المؤلفون: Osaid, Alser, Ander Dorken Gallastegi, Anthony, Gebran, Kerry, Breen, Mohamad El Moheb, Apostolos, Gaitanidis, Leon, Naar, Brittany, Bankhead-Kendall, Hassan, Mashbari, Robert, D Sinyard, Lydia, R Maurer, Charu, Paranjape, George, C Velmahos, Dmitri, Nepogodiev, Aneel, Bhangu, Haytham M, A Kaafarani, Kwabena, Siaw-Acheampong, Leah, Argus, Daoud, Chaudhry, Brett, E Dawson, James, C Glasbey, Rohan, R Gujjuri, Conor, S Jones, Sivesh, K Kamarajah, Chetan, Khatri, James, M Keatley, Samuel, Lawday, Elizabeth, Li, Harvinder, Mann, Ella, J Marson, Kenneth, A Mclean, Maria, Picciochi, Elliott, H Taylor, Abhinav, Tiwari, Joana F, F Simoes, Isobel, M Trout, Mary, L Venn, Richard J, W Wilkin, Irida, Dajti, Arben, Gjata, Oussama, Kacimi, Luis, Boccalatte, Maria Marta Modolo, Daniel, Cox, Peter, Pockney, Philip, Townend, Felix, Aigner, Irmgard, Kronberger, Ahmed, Elgun, Amer, Alderazi, Kamral, Hossain, Greg, Padmore, Gabrielle, Vanramshorst, Ismail, Lawani, Duane, Wedderburn, Sonam, Dargay, Israël, Feraudy, Cerovac, Anis, Samir, Delibegovic, Alemayehu Ginbo Bedada, Gustavo, Ataide, Glauco, Baiocchi, Igor, Buarque, Muhammad, Gohar, Mihail, Slavchev, Jean Marie Vianney Butoyi, Chukwuemeka, Nwegbu, Arnav, Agarwal, Amanpreet, Brar, Janet, Martin, Maricarmen, Olivos, Dong-Lin, Ren, Wenhui, Lou, Jose, Calvache, Carlos Jose Perez Rivera, Ana Danic Hadzibegovic, Tomislav, Kopjar, Jakov, Mihanovic, Pablo, Avilés, Nikolaos, Gouvas, Jaroslav, Klat, René, Novysedlak, Nicolas, Amisi, Peter, Christensen, Alaa, El-Hussuna, Sylvia, Batista, Eddy, Lincango, Sameh, H Emile, Danilo Alfonso Arévalo Sandoval, Mengistu Gebreyohanes Mengesha, Samuel, Hailu, Hailu, Tamiru, Joonas, Kauppila, Johanna, Laukkarinen, Alexis, Arnaud, Roumanatou Bankole Sapin, Kebba, Marenah, Zaza, Demetrashvili, Andreas, A Schnitzbauer, Magdalena, Gruendl, Markus, Albertsmeiers, Hans, Lederhuber, Markus, Loffler, Bernard Ofori Appiah, Daniel, Acquah, Stephen, Tabiri, Symeon, Metallidis, Georgios, Tsoulfas, Maria Aguilera Lorena, Gustavo, Grecinos, Tamas, Mersich, Daniel, Wettstein, Atul, Suroy, Dhruv, Ghosh, Pranay, Pawar, Gabriele, Kembuan, Peiman, Brouk, Mohammad, Khosravi, Masoud, Mozafari, Ahmed, Adil, Helen, M Mohan, Oded, Zmora, Marco, Fiore, Gallo, G, Pata, Francesco, Gianluca, Pellino, Naoto, Kuroda, Sohei, Satoi, Yuki, Fujimoto, Faris, Ayasra, Mohammad, Chaar, Ildar, R Fakhradiyev, Intisar, Hisham, Jin-Young, Jang, Enver, Fekaj, Mohammad, Jamal, Anvar, Beisembaev, Muhammed, Elhadi, Aiste, Gulla, Luc, Samison, Jupsi, Neny, Palesa, Chisala, April, Roslani, Iran Irani Duran Sanchez, Laura Martinez Perez Maldonado, Antonio Ramos De La Medina, Jade, Nunez, Oumaima, Outani, Abd'Rashid, Nashidengo, Ashish Lal Shrestha, Rakesh, Shah, Pascal, Jonker, Schelto, Kruijff, Milou, Noltes, Pieter, Steinkamp, Willemijn van der