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The delaying of elective surgeries after COVID-19 infection decreases postoperative complications.
Qudaisat, Ibraheem Y; Toubasi, Ahmad A; Obaid, Yazan Y; Albustanji, Farah H; Al-Harasis, Sarah M; AlOweidi, Abdelkarim S.
Afiliación
  • Qudaisat IY; Department of Anesthesia and Intensive Care, School of Medicine, The University of Jordan, Amman, Jordan.
  • Toubasi AA; Faculty of Medicine, The University of Jordan, Amman, Jordan. Electronic address: tubasi_ahmad@yahoo.com.
  • Obaid YY; Faculty of Medicine, The University of Jordan, Amman, Jordan.
  • Albustanji FH; Faculty of Medicine, The University of Jordan, Amman, Jordan.
  • Al-Harasis SM; Faculty of Medicine, The University of Jordan, Amman, Jordan.
  • AlOweidi AS; Department of Anesthesia and Intensive Care, School of Medicine, The University of Jordan, Amman, Jordan.
Asian J Surg ; 46(10): 4308-4316, 2023 Oct.
Article en En | MEDLINE | ID: mdl-37225569
BACKGROUND: Huge controversy surrounds delaying elective surgeries after COVID-19 infection. Although two studies evaluated the issue, several gaps still exist. METHODS: A propensity score matched retrospective single center cohort design was used to evaluate the optimum time of delaying elective surgeries after COVID-19 infection and the validity of the current ASA guidelines in this regard. The exposure of interest was a previous COVID-19 infection. The primary composite included the incidence of death, unplanned Intensive Care Unit admission or postoperative mechanical ventilation. The secondary composite included the occurrence of pneumonia, acute respiratory distress, or venous thromboembolic. RESULTS: The total number of patients was 774, half of them had a history of COVID-19 infection. The analysis revealed that delaying surgeries for 4 weeks was associated with significant reduction in primary composite (AOR = 0.02; 95%CI: 0.00-0.33) and the length of hospital stay (B = 3.05; 95%CI: 0.41-5.70). Furthermore, before implementing the ASA guidelines in our hospital, a significant higher risk for the primary composite (AOR = 15.15; 95%CI: 1.84-124.44; P-value = 0.011) was observed compared to after applying it. CONCLUSION: Our study showed that the optimum period of delaying elective surgery after COVID-19 infection is four weeks, with no further benefits from waiting for longer times. This finding provide further support to the current ASA guidelines about delaying elective surgeries. Further large-scale prospective studies are needed to give more evidence-based support to the appropriateness of the 4-week waiting time for elective surgeries after COVID-19 infection and to investigate the effect of type of surgery on the required delay.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: COVID-19 Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Asian J Surg Año: 2023 Tipo del documento: Article País de afiliación: Jordania Pais de publicación: Países Bajos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: COVID-19 Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Asian J Surg Año: 2023 Tipo del documento: Article País de afiliación: Jordania Pais de publicación: Países Bajos