Health
Surgical risks for COVID-infected patients last longer than previously known
If a patient undergoes any surgery after contracting COVID, the likelihood of significant postoperative complications decreases with time elapsed from COVID diagnosis.
Researchers at Vanderbilt University Medical Center report that the trend of decreasing risk lasts longer 13 months after surgery than previously known.Their report was published on December 14th. JAMA network open.
Researchers used electronic health record data from 3,997 adult surgical patients with a history of SARS-CoV-2 infection who underwent surgery at VUMC between March 2020 and December 2021. The median time from COVID diagnosis to surgery was 98 days for him.
The team analyzed the combined odds of various cardiovascular problems within 30 days after surgery: deep vein thrombosis, pulmonary embolism, cerebrovascular accident, myocardial injury, acute kidney injury, and death.
The incidence of this 30-day composite outcome declined initially sharply, from approximately 18% to 10% in the first 100 days after COVID diagnosis. It then declined steadily over his next 10 months, reaching about 8% 400 days after his COVID diagnosis. The rate of risk reduction was not affected by the patient’s COVID-19 vaccination status.
“Compared to previous population studies on this issue, our study stands out by following surgical outcomes more extensively and using a longer time period from COVID diagnosis,” said Anesthesia, who led the study. said Robert Freundlich, MD, MSCI, associate professor of science and biomedical informatics. With Critical Care Fellow John Bryant, MD.
Because we were in the middle of a study, one medical society recommended delaying surgery for up to 12 weeks in severe cases of COVID-19, based on postoperative pulmonary outcomes. On the other hand, when it comes to this range of cardiovascular problems, we were surprised to find that our data showed a trend towards a lower risk for him more than a year after his COVID diagnosis.
Many considerations can influence the optimal time to perform surgery in a given patient case, and our results suggest that physicians and patients should consider their proximity to COVID. It just shows that it works.”
Robert Freundlich, MD, MSCI, Associate Professor of Anesthesiology and Biomedical Informatics
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