Joint Recommendations From The Latin American Association of Cardiac and Endovascular Surgery (LACES) and The Cardiovascular Anesthesia Committee of The Latin American Confederation of Anesthesia Societies (CLASA) on the Timing for Cardiac Surgery After COVID-19 Infection
Rev. bras. cir. cardiovasc
;
37(5): 754-764, Sept.-Oct. 2022. tab, graf
Article
in English
|
LILACS-Express
| LILACS
| ID: biblio-1407292
ABSTRACT
ABSTRACT Introduction:
Since the coronavirus disease 2019 (COVID-19) pandemic, cardiac surgeries in patients with previous infection by COVID-19 were suspended or postponed, which led to surgeries performed in patients with an advanced stage of their disease and an increase in the waiting list. There is a heterogeneous attitude in Latin America on the optimal timing to cardiac surgery in patients with previous COVID-19 infection due to scarce data on its outcome. Two Latin American associations joined to establish common suggestions on the optimal timing of surgery in patients with previous COVID-19 infection.Methods:
Data collection was performed using a pre-established form, which included year of publication, objective, type of study (prospective/retrospective, descriptive/analytical), number of patients, year of study, waiting time between infection and surgery, type of surgery, morbidity, mortality, and conclusions regarding the association between mortality and morbidity. Final recommendations were approved by the board of directors of Latin American Association of Cardiac and Endovascular Surgery (LACES) and Latin American Confederation of Anesthesia Societies (CLASA).Results:
Of the initial 1,016 articles, 11 comprised the final selection. Only six of them included patients who underwent cardiac surgery. According to the analyzed literature, optimal timing for cardiac surgery needs to consider the following aspects deferable surgery, symptomatic COVID-19 infection, completeness of COVID-19 vaccination.Conclusion:
These recommendations derive from the analysis of the scarce literature published at present on outcomes after cardiac surgery in patients with previous COVID-19 infection. These are to be taken as a dynamic recommendation in which Latin American reality was taken into consideration.
Full text:
Available
Index:
LILACS (Americas)
Type of study:
Risk factors
Language:
English
Journal:
Rev. bras. cir. cardiovasc
Journal subject:
Cardiology
/
General Surgery
Year:
2022
Type:
Article
Affiliation country:
Argentina
/
Brazil
/
Chile
/
Colombia
/
Costa Rica
/
Ecuador
/
Germany
/
Mexico
/
Peru
/
Uruguay
Institution/Affiliation country:
Clinica Imbanaco Quirónsalud/CO
/
Clinica PortoAzul/CO
/
Clínica San Felipe/PE
/
Hospital Calderón Guardia/CR
/
Hospital Vozandes/EC
/
Hospital de Cardiología/MX
/
Instituto Cardiológico Infantil/UY
/
Instituto Cardiovascular de Buenos Aires/AR
/
Instituto Mexicano del Seguro Social/MX
/
Instituto Nacional Cardiovascular (INCOR-EsSalud)/PE
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