The Risk of Postoperative Complications After Major Elective Surgery in Active or Resolved COVID-19 in the United States

Article Surgery

Perioperative Morbidity and Mortality of Patients With COVID-19 Who Undergo Urgent and Emergent Surgical Procedures

Anne Knisely et al.

Summary: COVID-19 infection is associated with increased risk of serious perioperative morbidity and mortality, with a significant number of patients not being identified until after surgery.

ANNALS OF SURGERY (2021)

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Article Cardiac & Cardiovascular Systems

DVT incidence and risk factors in critically ill patients with COVID-19

Shujing Chen et al.

Summary: This study found a high incidence of DVT in critically ill COVID-19 patients despite all patients receiving guideline-recommended pharmacologic thromboprophylaxis. Hypoalbuminemia, higher SOFA score, and elevated D-dimer were significantly independent risk factors of DVT. More effective VTE prevention and management strategies may need to be addressed.

JOURNAL OF THROMBOSIS AND THROMBOLYSIS (2021)

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Article Infectious Diseases

Clinical sequelae of COVID-19 survivors in Wuhan, China: a single-centre longitudinal study

Qiutang Xiong et al.

Summary: The study described the common clinical sequelae in COVID-19 survivors discharged from the hospital for more than 3 months, including general symptoms, respiratory symptoms, cardiovascular-related symptoms, psychosocial symptoms, and alopecia. Female patients were more likely to experience physical decline/fatigue, postactivity polypnoea, and alopecia.

CLINICAL MICROBIOLOGY AND INFECTION (2021)

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Article Surgery

Perioperative SARS-CoV-2 infections increase mortality, pulmonary complications, and thromboembolic events: A Dutch, multicenter, matched-cohort clinical study

Pascal K. C. Jonker et al.

Summary: Patients diagnosed with perioperative severe acute respiratory syndrome coronavirus 2 have an increased risk of 30-day mortality, pulmonary complications, and thromboembolic events. These findings serve as an evidence-based argument to postpone elective surgery and selected emergency cases.

SURGERY (2021)

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Article Surgery

Incidence of venous thromboembolism in coronavirus disease 2019: An experience from a single large academic center

Parth Rali et al.

Summary: This study investigated the incidence rate of VTE in COVID-19 patients and identified risk factors such as the need for invasive mechanical ventilation and admission D-dimer level >= 1500 ng/mL. The all-cause mortality was higher in the VTE group compared to the non-VTE group. Future prospective studies are needed to confirm these findings.

JOURNAL OF VASCULAR SURGERY-VENOUS AND LYMPHATIC DISORDERS (2021)

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Article Oncology

Early postoperative outcomes among patients with delayed surgeries after preoperative positive test for SARS-CoV-2: A case-control study from a single institution

Glauco Baiocchi et al.

Summary: The study suggests that patients with delayed elective surgeries due to asymptomatic preoperative positive SARS-CoV-2 test are not at higher risk of postoperative complications.

JOURNAL OF SURGICAL ONCOLOGY (2021)

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Editorial Material Anesthesiology

Preparing previously COVID-19-positive patients for elective surgery: a framework for preoperative evaluation

Naomi Bui et al.

Summary: Preoperative evaluation and risk assessment are critical during the SARS-CoV-2 pandemic, especially for patients who have recovered from COVID-19. Determining the safety of proceeding with surgery in these patients presents an additional challenge.

PERIOPERATIVE MEDICINE (2021)

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Article Anesthesiology

Timing of surgery following SARS-CoV-2 infection: an international prospective cohort study

D. Nepogodiev et al.

Summary: The study suggests that surgery should be delayed for at least 7 weeks following SARS-CoV-2 infection, with patients experiencing ongoing symptoms >= 7 weeks from diagnosis potentially benefitting from further delay.

ANAESTHESIA (2021)

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Article Surgery

Estimating the Impact of Extended Delay to Surgery for Stage I Non-small-cell Lung Cancer on Survival

Nicholas R. Mayne et al.

Summary: This study found that during the COVID-19 pandemic, delaying surgery for stage I NSCLC may increase mortality risk, and delayed surgery was associated with worse survival in certain patient subgroups.

ANNALS OF SURGERY (2021)

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Article Cardiac & Cardiovascular Systems

Thoracic surgery outcomes for patients with Coronavirus Disease 2019

Stephanie H. Chang et al.

Summary: This study evaluated 1954 patients with Coronavirus Disease 2019 at New York University Langone Health, finding that 13 patients required thoracic surgery for complications such as pneumothorax, pneumatocele, empyema, and hemothorax. With a 77% survival rate post-surgery and no healthcare providers getting infected with Coronavirus Disease 2019, the study supports the feasibility and safety of thoracic surgery for a small percentage of hospitalized patients with Coronavirus Disease 2019.

JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY (2021)

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Article Medicine, General & Internal

Association of Social and Demographic Factors With COVID-19 Incidence and Death Rates in the US

Monita Karmakar et al.

Summary: This study found an association between county-level sociodemographic risk factors and COVID-19 incidence and mortality in the US. The Social Vulnerability Index was significantly correlated with both COVID-19 outcomes, suggesting that addressing social vulnerabilities and their root causes is essential to combat the disparities in the burden of the pandemic.

JAMA NETWORK OPEN (2021)

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Article Medicine, General & Internal