Plas, Chris, Varghese, Deborah, Wright, Jorge, Neira, Adesoji, Ademuyiwa, Babatunde, Osinaike, Justina, Seyi-Olajide, Emmanuel, Williams, Sofija, Pejkova, Knut Magne Augestad, Kjetil, Soreide, Zainab Al Balushi, Ahmad, Qureshi, Raza, Sayyed, Mustafa Abu Mohsen Daraghmeh, Sadi, Abukhalaf, Moises, Cukier, Chris, Munguas, Hugo, Gomez, Sebastian, Shu, Ximena, Vasquez, Marie Dione Parreno-Sacdalan, Piotr, Major, José, Azevedo, Miguel, Cunha, Irene, Santos, Ahmad, Zarour, Eduard-Alexandru, Bonci, Ionut, Negoi, Sergey, Efetov, Andrey, Litvin, Faustin, Ntirenganya, Ehab, Alameer, Abdourahmane, Ndong, Dejan, Radenkovic, Ibrahim, Sesay, Frederick Koh Hong Xiang, Chew Min Hoe, James Ngu Chi Yong, Arpad, Panyko, Jurij, Kosir, Uros, Bele, Hassan, Ali, Rachel, Moore, Ncamsile, Nhlabathi, Ruth Blanco Colino, Ana Minaya Bravo, Umesh, Jayarajah, Dakshitha, Wickramasinghe, Mohammed, Elmujtaba, William, Jebril, Martin, Rutegård, Malin, Sund, Eleftherios, Gialamas, Karoline, Horisberger, Michel, Adamina, Muhammad, Alshaar, Abel, Huang, Ben, Mbwele, Varut, Lohsiriwat, Shane, Charles, Haithem, Jlassi, Arda, Isik, Sezai, Leventoğlu, Lekuya, Herve, Lekuya, Monka, Herman, Lule, Tom E, F Abbott, Ruth, Benson, Caruna, Ed, Sohini, Chakrabortee, Andreas, Demetriades, Anant, Desai, Thomas, D Drake, John, G Edwards, Jonathan, P Evans, Samuel, Ford, Christina, Fotopoulou, Ewen, Griffiths, Peter, Hutchinson, Michael, D Jenkinson, Tabassum, Khan, Stephen, Knight, Angelos, Kolias, Elaine, Leung, Siobhan, Mckay, Lisa, Norman, Riinu, Ots, Vidya, Raghavan, Keith, Roberts, Andrew, Schache, Richard, Shaw, Katie, Shaw, Neil, Smart, Grant, Stewart, Sudha, Sundar, Dale, Vimalchandran, Naomi, Wright, Slava, Kopetskiy, Sattar, Alshryda, Ian, Ganly, Haytham, Kaafarani, Brittany, Kendall, Fernando, Bonilla, Hamza Al Naggar, Mayaba, Maimbo, Dennis, Mazingi, J Wong, J, Napolitano, L, Hemmila, M, Amin, D, Abramowicz, S, M Roser, S, A Olson, K, Riley, C, Heron, C, Cardenas, T, Leede, E, Thornhill, M, B Haynes, A, Mcelhinney, K, Roward, S, D Trust, M, E Hill, C, G Teixeira, P, Etchill, E, Stevens, K, R Ladd, M, Long, C, Rose, J, Kent, A, Yesantharao, P, Vervoort, D, Jenny, H, Gabre-Kidan, A, Margalit, A, Tsai, L, Malapati, H, Yesantharao, L, Abdou, H, Diaz, J, Richmond, M, Clark, J, O'Meara, L, Hanna, N, Ying, Y, Fleming, J, Ovaitt, A, Gigliotti, J, Fuson, A, Cooper, Z, Salim, A, A Hirji, S, Brown, A, Chung, C, Hansen, L, U Okafor, B, Roxo, V, P Raut, C, S Jolissaint, J, A Mahvi, D, Kaafarani, H, Breen, K, Bankhead-Kendall, B, Alser, O, Mashbari, H, Velmahos, G, R Maurer, L, M El Moheb, Gaitanidis, A, Naar, L, A Christensen, M, Kapoen, C, Langeveld, K, M El Hechi, Mokhtari, A, H Haqqani, M, T Drake, F, Goldenberg-Sandau, A, Galbreath, B, Reinke, C, Ross, S, Thompson, K, Manning, D, Perkins, R, Eriksson, E, Evans, H, Masrur, M, Giulianotti, P, Benedetti, E, Chang, G, Ourieff, J, Dehart, D, Dorafshar, A, Price, T, R