ABSTRACT

Background: The impact of COVID-19 on postoperative recovery needs to be comprehended to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day death risks in patients with perioperative COVID-19 infection Methods: This observational cohort study in Krishna hospital Karad, India included all patients undergoing surgery who had COVID-19 infection confirmed 7 days before or 30 days after surgery. The result measure was 30-day postoperative deaths and was evaluated in all enrolled patients. Findings: This analysis included 110 patients who had surgery between July 1 and September 31, 2020. 30-day mortality was 23.63% (26 of 110). Men had higher 30 day mortality than women 28.33% (17 of 60) vs 18% (9 of 50). Patients aged 70 years or older had higher mortality than patients younger than 70 years 33.33% (18 of 54) vs 14.28% (8 of 56). Mortality was higher after emergency surgery 25.6% (21 of 82) than elective surgery 20% (5 of 25). Interpretation: Threshold level necessary for surgery during the COVID-19 pandemic should be greater than during normal practice, particularly in men aged 70 years and older. Thought should be given for postponing routine procedures and encouraging non-operative treatment to postpone or avoid the need for surgery.
Publication date: 15/02/2022

https://ijbpas.com/pdf/2022/February/MS_IJBPAS_2022_FEB_SPCL_1026.pdf

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https://doi.org/10.31032/IJBPAS/2022/11.2.1026