Elective Surgery after COVID disease: Wait 7 weeks!

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NF52
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Elective Surgery after COVID disease: Wait 7 weeks!

Post by NF52 »

Take-Away from Medpage Today: An international analysis of people with confirmed COVID-19 infections who had surgery (elective or emergency) showed that scheduling elective surgery at least 7 weeks (or longer if symptoms are still evident at 7 weeks) is associated with far less risk of 30-day post-operative mortality, regardless of age, physical status and "grade" of surgery.
The study included 140,231 consecutive patients undergoing elective or emergency surgery during October 2020 at participating hospitals in 116 countries in the COVIDSurg Collaborative. Among them, 3,127 (2.2%) had a pre-operative SARS-CoV-2 diagnosis.
The 30-day postoperative mortality rates were:

9.1% for surgery within 2 weeks of diagnosis (104 of 1,138)
6.9% for surgery 3–4 weeks after testing positive (32 of 461)
5.5% for surgery 5–6 weeks after diagnosis (18 of 326)
2.0% for surgery 7 or more weeks post-diagnosis (24 of 1,202)

When compared with the adjusted 30-day mortality of 1.5% for surgery without SARS-CoV-2 infection, only the group with at least a 7-week interval between diagnosis and surgery didn't have significantly elevated risk of death at 30 days....

The study included 140,231 consecutive patients undergoing elective or emergency surgery during October 2020 at participating hospitals in 116 countries in the COVIDSurg Collaborative. Among them, 3,127 (2.2%) had a pre-operative SARS-CoV-2 diagnosis.
In sensitivity analyses, results were consistent for patients having elective surgery, for those with PCR-proven infection, and across age, physical status score, and grade of surgery.
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RAJ64
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Re: Elective Surgery after COVID disease: Wait 7 weeks!

Post by RAJ64 »

NF52 wrote:Take-Away from Medpage Today: An international analysis of people with confirmed COVID-19 infections who had surgery (elective or emergency) showed that scheduling elective surgery at least 7 weeks (or longer if symptoms are still evident at 7 weeks) is associated with far less risk of 30-day post-operative mortality, regardless of age, physical status and "grade" of surgery.
Thank you for sharing, Nancy. Important information to know in general and especially if a caregiver to an aging parent with multiple comorbidities. :)

Warmly,
Rachel
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SusanJ
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Re: Elective Surgery after COVID disease: Wait 7 weeks!

Post by SusanJ »

Thanks for sharing!
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