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Covid-19 positivity affects outcome of cardiac surgical patients.
Katsiampoura, Anastasia; Perozo, Cesar; Varkaris, Andreas; Vellayappan, Sandhya; Tam, Ming Zhen; Vellayappan, Usha; Agnihotri, Arvind; Tam, Stanley.
  • Katsiampoura A; Department of Anesthesiology, St Elizabeth's Medical Center, Tufts Medical School, Boston, Massachusetts.
  • Perozo C; Department of Anesthesiology, St Elizabeth's Medical Center, Tufts Medical School, Boston, Massachusetts.
  • Varkaris A; Department of Hematology Oncology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.
  • Vellayappan S; Department of Anesthesiology, St Elizabeth's Medical Center, Tufts Medical School, Boston, Massachusetts.
  • Tam MZ; Department of Anesthesiology, St Elizabeth's Medical Center, Tufts Medical School, Boston, Massachusetts.
  • Vellayappan U; Department of Anesthesiology, St Elizabeth's Medical Center, Tufts Medical School, Boston, Massachusetts.
  • Agnihotri A; Department of Cardiothoracic Surgery, St Elizabeth's Medical Center, Tufts Medical School, Boston, Massachusetts.
  • Tam S; Department of Cardiothoracic Surgery, St Elizabeth's Medical Center, Tufts Medical School, Boston, Massachusetts.
J Card Surg ; 35(12): 3650-3652, 2020 Dec.
Article in English | MEDLINE | ID: covidwho-901097
ABSTRACT

INTRODUCTION:

In this report we describe the clinical presentation, laboratory findings and outcomes of four patients that were referred for urgent cardiothoracic intervention and tested positive for COVID-19.

METHODS:

The St. Elizabeth's Medical Center Institutional Review Board exempted the study from review (waived review). In each case, verbal informed consent was obtained by the study participant or health care proxy.

RESULTS:

The majority of the patients undergoing surgery had low Society of Thoracic Surgeons score and uneventful operating time. The mortality was very high and driven primarily by the viral syndrome. Laboratory markers that have been associated with disease severity in the general population were also prognostic in our population.

CONCLUSION:

Our study shows that these patients have very high mortality, whereas prevention and preoperative screening is required in preventing nosocomial spreading of the disease.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pandemics / COVID-19 / Heart Diseases / Cardiac Surgical Procedures Type of study: Case report / Observational study / Prognostic study Limits: Aged / Female / Humans / Male / Middle aged Language: English Journal: J Card Surg Journal subject: Cardiology Year: 2020 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pandemics / COVID-19 / Heart Diseases / Cardiac Surgical Procedures Type of study: Case report / Observational study / Prognostic study Limits: Aged / Female / Humans / Male / Middle aged Language: English Journal: J Card Surg Journal subject: Cardiology Year: 2020 Document Type: Article