan R.; Harrison, Ewen M.; Lule, Herman; Kaafarani, Haytham; Khosravi, Mohammad; Kronberger, Irmgard; Leventoglu, Sezai; Mann, Harvinder; Mclean, Kenneth A.; Mengesha, Mengistu Gebreyohanes; Marta Modolo, Maria; Ntirenganya, Faustin; Norman, Lisa; Outani, Oumaima; Pius, Riinu; Pockney, Peter; Qureshi, Ahmad Uzair; Roslani, April Camilla; Satoi, Sohei; Shaw, Catherine; Bhangu, Aneel; Omar, Omar M.; Ahmed, Waheed-Ul-Rahman; Argus, Leah; Ball, Alasdair; Bywater, Edward P.; Brar, Amanpreet; Dawson, Brett E.; Duran, Irani; Elhadi, Muhammed; Jones, Conor S.; Kamarajah, Sivesh K.; Keatley, James M.; Lawday, Samuel; Marson, Ella J.; Ots, Riinu; Santos, Irene; Taylor, Elliott H.; Trout, Isobel M.; Varghese, Chris; Venn, Mary L.; Xu, William; Dajti, Irida; Gjata, Arben; Kacimi, Salah Eddine Oussama; Boccalatte, Luis; Cox, Daniel; Townend, Philip; Aigner, Felix; Kronberger, Irmgard Elisabeth; Samadov, Elgun; Alderazi, Amer; Hossain, Kamral; Padmore, Greg; van Ramshorst, Gabrielle; Lawani, Ismail; Cerovac, Anis; Delibegovic, Samir; Ataide Gomes, Gustavo Mendonca; Buarque, Igor Lima; Gohar, Muhammad; Slavchev, Mihail; Nwegbu, Chukwuemeka; Agarwal, Arnav; Martin, Janet; Ng-Kamstra, Joshua; Olivos, Maricarmen; Lou, Wenhui; Ren, Dong-Lin; Andres Calvache, Jose; J-Perez Rivera, Carlos; Hadzibegovic, Ana Danic; Kopjar, Tomislav; Mihanovic, Jakov; Aviles Jimenez, Pablo Mijahil; Gouvas, Nikolaos; Klat, Jaroslav; Novysedlak, Rene; Amisi, Nicolas; Christensen, Peter; El-Hussuna, Alaa; Batista, Sylvia; Lincango-Naranjo, Eddy; Emile, Sameh; Arevalo Sandoval, Danilo Alfonso; Dhufera, Hailu; Hailu, Samuel; Mengesha, Mengistu G.; Kauppila, Joonas H.; Arnaud, Alexis P.; Demetrashvili, Zaza; Albertsmeier, Markus; Lederhuber, Hans; Loeffler, Markus W.; Acquah, Daniel Kwesi; Ofori, Bernard; Tabiri, Stephen; Metallidis, Symeon; Tsoulfas, Georgios; Aguilera-Arevalo, Maria-Lorena; Recinos, Gustavo; Mersich, Tamas; Wettstein, Daniel; Kembuan, Gabriele; Milan, Peiman Brouki; Khosravi, Mohammad Hossein; Mozafari, Masoud; Hilmi, Ahmed; Mohan, Helen; Zmora, Oded; Gallo, Gaetano; Pata, Francesco; Pellino, Gianluca; Fujimoto, Yuki; Kuroda, Naoto; Abou Chaar, Mohamad K.; Ayasra, Faris; Fakhradiyev, Ildar; Hamdun, Intisar Hisham Said; Jin-Young, Jang; Jamal, Mohammad; Karout, Lina; Gulla, Aiste; Rasoaherinomenjanahary, Fanjandrainy; Samison, Luc Herve; Duran Sanchez, Iran Irani; Samantha Gonzalez, Diana; Martinez, Laura; Jose Martinez, Maria; Nayen, Alejandra; Ramos-De la Medina, Antonio; Borges, Mafalda; Brits, Tim; De Hous, Nicolas; de Wachter, Stefan; Komen, Niels; Menovsky, Tomas; Mortiers, Xavier; Vermeulen, Dorien; Vleminckx, Nils; Ysebaert, Dirk; COVIDSurg Collaborative; GlobalSurg Collaborative |
| Contributors: |
COVIDSurg Collaborative; GlobalSurg Collaborative |
| Source: |
0003-2409 ; Anaesthesia |
| Publication Year: |
2021 |
| Collection: |
IRUA - Institutional Repository van de Universiteit Antwerpen |
| Subject Terms: |
Human medicine |
| Description: |
Peri-operative SARS-CoV-2 infection increases postoperative mortality. The aim of this study was to determine the optimal duration of planned delay before surgery in patients who have had SARS-CoV-2 infection. This international, multicentre, prospective cohort study included patients undergoing elective or emergency surgery during October 2020. Surgical patients with pre-operative SARS-CoV-2 infection were compared with those without previous SARS-CoV-2 infection. The primary outcome measure was 30-day postoperative mortality. Logistic regression models were used to calculate adjusted 30-day mortality rates stratified by time from diagnosis of SARS-CoV-2 infection to surgery. Among 140,231 patients (116 countries), 3127 patients (2.2%) had a pre-operative SARS-CoV-2 diagnosis. Adjusted 30-day mortality in patients without SARS-CoV-2 infection was 1.5% (95%CI 1.4-1.5). In patients with a pre-operative SARS-CoV-2 diagnosis, mortality was increased in patients having surgery within 0-2 weeks, 3-4 weeks and 5-6 weeks of the diagnosis (odds ratio (95%CI) 4.1% (3.3-4.8), 3.9% (2.6-5.1) and 3.6% (2.0-5.2), respectively). Surgery performed >= 7 weeks after SARS-CoV-2 diagnosis was associated with a similar mortality risk to baseline (odds ratio (95%CI) 1.5% (0.9-2.1%)). After a >= 7 week delay in undertaking surgery following SARS-CoV-2 infection, patients with ongoing symptoms had a higher mortality than patients whose symptoms had resolved or who had been asymptomatic (6.0% (95%CI 3.2-8.7) vs. 2.4% (95%CI 1.4-3.4) vs. 1.3% (95%CI 0.6-2.0%), respectively). Where possible, surgery should be delayed for at least 7 weeks following SARS-CoV-2 infection. Patients with ongoing symptoms >= 7 weeks from diagnosis may benefit from further delay. |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| Relation: |
info:eu-repo/semantics/altIdentifier/isi/000626707000001 |
| Availability: |
https://hdl.handle.net/10067/1957970151162165141; https://repository.uantwerpen.be/docstore/d:irua:17122 |
| Rights: |
info:eu-repo/semantics/openAccess |
| Accession Number: |
edsbas.E3549891 |
| Database: |
BASE |