Health
Wait at least this long after COVID for surgery
According to a large international study, withholding surgery for at least 7 weeks after a positive coronavirus test has a lower risk of death than without delay.
Of the 3,127 patients diagnosed with preoperative SARS-CoV-2, mortality was highest among patients who underwent surgery shortly after being positive, Dmitri Nepogodiev, MBChB, and colleagues at the University of Birmingham, UK. It was. Reported in anesthesia..
The 30-day postoperative mortality rate is as follows:
- 9.1% (104 out of 1,138) after surgery within 2 weeks of diagnosis
- 6.9% (32 out of 461) after surgery 3-4 weeks after positive test
- 5.5% (18 out of 326) after surgery 5-6 weeks after diagnosis
- 2.0% (24 out of 1,202 cases) after surgery for 7 weeks or more after diagnosis
Compared to the adjusted 30-day mortality rate of 1.5% for surgery without SARS-CoV-2 infection, only the group with a diagnosis-to-surgery interval of 7 weeks or more had a significantly increased risk of death at 30 days. I didn’t.
“Cutoffs greater than 7 weeks have not been formally tested, but adjusted mortality rates with delay intervals of 7 weeks or more were generally stable and are unlikely to offer significant benefits,” the researchers said. Are writing.
However, patients with advanced COVID-19 symptoms were at increased risk of surgery even after waiting at least 7 weeks (6.0% vs. 2.4, respectively) compared to those who had resolved or asymptomatic. % And 1.3%).
“Our results suggest that surgery should be delayed for at least 7 weeks after SARS-CoV-2 infection, if possible,” the group concluded. “Patients with advanced symptoms more than 7 weeks after diagnosis may benefit from further delays.”
The findings are important for patients and caregivers in determining the appropriate time for surgery around COVID-19 infection, said Mike Nathanson, president of the British Anesthesiology Society, in a press release from the journal. I commented on.
However, co-authors of the study, Aneel Bhangu, MBChB, and PhD, also from the University of Birmingham, emphasized the importance of individualization in the press release. “The possible benefits of delaying surgery for at least 7 weeks after SARS-CoV-2 diagnosis must be balanced with the potential risk of delay, so decisions regarding delaying surgery should be tailored on a patient-by-patient basis. “He said. “For some emergency surgery, such as advanced tumors, surgeons and patients may decide that the risk of delay is not justified.”
“Of the millions of patients currently awaiting surgery, many are infected with COVID-19 and will want to be informed about the risks,” he said. “COVID-19 has been with us for many years and the number of previously infected patients will continue to grow.”
The study included 140,231 consecutive patients who underwent elective or emergency surgery at COVIDSurg Collaborative’s 116 participating hospitals in October 2020. Among them, 3,127 (2.2%) were diagnosed with preoperative SARS-CoV-2.
Sensitivity analysis showed that results were consistent across patients undergoing elective surgery, PCR-proven infections, and age, physical condition score, and surgical grade.
Disclosure
This study was funded by the Global Health Research Unit of the National Institutes of Health (NIHR), the British and Irish Society of Colon and Rectal Sciences, the Intestinal and Cancer Research, the Enteropathy Research Foundation, the Upper Gastrointestinal Surgeons Association, and the British Surgical Oncology Association. it was done. British Gynecologic Cancer Society, European Colorectal Society, Medtronic, NIHR Academy, Sarcoma UK, Urology Foundation, British and Irish Vascular Society, Yorkshire Cancer Research.
Researchers did not reveal a relevant relationship with the industry.
What Are The Main Benefits Of Comparing Car Insurance Quotes Online
LOS ANGELES, CA / ACCESSWIRE / June 24, 2020, / Compare-autoinsurance.Org has launched a new blog post that presents the main benefits of comparing multiple car insurance quotes. For more info and free online quotes, please visit https://compare-autoinsurance.Org/the-advantages-of-comparing-prices-with-car-insurance-quotes-online/ The modern society has numerous technological advantages. One important advantage is the speed at which information is sent and received. With the help of the internet, the shopping habits of many persons have drastically changed. The car insurance industry hasn't remained untouched by these changes. On the internet, drivers can compare insurance prices and find out which sellers have the best offers. View photos The advantages of comparing online car insurance quotes are the following: Online quotes can be obtained from anywhere and at any time. Unlike physical insurance agencies, websites don't have a specific schedule and they are available at any time. Drivers that have busy working schedules, can compare quotes from anywhere and at any time, even at midnight. Multiple choices. Almost all insurance providers, no matter if they are well-known brands or just local insurers, have an online presence. Online quotes will allow policyholders the chance to discover multiple insurance companies and check their prices. Drivers are no longer required to get quotes from just a few known insurance companies. Also, local and regional insurers can provide lower insurance rates for the same services. Accurate insurance estimates. Online quotes can only be accurate if the customers provide accurate and real info about their car models and driving history. Lying about past driving incidents can make the price estimates to be lower, but when dealing with an insurance company lying to them is useless. Usually, insurance companies will do research about a potential customer before granting him coverage. Online quotes can be sorted easily. Although drivers are recommended to not choose a policy just based on its price, drivers can easily sort quotes by insurance price. Using brokerage websites will allow drivers to get quotes from multiple insurers, thus making the comparison faster and easier. For additional info, money-saving tips, and free car insurance quotes, visit https://compare-autoinsurance.Org/ Compare-autoinsurance.Org is an online provider of life, home, health, and auto insurance quotes. This website is unique because it does not simply stick to one kind of insurance provider, but brings the clients the best deals from many different online insurance carriers. In this way, clients have access to offers from multiple carriers all in one place: this website. On this site, customers have access to quotes for insurance plans from various agencies, such as local or nationwide agencies, brand names insurance companies, etc. "Online quotes can easily help drivers obtain better car insurance deals. All they have to do is to complete an online form with accurate and real info, then compare prices", said Russell Rabichev, Marketing Director of Internet Marketing Company. CONTACT: Company Name: Internet Marketing CompanyPerson for contact Name: Gurgu CPhone Number: (818) 359-3898Email: [email protected]: https://compare-autoinsurance.Org/ SOURCE: Compare-autoinsurance.Org View source version on accesswire.Com:https://www.Accesswire.Com/595055/What-Are-The-Main-Benefits-Of-Comparing-Car-Insurance-Quotes-Online View photos
Pictures Credit
to request, modification Contact us at Here or [email protected]
 |
 |
 |
