Outcomes and Their State-level Variation in Patients Undergoing Surgery With Perioperative SARS-CoV-2 Infection in the USA. A Prospective Multicenter Study
Articolo
Data di Pubblicazione:
2022
Citazione:
Outcomes and Their State-level Variation in Patients Undergoing Surgery With Perioperative SARS-CoV-2 Infection in the USA. A Prospective Multicenter Study / 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; Aneel, Bhangu; Dmitri, Nepogodiev; 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; Maria Marta, Modolo; 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, Je
Abstract:
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.
Tipologia CRIS:
1.1 Articolo in rivista
Keywords:
COVID-19; COVIDSurg; elective surgery; emergency surgery; mortality; pulmonary complications
Elenco autori:
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; Aneel, Bhangu; Dmitri, Nepogodiev; 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; Maria Marta, Modolo; 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, Lohsir
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