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Thoracic surgery outcomes for patients with Coronavirus Disease 2019.
Chang, Stephanie H; Chen, David; Paone, Darien; Geraci, Travis C; Scheinerman, Joshua; Bizekis, Costas; Zervos, Michael; Cerfolio, Robert J.
  • Chang SH; Division of Thoracic Surgery, Department of Cardiothoracic Surgery, New York University Langone Health, New York, NY. Electronic address: stephanie.chang@nyulangone.org.
  • Chen D; Division of Thoracic Surgery, Department of Cardiothoracic Surgery, New York University Langone Health, New York, NY.
  • Paone D; Department of General Surgery, New York University Langone Health, New York, NY.
  • Geraci TC; Division of Thoracic Surgery, Department of Cardiothoracic Surgery, New York University Langone Health, New York, NY.
  • Scheinerman J; Division of Thoracic Surgery, Department of Cardiothoracic Surgery, New York University Langone Health, New York, NY.
  • Bizekis C; Division of Thoracic Surgery, Department of Cardiothoracic Surgery, New York University Langone Health, New York, NY.
  • Zervos M; Division of Thoracic Surgery, Department of Cardiothoracic Surgery, New York University Langone Health, New York, NY.
  • Cerfolio RJ; Division of Thoracic Surgery, Department of Cardiothoracic Surgery, New York University Langone Health, New York, NY.
J Thorac Cardiovasc Surg ; 162(6): 1654-1664, 2021 12.
Article in English | MEDLINE | ID: covidwho-1108501
Semantic information from SemMedBD (by NLM)
1. COVID-19 PROCESS_OF Patients
Subject
COVID-19
Predicate
PROCESS_OF
Object
Patients
2. Complication OCCURS_IN Patients
Subject
Complication
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OCCURS_IN
Object
Patients
3. Hemothorax PROCESS_OF Patients
Subject
Hemothorax
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PROCESS_OF
Object
Patients
4. removal technique TREATS Patients
Subject
removal technique
Predicate
TREATS
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Patients
5. Interventional procedure TREATS Health Personnel
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Interventional procedure
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Health Personnel
6. COVID-19 PROCESS_OF Patients
Subject
COVID-19
Predicate
PROCESS_OF
Object
Patients
7. Complication OCCURS_IN Patients
Subject
Complication
Predicate
OCCURS_IN
Object
Patients
8. Hemothorax PROCESS_OF Patients
Subject
Hemothorax
Predicate
PROCESS_OF
Object
Patients
9. removal technique TREATS Patients
Subject
removal technique
Predicate
TREATS
Object
Patients
10. Interventional procedure TREATS Health Personnel
Subject
Interventional procedure
Predicate
TREATS
Object
Health Personnel
ABSTRACT

OBJECTIVE:

As the Coronavirus Disease 2019 pandemic continues, appropriate management of thoracic complications from Coronavirus Disease 2019 needs to be determined. Our objective is to evaluate which complications occurring in patients with Coronavirus Disease 2019 require thoracic surgery and to report the early outcomes.

METHODS:

This study is a single-institution retrospective case series at New York University Langone Health Manhattan campus evaluating patients with confirmed Coronavirus Disease 2019 infection who were hospitalized and required thoracic surgery from March 13 to July 18, 2020.

RESULTS:

From March 13 to August 8, 2020, 1954 patients were admitted to New York University Langone Health for Coronavirus Disease 2019. Of these patients, 13 (0.7%) required thoracic surgery. Two patients (15%) required surgery for complicated pneumothoraces, 5 patients (38%) underwent pneumatocele resection, 1 patient (8%) had an empyema requiring decortication, and 5 patients (38%) developed a hemothorax that required surgery. Three patients (23%) died after surgery, 9 patients (69%) were discharged, and 1 patient (8%) remains in the hospital. No healthcare providers were positive for Coronavirus Disease 2019 after the surgeries.

CONCLUSIONS:

Given the 77% survival, with a majority of patients already discharged from the hospital, thoracic surgery is feasible for the small percent of patients hospitalized with Coronavirus Disease 2019 who underwent surgery for complex pneumothorax, pneumatocele, empyema, or hemothorax. Our experience also supports the safety of surgical intervention for healthcare providers who operate on patients with Coronavirus Disease 2019.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumothorax / Empyema, Pleural / Thoracic Surgical Procedures / Pandemics / COVID-19 / Hemothorax Type of study: Diagnostic study / Etiology study / Observational study / Prognostic study / Risk factors Topics: Long Covid Limits: Adult / Aged / Female / Humans / Male / Middle aged Country/Region as subject: North America Language: English Journal: J Thorac Cardiovasc Surg Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumothorax / Empyema, Pleural / Thoracic Surgical Procedures / Pandemics / COVID-19 / Hemothorax Type of study: Diagnostic study / Etiology study / Observational study / Prognostic study / Risk factors Topics: Long Covid Limits: Adult / Aged / Female / Humans / Male / Middle aged Country/Region as subject: North America Language: English Journal: J Thorac Cardiovasc Surg Year: 2021 Document Type: Article