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10.1186/s12871-021-01233-9

http://scihub22266oqcxt.onion/10.1186/s12871-021-01233-9
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33435887!7801565!33435887
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suck abstract from ncbi


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pmid33435887      BMC+Anesthesiol 2021 ; 21 (1): 15
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  • Postoperative outcomes in surgical COVID-19 patients: a multicenter cohort study #MMPMID33435887
  • Carrier FM; Amzallag E; Lecluyse V; Cote G; Couture EJ; D'Aragon F; Kandelman S; Turgeon AF; Deschamps A; Nitulescu R; Djade CD; Girard M; Beaulieu P; Richebe P
  • BMC Anesthesiol 2021[Jan]; 21 (1): 15 PMID33435887show ga
  • BACKGROUND: Data on postoperative outcomes of the COVID-19 patient population is limited. We described COVID-19 patients who underwent a surgery and the pandemic impact on surgical activities. METHODS: We conducted a multicenter cohort study between March 13 and June 192,020. We included all COVID-19 patients who underwent surgery in nine centres of the Province of Quebec, the Canadian province most afflicted by the pandemic. We also included concomitant suspected COVID-19 (subsequently confirmed not to have COVID-19) patients and patients who had recovered from it. We collected data on baseline characteristics, postoperative complications and postoperative mortality. Our primary outcome was 30-day mortality. We also collected data on overall surgical activities during this first wave and during the same period in 2019. RESULTS: We included 44 COVID-19 patients, 18 suspected patients, and 18 patients who had recovered from COVID-19 at time of surgery. Among the 44 COVID-19 patients, 31 surgeries (71%) were urgent and 16 (36%) were major. In these patients, pulmonary complications were frequent (25%) and 30-day mortality was high (15.9%). This mortality was higher in patients with symptoms (23.1%) compared to those without symptoms (5.6%), although not statistically significant (p = 0.118). Of the total 22,616 cases performed among participating centres during the study period, only 0.19% had COVID-19 at the time of surgery. Fewer procedures were performed during the study period compared to the same period in 2019 (44,486 cases). CONCLUSION: In this Canadian cohort study, postoperative 30-day mortality in COVID-19 patients undergoing surgery was high (15.9%). Although few surgeries were performed on COVID-19 patients, the pandemic impact on surgical activity volume was important. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT04458337 .
  • |*Patient Outcome Assessment[MESH]
  • |COVID-19/*epidemiology/*surgery[MESH]
  • |Cohort Studies[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Postoperative Complications/*epidemiology[MESH]
  • |Quebec/epidemiology[MESH]


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