Morbidity and Mortality in Patients with Perioperative COVID-19 Infection: Prospective Cohort in General, Gastroesophagic, Hepatobiliary, and Colorectal Surgery

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dc.contributor.authorInzunza, Martin
dc.contributor.authorRomero, Cecilia
dc.contributor.authorJesus Irarrazaval, Maria
dc.contributor.authorRuiz-Esquide, Magdalena
dc.contributor.authorAchurra, Pablo
dc.contributor.authorQuezada, Nicolas
dc.contributor.authorCrovari, Fernando
dc.contributor.authorMunoz, Rodrigo
dc.date.accessioned2025-01-20T23:52:45Z
dc.date.available2025-01-20T23:52:45Z
dc.date.issued2021
dc.description.abstractBackground Severe acute respiratory syndrome due to coronavirus 2 has rapidly spread worldwide in an unprecedented pandemic. Patients with an ongoing COVID-19 infection requiring surgery have higher risk of mortality and complications. This study describes the mortality and morbidity in patients with perioperative COVID-19 infection undergoing elective and emergency surgeries. Methods Prospective cohort of consecutive patients who required a general, gastroesophageal, hepatobiliary, colorectal, or emergency surgery during COVID-19 pandemic at an academic teaching hospital. The primary outcome was 30-day mortality and major complications. Secondary outcomes were specific respiratory mortality and complications. Results A total of 701 patients underwent surgery, 39 (5.6%) with a perioperative COVID-19 infection. 30-day mortality was 12.8% and 1.4% in patients with and without COVID-19 infection, respectively (p < 0.001). Major surgical complications occurred in 25.6% and 6.8% in patients with and without COVID-19 infection, respectively (p < 0.001). Respiratory complications occurred in 30.8% and 1.4% in patients with and without COVID-19 infection, respectively (p < 0.001). Mortality due to a respiratory complication was 100% and 11.1% in patients with and without COVID-19 infection, respectively (p < 0.006). Conclusions 30-day mortality and surgical complications are higher in patients with perioperative COVID-19 infection. Indications for elective surgery need to be reserved for non-deferrable procedures in order to avoid unnecessary risks of non-urgent procedures.
dc.fuente.origenWOS
dc.identifier.doi10.1007/s00268-021-06068-6
dc.identifier.eissn1432-2323
dc.identifier.issn0364-2313
dc.identifier.urihttps://doi.org/10.1007/s00268-021-06068-6
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/94918
dc.identifier.wosidWOS:000630980800001
dc.issue.numero6
dc.language.isoen
dc.pagina.final1662
dc.pagina.inicio1652
dc.revistaWorld journal of surgery
dc.rightsacceso restringido
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleMorbidity and Mortality in Patients with Perioperative COVID-19 Infection: Prospective Cohort in General, Gastroesophagic, Hepatobiliary, and Colorectal Surgery
dc.typeartículo
dc.volumen45
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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