| Autor: |
Walter J. Gomes, Isadora Rocco, Wallace S. Pimentel, Aislan H. B. Pinheiro, Paulo M. S. Souza, Luiz A. A. Costa, Marjory M. P. Teixeira, Leonardo P. Ohashi, Caroline Bublitz, Isis Begot, Rita Simone L Moreira, Nelson A. Hossne Jr, Guilherme F. Vargas, João Nelson R. Branco, Carlos A. Teles, Eduardo A. S. Medeiros, Camila Sáfadi, Amândio Rampinelli, Leopoldo Moratelli Neto, Anderson Rosa Rosado, Franciele Kuhn Mesacasa, Ismael Escobar Capriata, Rodrigo Coelho Segalote, Deborah Louize da Rocha Vianna Palmieri, Amanda Cristina Mendes Jardim, Diego Sarty Vianna, Joaquim Henrique de Souza Aguiar Coutinho, João Carlos Jazbik, Henrique Madureira da Rocha Coutinho, Gustavo Kikuta, Zely Sant'Anna Marotti de Almeida, Gibran Roder Feguri, Paulo Ruiz Lucio de Lima, Anna Carolina Franco, Danilo de Cerqueira Borges, Felipe Ramos Honorato De La Cruz, Ulisses Alexandre Croti, Bruna Cury Borim, Carlos Henrique De Marchi, Lilian Goraieb, Karolyne Barroca Sanches Postigo, Fabiano Gonçalves Jucá, Fátima Rosane de Almeida Oliveira, Rafael Bezerra de Souza, Alexandre Cabral Zilli, Raul Gaston Sanchez Mas, Luiz Carlos Bettiati Junior, Ricardo Tranchesi, Ayrton Bertini Jr, Leandro Vieira Franco, Priscila Fernandes, Fabiana Oliveira, Roberto Moraes Jr, Thiago Cavalcanti Vila Nova de Araújo, Otávio Penna Braga, Antônio Cavalcanti Pedrosa Sobrinho, Roberta Tavares Barreto Teixeira, Irla Lavor Lucena Camboim, Eduardo Nascimento Gomes, Pedro Horigushi Reis, Luara Piovan Garcia, Nelson Henrique Goes Scorsioni, Roberto Lago, Solange Guizilini |
| Jazyk: |
angličtina |
| Rok vydání: |
2021 |
| Předmět: |
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| Zdroj: |
Brazilian Journal of Cardiovascular Surgery, Vol 36, Iss 6, Pp 725-735 (2021) |
| Druh dokumentu: |
article |
| ISSN: |
1678-9741 |
| DOI: |
10.21470/1678-9741-2021-0960 |
| Popis: |
Abstract Introduction: We investigated the clinical course and outcomes of patients submitted to cardiovascular surgery in Brazil and who had developed symptoms/signs of coronavirus disease 2019 (COVID-19) in the perioperative period. Methods: A retrospective multicenter study including 104 patients who were allocated in three groups according to time of positive real time reverse transcriptase-polymerase chain reaction (RT-PCR) for the SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2): group 1, patients who underwent cardiac surgery > 10 days after positive RT-PCR; group 2, patients with a positive RT-PCR within 10 days before or after surgery; group 3, patients who presented positive RT-PCR > 10 days after surgery. The primary outcome was mortality and secondary outcomes were postoperative complications, intensive care unit (ICU) length of stay, and postoperative days of hospitalization. Results: The three groups were similar with respect to age, the European System of Cardiac Operative Risk Evaluation score, and comorbidities, except hypertension. Postoperative complications and death were significantly higher in groups 2 and 3 than in group 1, and no significant difference between groups 2 and 3 was seen. Group 2 showed a high prevalence of surgery performed as an urgent procedure. Although no significant differences were observed in ICU length of stay, total postoperative hospitalization time was significantly higher in group 3 than in groups 1 and 2. Conclusion: COVID-19 affecting the postoperative period of patients who underwent cardiovascular surgery is associated with a higher rate of morbidity and mortality. Delaying procedures in RT-PCR-positive patients may help reduce risks of perioperative complications and death. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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