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Complications and mortality in a cohort of patients undergoing emergency and elective surgery with perioperative SARS-CoV-2 infection: an Italian multicenter study. Teachings of Phase 1 to be brought in Phase 2 pandemic
Since the beginning of the pandemic due to the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and its related disease, coronavirus disease 2019 (COVID-19), several articles reported negative outcomes in surgery of infected patients. Aim of this study is to report results of patie...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7778576/ https://www.ncbi.nlm.nih.gov/pubmed/33389672 http://dx.doi.org/10.1007/s13304-020-00909-0 |
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author | De Luca, Maurizio Sartori, Alberto Vitiello, Antonio Piatto, Giacomo Noaro, Giulia Olmi, Stefano Foschi, Diego De Re, Luca Zappa, Marco Sarro, Giuliano Rivolta, Umberto Giraudo, Giorgio Borghi, Felice Pozzo, Gabriele Sorisio, Vincenzo Pignata, Giusto Greco, Paola Antonella Sisti, Valerio Campagnaro, Tommaso Guglielmi, Alfredo Andreuccetti, Jacopo Di Leo, Alberto Lauro, Enrico Ricci, Francesco Musella, Mario Zizzo, Maurizio Bonacini, Stefano Podda, Mauro Pisanu, Adolfo Coletta, Pietro Guerrieri, Mario Caracino, Valerio Basti, Massimo Pilone, Vincenzo Raffaelli, Marco Oragano, Luigi |
author_facet | De Luca, Maurizio Sartori, Alberto Vitiello, Antonio Piatto, Giacomo Noaro, Giulia Olmi, Stefano Foschi, Diego De Re, Luca Zappa, Marco Sarro, Giuliano Rivolta, Umberto Giraudo, Giorgio Borghi, Felice Pozzo, Gabriele Sorisio, Vincenzo Pignata, Giusto Greco, Paola Antonella Sisti, Valerio Campagnaro, Tommaso Guglielmi, Alfredo Andreuccetti, Jacopo Di Leo, Alberto Lauro, Enrico Ricci, Francesco Musella, Mario Zizzo, Maurizio Bonacini, Stefano Podda, Mauro Pisanu, Adolfo Coletta, Pietro Guerrieri, Mario Caracino, Valerio Basti, Massimo Pilone, Vincenzo Raffaelli, Marco Oragano, Luigi |
author_sort | De Luca, Maurizio |
collection | PubMed |
description | Since the beginning of the pandemic due to the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and its related disease, coronavirus disease 2019 (COVID-19), several articles reported negative outcomes in surgery of infected patients. Aim of this study is to report results of patients with COVID-19-positive swab, in the perioperative period after surgery. Data of COVID-19-positive patients undergoing emergent or oncological surgery, were collected in a retrospective, multicenter study, which involved 20 Italian institutions. Collected parameters were age, sex, body mass index, COVID-19-related symptoms, patients’ comorbidities, surgical procedure, personal protection equipment (PPE) used in operating rooms, rate of postoperative infection among healthcare staff and complications, within 30-postoperative days. 68 patients, who underwent surgery, resulted COVID-19-positive in the perioperative period. Symptomatic patients were 63 (92.5%). Fever was the main symptom in 36 (52.9%) patients, followed by dyspnoea (26.5%) and cough (13.2%). We recorded 22 (32%) intensive care unit admissions, 23 (33.8%) postoperative pulmonary complications and 15 (22%) acute respiratory distress syndromes. As regards the ten postoperative deaths (14.7%), 6 cases were related to surgical complications. One surgeon, one scrub nurse and two circulating nurses were infected after surgery due to the lack of specific PPE. We reported less surgery-related pulmonary complications and mortality in Sars-CoV-2-infected patients, than in literature. Emergent and oncological surgery should not be postponed, but it is mandatory to use full PPE, and to adopt preoperative screenings and strategies that mitigate the detrimental effect of pulmonary complications, mostly responsible for mortality. |
format | Online Article Text |
id | pubmed-7778576 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-77785762021-01-04 Complications and mortality in a cohort of patients undergoing emergency and elective surgery with perioperative SARS-CoV-2 infection: an Italian multicenter study. Teachings of Phase 1 to be brought in Phase 2 pandemic De Luca, Maurizio Sartori, Alberto Vitiello, Antonio Piatto, Giacomo Noaro, Giulia Olmi, Stefano Foschi, Diego De Re, Luca Zappa, Marco Sarro, Giuliano Rivolta, Umberto Giraudo, Giorgio Borghi, Felice Pozzo, Gabriele Sorisio, Vincenzo Pignata, Giusto Greco, Paola Antonella Sisti, Valerio Campagnaro, Tommaso Guglielmi, Alfredo Andreuccetti, Jacopo Di Leo, Alberto Lauro, Enrico Ricci, Francesco Musella, Mario Zizzo, Maurizio Bonacini, Stefano Podda, Mauro Pisanu, Adolfo