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Surgical Outcomes During COVID-19 Pandemic.
Nachon-Acosta, Andrea; Martinez-Mier, Gustavo; Flores-Gamboa, Victor; Avila-Mercado, Octavio; Garcia, Indira Morales; Yoldi-Aguirre, Carlos; Olivares-Garcia, Irais; la Paz-Roman, Maritza De.
  • Nachon-Acosta A; Departamento de Cirugía General, Unidad Médica de Alta Especialidad, Hospital Especialidades 14, Adolfo Ruiz Cortines, Instituto Mexicano del Seguro Social, Veracruz, México.
  • Martinez-Mier G; Departamento de Cirugía General, Unidad Médica de Alta Especialidad, Hospital Especialidades 14, Adolfo Ruiz Cortines, Instituto Mexicano del Seguro Social, Veracruz, México; Departamento de Investigaciones, Unidad Médica de Alta Especialidad, Hospital Especialidades 14 Adolfo Ruiz Cortines, Institu
  • Flores-Gamboa V; Departamento de Trasplante de Órganos, Unidad Médica de Alta Especialidad, Hospital Especialidades 14, Adolfo Ruiz Cortines, Instituto Mexicano del Seguro Social, Veracruz, México.
  • Avila-Mercado O; Departamento de Trasplante de Órganos, Unidad Médica de Alta Especialidad, Hospital Especialidades 14, Adolfo Ruiz Cortines, Instituto Mexicano del Seguro Social, Veracruz, México.
  • Garcia IM; Departamento de Oncología Quirúrgica, Unidad Médica de Alta Especialidad, Hospital Especialidades 14, Adolfo Ruiz Cortines, Instituto Mexicano del Seguro Social, Veracruz, México.
  • Yoldi-Aguirre C; Departamento de Oncología Quirúrgica, Unidad Médica de Alta Especialidad, Hospital Especialidades 14, Adolfo Ruiz Cortines, Instituto Mexicano del Seguro Social, Veracruz, México.
  • Olivares-Garcia I; Departamento de Epidemiología, Unidad Médica de Alta Especialidad, Hospital Especialidades 14, Adolfo Ruiz Cortines, Instituto Mexicano del Seguro Social, Veracruz, México.
  • la Paz-Roman M; Unidad Médica de Alta Especialidad, Hospital Especialidades 14, Adolfo Ruiz Cortines Veracruz, México.
Arch Med Res ; 52(4): 434-442, 2021 05.
Article in English | MEDLINE | ID: covidwho-1258316
ABSTRACT

BACKGROUND:

In December 2019, an outbreak of a novel coronavirus (COVID-19) occurred in China and became pandemic in March 2020. Patients undergoing surgery are a vulnerable risk of COVID-19 exposure/infection. The aim of the study was to determine the characteristics and outcomes of patients undergoing surgery during the COVID-19 pandemic in a third level reference hospital in Mexico.

METHOD:

IRB approved observational study (prospectively collected database) of general and surgical oncology procedures from 04/20-08/20. Patients preoperative data and surgical cases registered. COVID-19 detection was a combination of polymerase chain reaction swab and chest computed tomography. Primary endpoints were 30 d surgical mortality and complications, including COVID-19 infection during hospitalization.

RESULTS:

193 patients were included (mean age 53.9 years, 63.7% female). 52.8% procedures were performed by surgical oncology. 42.4% developed a complication with 8.3% mortality. COVID-19 infection was 11.3% (n = 22). Postoperative morbidity (81.3 vs. 37.4%, p = 0.0001) and mortality (27.3 vs. 5.8%, p = 0.0001) was higher in COVID-19 (+) patients. Factors associated with COVID-19 infections were sex, functional status, preoperative sepsis and ventilation, renal failure and dialysis (univariate analysis) and sepsis and renal failure (multivariate analysis). COVID-19 infection was associated with respiratory complications (54.5 vs. 2.9%), surgical site infection (27.3 vs. 10.5%), postoperative transfusions (59.1 vs. 31.6%), renal failure (54.5 vs. 8.2%), sepsis (68.2 vs. 22.2%), reintervention (22.7 vs. 7.6%), readmission (18.2 vs. 4.1%), and death (27.3 vs. 5.8%) (p <0.05).

CONCLUSION:

Postoperative morbidity and mortality in COVID-19 patients is high. Surgical procedures should be thoughtfully reviewed with a plan to minimize scheduled operations.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Postoperative Complications / Surgical Procedures, Operative / COVID-19 Type of study: Observational study / Prognostic study / Randomized controlled trials Limits: Female / Humans / Male / Middle aged Country/Region as subject: Mexico Language: English Journal: Arch Med Res Journal subject: Medicine Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Postoperative Complications / Surgical Procedures, Operative / COVID-19 Type of study: Observational study / Prognostic study / Randomized controlled trials Limits: Female / Humans / Male / Middle aged Country/Region as subject: Mexico Language: English Journal: Arch Med Res Journal subject: Medicine Year: 2021 Document Type: Article