Early postoperative outcomes among patients with delayed surgeries after preoperative positive test for SARS-CoV-2: A case-control study from a single institution.

Autor: Baiocchi G; Division of Surgery, AC Camargo Cancer Center, Sao Paulo, Brazil., Aguiar S Jr; Division of Surgery, AC Camargo Cancer Center, Sao Paulo, Brazil., Duprat JP; Division of Surgery, AC Camargo Cancer Center, Sao Paulo, Brazil., Coimbra FJF; Division of Surgery, AC Camargo Cancer Center, Sao Paulo, Brazil., Makdissi FB; Division of Surgery, AC Camargo Cancer Center, Sao Paulo, Brazil., Vartanian JG; Division of Surgery, AC Camargo Cancer Center, Sao Paulo, Brazil., Zequi SC; Division of Surgery, AC Camargo Cancer Center, Sao Paulo, Brazil., Gross JL; Division of Surgery, AC Camargo Cancer Center, Sao Paulo, Brazil., Nakagawa SA; Division of Surgery, AC Camargo Cancer Center, Sao Paulo, Brazil., Yazbek G; Division of Surgery, AC Camargo Cancer Center, Sao Paulo, Brazil., Diniz TP; Division of Surgery, AC Camargo Cancer Center, Sao Paulo, Brazil., Gonçalves BT; Division of Surgery, AC Camargo Cancer Center, Sao Paulo, Brazil., Zurstrassen CE; Division of Surgery, AC Camargo Cancer Center, Sao Paulo, Brazil., Campos HGDA; Division of Surgery, AC Camargo Cancer Center, Sao Paulo, Brazil., Joaquim EHG; Department of Anesthesiology, AC Camargo Cancer Center, Sao Paulo, Brazil., França E Silva IA; Department of Infectious Diseases, AC Camargo Cancer Center, Sao Paulo, Brazil., Kowalski LP; Division of Surgery, AC Camargo Cancer Center, Sao Paulo, Brazil.
Jazyk: angličtina
Zdroj: Journal of surgical oncology [J Surg Oncol] 2021 Mar; Vol. 123 (4), pp. 823-833. Date of Electronic Publication: 2021 Jan 11.
DOI: 10.1002/jso.26377
Abstrakt: Background: There are limited data on surgical complications for patients that have delayed surgery after severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. We aimed to analyze the surgical outcomes of patients submitted to surgery after recovery from SARS-CoV-2 infection.
Methods: Asymptomatic patients that had surgery delayed after preoperative reverse-transcription polymerase chain reaction (RT-PCR) for SARS-CoV-2 were matched in a 1:2 ratio for age, type of surgery and American Society of Anesthesiologists to patients with negative RT-PCR for SARS-CoV-2.
Results: About 1253 patients underwent surgical procedures and were subjected to screening for SARS-CoV-2. Forty-nine cases with a delayed surgery were included in the coronavirus disease (COVID) recovery (COVID-rec) group and were matched to 98 patients included in the COVID negative (COVID-neg) group. Overall, 22 (15%) patients had 30-days postoperative complications, but there was no statistically difference between groups -16.3% for COVID-rec and 14.3% for COVID-neg, respectively (odds ratio [OR] 1.17:95% confidence interval [CI] 0.45-3.0; p = .74). Moreover, we did not find difference regarding grades more than or equal to 3 complication rates - 8.2% for COVID-rec and 6.1% for COVID-neg (OR 1.36:95%CI 0.36-5.0; p = .64). There were no pulmonary complications or SARS-CoV-2 related infection and no deaths within the 30-days after surgery.
Conclusions: Our study suggests that patients with delayed elective surgeries due to asymptomatic preoperative positive SARS-CoV-2 test are not at higher risk of postoperative complications.
(© 2021 Wiley Periodicals LLC.)
Databáze: MEDLINE
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