Bhama, A, Torquati, A, Cherullo, E, Kennedy, R, Myers, J, Rubin, K, S Ban, V, G Aoun, S, H Batjer, H, Caruso, J, Carmichael, H, G Velopulos, C, L Wright, F, Urban, S, C McIntyre Jr, R, J Schroeppel, T, A Hennessy, E, Dunn, J, Zier, L, Burlew, C, Coleman, J, P Colling, K, Hall, B, E Rice, H, S Hwang, E, A Olson, S, Moris, D, Verma, R, Hassan, R, Volpe, A, Merola, S, A O'Banion, L, Lilienstein, J, Dirks, R, Marwan, H, Almasri, M, Kulkarni, G, Mehdi, M, Abouassi, A, Abdallah, M, M San Andrés, Eid, J, Aigbivbalu, E, Sundaresan, J, George, B, Ssentongo, A, Ssentongo, P, S Oh, J, Hazelton, J, Maines, J, Gusani, N, Garner, M, Horvath, S, Zheng, F, Ujiki, M, Kinnaman, G, Meagher, A, Sharma, I, Holler, E, Mckenzie, K, Chan, J, Fretwell, K, W Nugent 3rd, Khalil, A, Chen, D, Post, N, Rostkowski, T, Brahmbhatt, D, Huynh, K, L Hibbard, M, Schellenberg, M, R C, G Martin, Bhutiani, N, Giorgakis, E, Laryea, J, Bhavaraju, A, Sexton, K, Roberts, M, Kost, M, Kimbrough, M, Burdine, L, Kalkwarf, K, Robertson, R, Gosain, A, Camp, L, Lewit, R, P Kronenfeld, J, Urrechaga, E, Goel, N, Rattan, R, Hart, V, Allen, M, Gilna, G, Cioci, A, Ruiz, G, Rakoczy, K, Pavlis, W, Saberi, R, Morris, R, S Karam, B, C E, M Brathwaite, Liu, H, Petrone, P, Hakmi, H, H Sohail, A, Baltazar, G, Heckburn, R, M Nygaard, R, T Colonna, E, W Endorf, F, J Hill, M, Maiga, A, Dennis, B, H Levin, J, Lallemand, M, Choron, R, Peck, G, Soliman, F, Rehman, S, Glass, N, Juthani, B, Deisher, D, M Ruzgar, N, J Ullrich, S, Sion, M, Paranjape, C, R Kar, A, Gillezeau, C, Rapp, J, Taioli, E, A Miles, B, Alpert, N, Podolsky, D, L Coleman, N, P Callahan, M, Ganly, I, Brown, L, J R, T Monson, Dehal, A, Abbas, A, Soliman, A, Kim, B, Jones, C, D Dauer, M, Renza-Stingone, E, Hernandez, E, Gokcen, E, Kropf, E, Sufrin, H, Hirsch, H, Ross, H, Engel, J, Sewards, J, Poggio, J, Sanserino, K, Rae, L, Philp, M, Metro, M, Mcnelis, P, Petrov, R, Pazionis, T, Till, B, Lamm, R, J Rios-Diaz, A, Palazzo, F, Rosengart, M, Nicholson, K, M Carrick, M, Rodkey, K, Suri, A, Callcut, R, Nicholson, S, Talathoti, N, Klaristenfeld, D, Biffl, W, Marsh, C, Schaffer, K, E Berndtson, A, Averbach, S, Curry, T, Kwan-Feinberg, R, Consorti, E, Gonzalez, R, Grolman, R, Liu, T, Merzlikin, O, K Abel, M, Ozgediz, D, Boeck, M, Z Kornblith, L, Nunez-Garcia, B, Robinson, B, Park, P, F Utria, A, E Rice-Townsend, S, Javid, P, Hauptman, J, Kieran, K, Nehra, D, Walters, A, Cuschieri, J, H Davidson, G, Nunez, J, Cosker, R, Eckhouse, S, Choudhry, A, Marx, W, Jamil, T, Seegert, S, Al-Embideen, S, Quintana, M, Jackson, H, D Wexner, S, Kent, I, N Martins, P, Xiao, Liu, Alistair, Denniston

المصدر: Annals of Surgery

