Your browser doesn't support javascript.
Making a Joint Decision Regarding the Timing of Surgery for Elective Arthroplasty Surgery After Being Infected With COVID-19: A Systematic Review.
Khan, Irfan A; Zaid, Musa B; Gold, Peter A; Austin, Matthew S; Parvizi, Javad; Bedard, Nicholas A; Jevsevar, David S; Hannon, Charles P; Fillingham, Yale A.
  • Khan IA; Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, Pennsylvania.
  • Zaid MB; Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, Pennsylvania.
  • Gold PA; Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, Pennsylvania.
  • Austin MS; Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, Pennsylvania.
  • Parvizi J; Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, Pennsylvania.
  • Bedard NA; Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota.
  • Jevsevar DS; Department of Orthopaedics, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire.
  • Hannon CP; Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota.
  • Fillingham YA; Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, Pennsylvania.
J Arthroplasty ; 37(10): 2106-2113.e1, 2022 10.
Article in English | MEDLINE | ID: covidwho-1821138
ABSTRACT

BACKGROUND:

The Coronavirus Disease 2019 (COVID-19) pandemic has caused a substantial number of patients to have their elective arthroplasty surgeries rescheduled. While it is established that patients with COVID-19 who are undergoing surgery have a significantly higher risk of experiencing postoperative complications and mortality, it is not well-known at what time after testing positive the risk of postoperative complications or mortality returns to normal.

METHODS:

PubMed (MEDLINE), Excerpta Medica dataBASE, and professional society websites were systematically reviewed on March 7, 2022 to identify studies and guidelines on the optimal timeframe to reschedule patients for elective surgery after preoperatively testing positive for COVID-19. Outcomes included postoperative complications such as mortality, pneumonia, acute respiratory distress syndrome, septic shock, and pulmonary embolism.

RESULTS:

A total of 14 studies and professional society guidelines met the inclusion criteria for this systematic review. Patients with asymptomatic COVID-19 should be rescheduled 4-8 weeks after testing positive (as long as they do not develop symptoms in the interim), patients with mild/moderate COVID-19 should be rescheduled 6-8 weeks after testing positive (with complete resolution of symptoms), and patients with severe/critical COVID-19 should be rescheduled at a minimum of 12 weeks after hospital discharge (with complete resolution of symptoms).

CONCLUSIONS:

Given the negative association between preoperative COVID-19 and postoperative complications, patients should have elective arthroplasty surgery rescheduled at differing timeframes based on their symptoms. In addition, a multidisciplinary and patient-centered approach to rescheduling patients is recommended. Further study is needed to examine the impact of novel COVID-19 variants and vaccination on timeframes for rescheduling surgery.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Observational study / Prognostic study / Reviews / Systematic review/Meta Analysis Topics: Long Covid / Vaccines / Variants Limits: Humans Language: English Journal: J Arthroplasty Journal subject: Orthopedics Year: 2022 Document Type: Article

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Observational study / Prognostic study / Reviews / Systematic review/Meta Analysis Topics: Long Covid / Vaccines / Variants Limits: Humans Language: English Journal: J Arthroplasty Journal subject: Orthopedics Year: 2022 Document Type: Article