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10.1007/s00268-021-06068-6

http://scihub22266oqcxt.onion/10.1007/s00268-021-06068-6
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33748925!7982273!33748925
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suck abstract from ncbi


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pmid33748925      World+J+Surg 2021 ; 45 (6): 1652-1662
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  • Morbidity and Mortality in Patients with Perioperative COVID-19 Infection: Prospective Cohort in General, Gastroesophagic, Hepatobiliary, and Colorectal Surgery #MMPMID33748925
  • Inzunza M; Romero C; Irarrazaval MJ; Ruiz-Esquide M; Achurra P; Quezada N; Crovari F; Munoz R
  • World J Surg 2021[Jun]; 45 (6): 1652-1662 PMID33748925show ga
  • BACKGROUND: Severe acute respiratory syndrome due to coronavirus 2 has rapidly spread worldwide in an unprecedented pandemic. Patients with an ongoing COVID-19 infection requiring surgery have higher risk of mortality and complications. This study describes the mortality and morbidity in patients with perioperative COVID-19 infection undergoing elective and emergency surgeries. METHODS: Prospective cohort of consecutive patients who required a general, gastroesophageal, hepatobiliary, colorectal, or emergency surgery during COVID-19 pandemic at an academic teaching hospital. The primary outcome was 30-day mortality and major complications. Secondary outcomes were specific respiratory mortality and complications. RESULTS: A total of 701 patients underwent surgery, 39 (5.6%) with a perioperative COVID-19 infection. 30-day mortality was 12.8% and 1.4% in patients with and without COVID-19 infection, respectively (p < 0.001). Major surgical complications occurred in 25.6% and 6.8% in patients with and without COVID-19 infection, respectively (p < 0.001). Respiratory complications occurred in 30.8% and 1.4% in patients with and without COVID-19 infection, respectively (p < 0.001). Mortality due to a respiratory complication was 100% and 11.1% in patients with and without COVID-19 infection, respectively (p < 0.006). CONCLUSIONS: 30-day mortality and surgical complications are higher in patients with perioperative COVID-19 infection. Indications for elective surgery need to be reserved for non-deferrable procedures in order to avoid unnecessary risks of non-urgent procedures.
  • |Biliary Tract Surgical Procedures/adverse effects/*mortality[MESH]
  • |COVID-19/*complications[MESH]
  • |Colorectal Surgery/adverse effects/*mortality[MESH]
  • |Female[MESH]
  • |Hospital Mortality[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Morbidity[MESH]
  • |Pandemics[MESH]
  • |Preoperative Period[MESH]
  • |Prospective Studies[MESH]
  • |SARS-CoV-2[MESH]


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