Evaluation of the COVID-19 Infection Rate in the Perioperative Period of Elective Surgeries of the Hand and Microsurgery.

Autor:	Bertelli VTC; University of São Paulo, Ribeirao Preto, Brazil., Rosifini Alves Rezende LG; University of São Paulo, Ribeirao Preto, Brazil., Shimaoka FJ; University of São Paulo, Ribeirao Preto, Brazil., Mandarano Filho LG; University of São Paulo, Ribeirao Preto, Brazil., Mazzer N; University of São Paulo, Ribeirao Preto, Brazil., Barbieri CH; University of São Paulo, Ribeirao Preto, Brazil.
Jazyk:	angličtina
Zdroj:	Hand (New York, N.Y.) [Hand (N Y)] 2023 Jun; Vol. 18 (4), pp. 662-667. Date of Electronic Publication: 2021 Dec 21.
DOI:	10.1177/15589447211064360
Abstrakt:	Background: After the beginning of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic (coronavirus disease 2019 [COVID-19]), the world started reducing the number of elective surgeries to reduce the transmission of the coronavirus. Some priority elective surgeries were performed, and there was no increase in contagion rates due to safety protocols and protection measures. The study aims to present the coronavirus infection rate of elective hand surgeries and microsurgery performed during pandemics. Methods: A retrospective study evaluating 188 patients submitted to elective surgical procedures. The exclusion criteria were patients infected by COVID-19 before the surgery and patients who submitted to trauma surgery. Only 108 patients were eligible for this study. The mean age was 47.8 years (range: 15 days-81 years). There were 63 females and 45 males. They were divided into 2 groups: outpatient (n = 49) and inpatient (n = 59) procedures. Results: The overall COVID infection rate was 6.48%. The outpatient infection rate was 2.08%, whereas the inpatient infection rate was 10.17% (Student t test: P = .089). The main factor correlated with infection in the postoperative period was the number of postoperative outpatient visits (Student t test: P = .089). No statistical differences were observed between the variables studied, but there was a tendency for patients who submitted to inpatient surgery to get infected by COVID-19 ( P = .089). The statistical power was 0.8 (Cohen's d test), showing that large samples are needed to analyze the correlation better. Conclusion: We concluded that the safety of performing elective hand surgery during the pandemic remains unclear, and more studies with larger samples are needed.
Databáze:	MEDLINE
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