مصطلحات موضوعية: Male, medicine.medical_specialty, Revised Cardiac Risk Index, Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), pulmonary complications, Malignancy, Time-to-Treatment, Postoperative Complications, Sex Factors, Risk Factors, medicine, COVID-19, COVIDSurg, elective surgery, emergency surgery, mortality, pulmonary complications, Humans, In patient, Prospective Studies, emergency surgery, Elective surgery, Aged, Respiratory Distress Syndrome, SARS-CoV-2, business.industry, Pulmonary Complication, Age Factors, COVID-19, Pneumonia, Perioperative, Middle Aged, COVIDSurg, elective surgery, mortality, medicine.disease, United States, Surgery, Multicenter study, Elective Surgical Procedures, Female, business

الوصف: Objective To report the 30-day outcomes of patients with perioperative SARS-CoV-2 infection undergoing surgery in the USA. Summary background data Uncertainty regarding the postoperative risks of patients with severe acute respiratory syndrome coronavirus 2 (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 1,581 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=1,261, 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 (OR 2.46, 95% CI [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.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::bdbf2a8dbd59a2a96f8c458e108571eaTest
https://doi.org/10.1097/sla.0000000000005310Test

المؤلفون: Osaid Alser, Ander Dorken Gallastegi, Anthony Gebran, Kerry Breen, Mohamad El Moheb, Apostolos Gaitanidis, Leon Naar, Brittany Bankhead-Kendall, Hassan Mashbari, Robert D Sinyard, Lydia R Maurer, Charu Paranjape, George C Velmahos, Dmitri Nepogodiev, Aneel Bhangu, Haytham M A Kaafarani, Kwabena Siaw-Acheampong, Leah Argus, Daoud Chaudhry, Brett E Dawson, James C Glasbey, Rohan R Gujjuri, Conor S Jones, Sivesh K Kamarajah, Chetan Khatri, James M Keatley, Samuel Lawday, Elizabeth Li, Harvinder Mann, Ella J Marson, Kenneth A Mclean, Maria Picciochi, Elliott H Taylor, Abhinav Tiwari, Joana F F Simoes, Isobel M Trout, Mary L Venn, Richard J W Wilkin, Irida Dajti, Arben Gjata, Oussama Kacimi, Luis Boccalatte, Maria Marta Modolo, Daniel Cox, Peter Pockney, Philip Townend, Felix Aigner, Irmgard Kronberger, Ahmed Elgun, Amer Alderazi, Kamral Hossain, Greg Padmore, Gabrielle VanRamshorst, Ismail Lawani, Duane Wedderburn, Sonam Dargay, Israël Feraudy, Cerovac Anis, Samir Delibegovic, Alemayehu Ginbo Bedada, Gustavo Ataide, Glauco Baiocchi, Igor Buarque, Muhammad Gohar, Mihail Slavchev, Jean Marie Vianney Butoyi, Chukwuemeka Nwegbu, Arnav Agarwal, Amanpreet Brar, Janet Martin, Maricarmen Olivos, Dong-Lin Ren, Wenhui Lou, Jose Calvache, Carlos Jose Perez Rivera, Ana Danic Hadzibegovic, Tomislav Kopjar, Jakov Mihanovic, Pablo Avilés, Nikolaos Gouvas, Jaroslav Klat, René Novysedlak, Nicolas Amisi, Peter Christensen, Alaa El-Hussuna, Sylvia Batista, Eddy Lincango, Sameh H Emile, Danilo Alfonso Arévalo Sandoval, Mengistu Gebreyohanes Mengesha, Samuel Hailu, Hailu Tamiru, Joonas Kauppila, Johanna Laukkarinen, Alexis