Pretražite po imenu i prezimenu autora, mentora, urednika, prevoditelja

Napredna pretraga

Pregled bibliografske jedinice broj: 1243476

Outcomes and Their State-level Variation in Patients Undergoing Surgery With Perioperative SARS-CoV-2 Infection in the USA: A Prospective Multicenter Study


(COVIDSurg Collaborative) Mihanovic, Jakov
Outcomes and Their State-level Variation in Patients Undergoing Surgery With Perioperative SARS-CoV-2 Infection in the USA: A Prospective Multicenter Study // Annals of surgery, 1 (2022), 275(2); 247-251 doi:10.1097/SLA.0000000000005310 (međunarodna recenzija, članak, znanstveni)


CROSBI ID: 1243476 Za ispravke kontaktirajte CROSBI podršku putem web obrasca

Naslov
Outcomes and Their State-level Variation in Patients Undergoing Surgery With Perioperative SARS-CoV-2 Infection in the USA: A Prospective Multicenter Study

Autori
Mihanovic, Jakov

Kolaboracija
COVIDSurg Collaborative

Izvornik
Annals of surgery (0003-4932) 1 (2022), 275(2); 247-251

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
COVID-19, COVIDSurg, elective surgery, emergency surgery, mortality, pulmonary complications

Sažetak
Objective: To report the 30-day outcomes of patients with perioperative SARS-CoV-2 infection undergoing surgery in the USA. Background: Uncertainty regarding the postoperative risks of patients with SARS-CoV-2 exists. Methods: As part of the COVIDSurg multicenter study, all patients aged ≥17 years undergoing surgery between January 1 and June 30, 2020 with perioperative SARS-CoV-2 infection in 70 hospitals across 27 states were included. The primary outcomes were 30-day mortality and pulmonary complications. Multivariable analyses (adjusting for demographics, comorbidities, and procedure characteristics) were performed to identify predictors of mortality. Results: A total of 1581 patients were included ; more than half of them were males (n = 822, 52.0%) and older than 50 years (n = 835, 52.8%). Most procedures (n = 1261, 79.8%) were emergent, and laparotomies (n = 538, 34.1%). The mortality and pulmonary complication rates were 11.0 and 39.5%, respectively. Independent predictors of mortality included age ≥70 years (odds ratio 2.46, 95% confidence interval [1.65-3.69]), male sex (2.26 [1.53-3.35]), ASA grades 3-5 (3.08 [1.60-5.95]), emergent surgery (2.44 [1.31-4.54]), malignancy (2.97 [1.58-5.57]), respiratory comorbidities (2.08 [1.30-3.32]), and higher Revised Cardiac Risk Index (1.20 [1.02-1.41]). While statewide elective cancelation orders were not associated with a lower mortality, a sub-analysis showed it to be associated with lower mortality in those who underwent elective surgery (0.14 [0.03-0.61]). Conclusions: Patients with perioperative SARS-CoV- 2 infection have a significantly high risk for postoperative complications, especially elderly males. Postponing elective surgery and adopting non-operative management, when reasonable, should be considered in the USA during the pandemic peaks.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti, Javno zdravstvo i zdravstvena zaštita



POVEZANOST RADA


Ustanove:
Sveučilište u Zadru,
Opća bolnica Zadar

Profili:

Avatar Url Jakov Mihanović (autor)

Poveznice na cjeloviti tekst rada:

Pristup cjelovitom tekstu rada doi www.ncbi.nlm.nih.gov journals.lww.com

Poveznice na istraživačke podatke:

doi.org

Citiraj ovu publikaciju:

(COVIDSurg Collaborative) Mihanovic, Jakov
Outcomes and Their State-level Variation in Patients Undergoing Surgery With Perioperative SARS-CoV-2 Infection in the USA: A Prospective Multicenter Study // Annals of surgery, 1 (2022), 275(2); 247-251 doi:10.1097/SLA.0000000000005310 (međunarodna recenzija, članak, znanstveni)
(COVIDSurg Collaborative) (COVIDSurg Collaborative) Mihanovic, J. (2022) Outcomes and Their State-level Variation in Patients Undergoing Surgery With Perioperative SARS-CoV-2 Infection in the USA: A Prospective Multicenter Study. Annals of surgery, 1 (275(2)), 247-251 doi:10.1097/SLA.0000000000005310.
@article{article, author = {Mihanovic, Jakov}, year = {2022}, pages = {247-251}, DOI = {10.1097/SLA.0000000000005310}, keywords = {COVID-19, COVIDSurg, elective surgery, emergency surgery, mortality, pulmonary complications}, journal = {Annals of surgery}, doi = {10.1097/SLA.0000000000005310}, volume = {1}, number = {275(2)}, issn = {0003-4932}, title = {Outcomes and Their State-level Variation in Patients Undergoing Surgery With Perioperative SARS-CoV-2 Infection in the USA: A Prospective Multicenter Study}, keyword = {COVID-19, COVIDSurg, elective surgery, emergency surgery, mortality, pulmonary complications} }
@article{article, author = {Mihanovic, Jakov}, year = {2022}, pages = {247-251}, DOI = {10.1097/SLA.0000000000005310}, keywords = {COVID-19, COVIDSurg, elective surgery, emergency surgery, mortality, pulmonary complications}, journal = {Annals of surgery}, doi = {10.1097/SLA.0000000000005310}, volume = {1}, number = {275(2)}, issn = {0003-4932}, title = {Outcomes and Their State-level Variation in Patients Undergoing Surgery With Perioperative SARS-CoV-2 Infection in the USA: A Prospective Multicenter Study}, keyword = {COVID-19, COVIDSurg, elective surgery, emergency surgery, mortality, pulmonary complications} }

Citati:





    Contrast
    Increase Font
    Decrease Font
    Dyslexic Font