Health
COVID-19 Patients Undergoing Surgery at High Risk of Death: Lancet
London: According to a new global study published in The Lancet Journal, researchers including one from India found that patients undergoing surgery after developing COVID-19 had a very high risk of postoperative death. I have found
Among the SARS-CoV-2 infected patients who underwent surgery, the mortality rate of the most ill patients who received intensive care after being infected with the virus, according to a global study published in The Lancet magazine Approaching In this study, a research team headed by the University of Birmingham, UK, surveyed data on 1,128 patients in 235 hospitals and a total of 24 countries. Although he mainly participated in Europe, he also contributed to hospitals in Africa, Asia and North America.
The researchers noted that SARS-CoV-2 infected patients who underwent surgery experience significantly worse post-surgical outcomes than would be expected of similar, uninfected patients. “Typically, patients with minor or elective surgery are expected to have less than 1% mortality, but in patients with SARS-CoV-2, these mortality rates are minor (16.3%) and elective surgery (18.9%).” I said. Aneel Bhangu of the University of Birmingham, co-author of the study, said.
According to the study, the 30-day mortality rate for these patients was 23.8%. Mortality includes elective surgery (18.9%), emergency surgery (25.6%), minor surgeries such as appendectomy or hernia repair (16.3%), and major surgeries such as hip surgery and colon cancer surgery. It was disproportionately high in all subgroups (26.9%).
The study confirmed that mortality rates were higher in men (28.4%) vs. women (18.2%), patients over 70 years of age (33.7%), and patients under 70 years of age (13.9%). In addition to age and sex, risk factors for post-operative mortality include severe existing medical problems, undergoing cancer surgery, undergoing major procedures, and undergoing emergency surgery. I will.
According to the researchers, patients undergoing surgery are a vulnerable group at risk of SARS-CoV-2 exposure in hospitals. They may be particularly susceptible to subsequent pulmonary complications due to inflammatory and immunosuppressive responses to surgery and mechanical ventilation. Overall, the study found that 51% of patients developed pneumonia, acute respiratory distress syndrome, or required unexpected ventilation 30 days after surgery.
This may explain the high mortality rate, since most patients who died (81.7%) were experiencing pulmonary complications. “Our data suggests that deferring surgery when patients were at risk of getting SARS-CoV-2 in the hospital was the right decision,” co-author Dmitri of the study said. Nepogodiev said.
(IANS)
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