Arnaud, Roumanatou Bankole Sapin, Kebba Marenah, Zaza Demetrashvili, Andreas A Schnitzbauer, Magdalena Gruendl, Markus Albertsmeiers, Hans Lederhuber, Markus Loffler, Bernard Ofori Appiah, Daniel Acquah, Stephen Tabiri, Symeon Metallidis, Georgios Tsoulfas, Maria Aguilera Lorena, Gustavo Grecinos, Tamas Mersich, Daniel Wettstein, Atul Suroy, Dhruv Ghosh, Pranay Pawar, Gabriele Kembuan, Peiman Brouk, Mohammad Khosravi, Masoud Mozafari, Ahmed Adil, Helen M Mohan, Oded Zmora, Marco Fiore, Gallo G, Francesco Pata, Gianluca Pellino, Naoto Kuroda, Sohei Satoi, Yuki Fujimoto, Faris Ayasra, Mohammad Chaar, Ildar R Fakhradiyev, Intisar Hisham, Jin-Young Jang, Enver Fekaj, Mohammad Jamal, Anvar Beisembaev, Muhammed Elhadi, Aiste Gulla, Luc Samison, Jupsi Neny, Palesa Chisala, April Roslani, Iran Irani Duran Sanchez, Laura Martinez Perez Maldonado, Antonio Ramos De La Medina, Jade Nunez, Oumaima Outani, Abd'Rashid Nashidengo, Ashish Lal Shrestha, Rakesh Shah, Pascal Jonker, Schelto Kruijff, Milou Noltes, Pieter Steinkamp, Willemijn van der Plas, Chris Varghese, Deborah Wright, Jorge Neira, Adesoji Ademuyiwa, Babatunde Osinaike, Justina Seyi-Olajide, Emmanuel Williams, Sofija Pejkova, Knut Magne Augestad, Kjetil Soreide, Zainab Al Balushi, Ahmad Qureshi, Raza Sayyed, Mustafa Abu Mohsen Daraghmeh, Sadi Abukhalaf, Moises Cukier, Chris Munguas, Hugo Gomez, Sebastian Shu, Ximena Vasquez, Marie Dione Parreno-Sacdalan, Piotr Major, José Azevedo, Miguel Cunha, Irene Santos, Ahmad Zarour, Eduard-Alexandru Bonci, Ionut Negoi, Sergey Efetov, Andrey Litvin, Faustin Ntirenganya, Ehab AlAmeer, Abdourahmane Ndong, Dejan Radenkovic, Ibrahim Sesay, Frederick Koh Hong Xiang, Chew Min Hoe, James Ngu Chi Yong, Arpad Panyko, Jurij Kosir, Uros Bele, Hassan Ali, Rachel Moore, Ncamsile Nhlabathi, Ruth Blanco Colino, Ana Minaya Bravo, Umesh Jayarajah, Dakshitha Wickramasinghe, Mohammed Elmujtaba, William Jebril, Martin Rutegård, Malin Sund, Eleftherios Gialamas, Karoline Horisberger, Michel Adamina, Muhammad Alshaar, Abel Huang, Ben Mbwele, Varut Lohsiriwat, Shane Charles, Haithem Jlassi, Arda Isik, Sezai Leventoğlu, Lekuya Herve, Lekuya Monka, Herman Lule, Tom E F Abbott, Ruth Benson, Ed Caruna, Sohini Chakrabortee, Andreas Demetriades, Anant Desai, Thomas D Drake, John G Edwards, Jonathan P Evans, Samuel Ford, Christina Fotopoulou, Ewen Griffiths, Peter Hutchinson, Michael D Jenkinson, Tabassum Khan, Stephen Knight, Angelos Kolias, Elaine Leung, Siobhan McKay, Lisa Norman, Riinu Ots, Vidya Raghavan, Keith Roberts, Andrew Schache, Richard Shaw, Katie Shaw, Neil Smart, Grant Stewart, Sudha Sundar, Dale Vimalchandran, Naomi Wright, Slava Kopetskiy, Sattar Alshryda, Ian Ganly, Haytham Kaafarani, Brittany Kendall, Fernando Bonilla, Hamza Al Naggar, Mayaba Maimbo, Dennis Mazingi, J J Wong, L Napolitano, M Hemmila, D Amin, S