Coletta, Pietro Guerrieri, Mario Caracino, Valerio Basti, Massimo Pilone, Vincenzo Raffaelli, Marco Oragano, Luigi Updates Surg Original Article Since the beginning of the pandemic due to the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and its related disease, coronavirus disease 2019 (COVID-19), several articles reported negative outcomes in surgery of infected patients. Aim of this study is to report results of patients with COVID-19-positive swab, in the perioperative period after surgery. Data of COVID-19-positive patients undergoing emergent or oncological surgery, were collected in a retrospective, multicenter study, which involved 20 Italian institutions. Collected parameters were age, sex, body mass index, COVID-19-related symptoms, patients’ comorbidities, surgical procedure, personal protection equipment (PPE) used in operating rooms, rate of postoperative infection among healthcare staff and complications, within 30-postoperative days. 68 patients, who underwent surgery, resulted COVID-19-positive in the perioperative period. Symptomatic patients were 63 (92.5%). Fever was the main symptom in 36 (52.9%) patients, followed by dyspnoea (26.5%) and cough (13.2%). We recorded 22 (32%) intensive care unit admissions, 23 (33.8%) postoperative pulmonary complications and 15 (22%) acute respiratory distress syndromes. As regards the ten postoperative deaths (14.7%), 6 cases were related to surgical complications. One surgeon, one scrub nurse and two circulating nurses were infected after surgery due to the lack of specific PPE. We reported less surgery-related pulmonary complications and mortality in Sars-CoV-2-infected patients, than in literature. Emergent and oncological surgery should not be postponed, but it is mandatory to use full PPE, and to adopt preoperative screenings and strategies that mitigate the detrimental effect of pulmonary complications, mostly responsible for mortality. Springer International Publishing 2021-01-03 2021 /pmc/articles/PMC7778576/ /pubmed/33389672 http://dx.doi.org/10.1007/s13304-020-00909-0 Text en © Italian Society of Surgery (SIC) 2021 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic. |
spellingShingle | Original Article De Luca, Maurizio Sartori, Alberto Vitiello, Antonio Piatto, Giacomo Noaro, Giulia Olmi, Stefano Foschi, Diego De Re, Luca Zappa, Marco Sarro, Giuliano Rivolta, Umberto Giraudo, Giorgio Borghi, Felice Pozzo, Gabriele Sorisio, Vincenzo Pignata, Giusto Greco, Paola Antonella Sisti, Valerio Campagnaro, Tommaso Guglielmi, Alfredo Andreuccetti, Jacopo Di Leo, Alberto Lauro, Enrico Ricci, Francesco Musella, Mario Zizzo, Maurizio Bonacini, Stefano Podda, Mauro Pisanu, Adolfo Coletta, Pietro Guerrieri, Mario Caracino, Valerio Basti, Massimo Pilone, Vincenzo Raffaelli, Marco Oragano, Luigi Complications and mortality in a cohort of patients undergoing emergency and elective surgery with perioperative SARS-CoV-2 infection: an Italian multicenter study. Teachings of Phase 1 to be brought in Phase 2 pandemic |
title | Complications and mortality in a cohort of patients undergoing emergency and elective surgery with perioperative SARS-CoV-2 infection: an Italian multicenter study. Teachings of Phase 1 to be brought in Phase 2 pandemic |
title_full | Complications and mortality in a cohort of patients undergoing emergency and elective surgery with perioperative SARS-CoV-2 infection: an Italian multicenter study. Teachings of Phase 1 to be brought in Phase 2 pandemic |
title_fullStr | Complications and mortality in a cohort of patients undergoing emergency and elective surgery with perioperative SARS-CoV-2 infection: an Italian multicenter study. Teachings of Phase 1 to be brought in Phase 2 pandemic |
title_full_unstemmed | Complications and mortality in a cohort of patients undergoing emergency and elective surgery with perioperative SARS-CoV-2 infection: an Italian multicenter study. Teachings of Phase 1 to be brought in Phase 2 pandemic |
title_short | Complications and mortality in a cohort of patients undergoing emergency and elective surgery with perioperative SARS-CoV-2 infection: an Italian multicenter study. Teachings of Phase 1 to be brought in Phase 2 pandemic |
title_sort | complications and mortality in a cohort of patients undergoing emergency and elective surgery with perioperative sars-cov-2 infection: an italian multicenter study. teachings of phase 1 to be brought in phase 2 pandemic |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7778576/ https://www.ncbi.nlm.nih.gov/pubmed/33389672 http://dx.doi.org/10.1007/s13304-020-00909-0 |
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