Abramowicz, S M Roser, K A Olson, C Riley, C Heron, T Cardenas, E Leede, M Thornhill, A B Haynes, K McElhinney, S Roward, M D Trust, C E Hill, P G Teixeira, E Etchill, K Stevens, M R Ladd, C Long, J Rose, A Kent, P Yesantharao, D Vervoort, H Jenny, A Gabre-Kidan, A Margalit, L Tsai, H Malapati, L Yesantharao, H Abdou, J Diaz, M Richmond, J Clark, L O'Meara, N Hanna, Y Ying, J Fleming, A Ovaitt, J Gigliotti, A Fuson, Z Cooper, A Salim, S A Hirji, A Brown, C Chung, L Hansen, B U Okafor, V Roxo, C P Raut, J S Jolissaint, D A Mahvi, H Kaafarani, K Breen, B Bankhead-Kendall, O Alser, H Mashbari, G Velmahos, L R Maurer, M El Moheb, A Gaitanidis, L Naar, M A Christensen, C Kapoen, K Langeveld, M El Hechi, A Mokhtari, M H Haqqani, F T Drake, A Goldenberg-Sandau, B Galbreath, C Reinke, S Ross, K Thompson, D Manning, R Perkins, E Eriksson, H Evans, M Masrur, P Giulianotti, E Benedetti, G Chang, J Ourieff, D Dehart, A Dorafshar, T Price, A R Bhama, A Torquati, E Cherullo, R Kennedy, J Myers, K Rubin, V S Ban, S G Aoun, H H Batjer, J Caruso, H Carmichael, C G Velopulos, F L Wright, S Urban, R C McIntyre Jr, T J Schroeppel, E A Hennessy, J Dunn, L Zier, C Burlew, J Coleman, K P Colling, B Hall, H E Rice, E S Hwang, S A Olson, D Moris, R Verma, R Hassan, A Volpe, S Merola, L A O'Banion, J Lilienstein, R Dirks, H Marwan, M Almasri, G Kulkarni, M Mehdi, A Abouassi, M Abdallah, M San Andrés, J Eid, E Aigbivbalu, J Sundaresan, B George, A Ssentongo, P Ssentongo, J S Oh, J Hazelton, J Maines, N Gusani, M Garner, S Horvath, F Zheng, M Ujiki, G Kinnaman, A Meagher, I Sharma, E Holler, K McKenzie, J Chan, K Fretwell, W Nugent 3rd, A Khalil, D Chen, N Post, T Rostkowski, D Brahmbhatt, K Huynh, M L Hibbard, M Schellenberg, R C G Martin, N Bhutiani, E Giorgakis, J Laryea, A Bhavaraju, K Sexton, M Roberts, M Kost, M Kimbrough, L Burdine, K Kalkwarf, R Robertson, A Gosain, L Camp, R Lewit, J P Kronenfeld, E Urrechaga, N Goel, R Rattan, V Hart, M Allen, G Gilna, A Cioci, G Ruiz, K Rakoczy, W Pavlis, R Saberi, R Morris, B S Karam, C E M Brathwaite, H Liu, P Petrone, H Hakmi, A H Sohail, G Baltazar, R Heckburn, R M Nygaard, E T Colonna, F W Endorf, M J Hill, A Maiga, B Dennis, J H Levin, M Lallemand, R Choron, G Peck, F Soliman, S Rehman, N Glass, B Juthani, D Deisher, N M Ruzgar, S J Ullrich, M Sion, C Paranjape, A R Kar, C Gillezeau, J Rapp, E Taioli, B A Miles, N Alpert, D Podolsky, N L Coleman, M P Callahan, I Ganly, L Brown, J R T Monson, A Dehal, A Abbas, A Soliman, B Kim, C Jones, M D Dauer, E Renza-Stingone, E Hernandez, E Gokcen, E Kropf, H Sufrin, H Hirsch, H Ross, J Engel, J Sewards, J Poggio, K Sanserino, L Rae, M Philp, M Metro, P McNelis, R Petrov, T Pazionis, B Till, R Lamm, A J Rios-Diaz, F Palazzo, M Rosengart, K Nicholson, M M Carrick, K Rodkey, A Suri, R Callcut, S Nicholson, N Talathoti, D Klaristenfeld, W Biffl, C Marsh, K Schaffer, A E Berndtson, S Averbach, T Curry, R Kwan-Feinberg, E Consorti, R Gonzalez, R Grolman, T Liu, O Merzlikin, M K Abel, D Ozgediz, M Boeck, L Z Kornblith, B Nunez-Garcia, B Robinson, P Park, A F Utria, S E Rice-Townsend, P Javid, J Hauptman, K Kieran, D Nehra, A Walters, J Cuschieri, G H Davidson, J Nunez, R Cosker, S Eckhouse, A Choudhry, W Marx, T Jamil, S Seegert, S Al-Embideen, M Quintana, H Jackson, S D Wexner, I Kent, P N Martins, Xiao Liu, Alistair Denniston

المساهمون: Osaid, Alser, Ander Dorken Gallastegi, Anthony, Gebran, Kerry, Breen, Mohamad El Moheb, Apostolos, Gaitanidi, Leon, Naar, Brittany, Bankhead-Kendall, Hassan, Mashbari, Robert, D Sinyard, Lydia, R Maurer, Charu, Paranjape, George, C Velmaho, Dmitri, Nepogodiev, Aneel, Bhangu, Haytham M, A Kaafarani, Kwabena, Siaw-Acheampong, Leah, Argu, Daoud, Chaudhry, Brett, E Dawson, James, C Glasbey, Rohan, R Gujjuri, Conor, S Jone, Sivesh, K Kamarajah, Chetan, Khatri, James, M Keatley, Samuel, Lawday, Elizabeth, Li, Harvinder, Mann, Ella, J Marson, Kenneth, A Mclean, Maria, Picciochi, Elliott, H Taylor, Abhinav, Tiwari, Joana F, F Simoe, Isobel, M Trout, Mary, L Venn, Richard J, W Wilkin, Irida, Dajti, Arben, Gjata, Oussama, Kacimi, Luis, Boccalatte, Maria Marta Modolo, Daniel, Cox, Peter, Pockney, Philip, Townend, Felix, Aigner, Irmgard, Kronberger, Ahmed, Elgun, Amer, Alderazi, Kamral, Hossain, Greg, Padmore, Gabrielle, Vanramshorst, Ismail, Lawani, Duane, Wedderburn, Sonam, Dargay, Israël, Feraudy, Cerovac, Ani, Samir, Delibegovic, Alemayehu Ginbo Bedada, Gustavo, Ataide, Glauco, Baiocchi, Igor, Buarque, Muhammad, Gohar, Mihail, Slavchev, Jean Marie Vianney Butoyi, Chukwuemeka, Nwegbu, Arnav, Agarwal, Amanpreet, Brar, Janet, Martin, Maricarmen, Olivo, Dong-Lin, Ren, Wenhui, Lou, Jose, Calvache, Carlos Jose Perez Rivera, Ana Danic Hadzibegovic, Tomislav, Kopjar, Jakov, Mihanovic, Pablo, Avilé, Nikolaos, Gouva, Jaroslav, Klat, René, Novysedlak, Nicolas, Amisi, Peter, Christensen, Alaa, El-Hussuna, Sylvia, Batista, Eddy, Lincango, Sameh, H Emile, Danilo Alfonso Arévalo Sandoval, Mengistu Gebreyohanes Mengesha, Samuel, Hailu, Hailu, Tamiru, Joonas, Kauppila, Johanna, Laukkarinen, Alexis, Arnaud, Roumanatou Bankole Sapin, Kebba, Marenah

مصطلحات موضوعية: COVID-19, COVIDSurg, elective surgery, emergency surgery, mortality, pulmonary complications

الوصف: 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.

العلاقة: info:eu-repo/semantics/altIdentifier/pmid/34793350; info:eu-repo/semantics/altIdentifier/wos/WOS:000740824400011; volume:275; issue:2; firstpage:247; lastpage:251; numberofpages:5; journal:ANNALS OF SURGERY; https://hdl.handle.net/11573/1661768Test; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85123224105

الإتاحة: https://doi.org/10.1097/SLA.0000000000005310Test
https://hdl.handle.net/11573/1661768Test