![]() ![]() Jonker PKC, van der Plas WY, Steinkamp PJ, et al. Journal of Clinical Oncology 2021 39: 66–78. Elective cancer surgery in COVID‐19‐free surgical pathways during the SARS‐CoV‐2 pandemic: an international, multicenter, comparative cohort study. Glasbey JC, Nepogodiev D, Simoes JFF, et al. Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS‐CoV‐2 infection: an international cohort study. Anaesthesia published by John Wiley & Sons Ltd on behalf of Association of Anaesthetists.ĬOVIDSurg Collaborative. Patients with ongoing symptoms ≥ 7 weeks from diagnosis may benefit from further delay.ĬOVID-19 SARS-CoV-2 delay surgery timing. Where possible, surgery should be delayed for at least 7 weeks following SARS-CoV-2 infection. After a ≥ 7 week delay in undertaking surgery following SARS-CoV-2 infection, patients with ongoing symptoms had a higher mortality than patients whose symptoms had resolved or who had been asymptomatic (6.0% (95%CI 3.2-8.7) vs. Surgery performed ≥ 7 weeks after SARS-CoV-2 diagnosis was associated with a similar mortality risk to baseline (odds ratio (95%CI) 1.5 (0.9-2.1)). In patients with a pre-operative SARS-CoV-2 diagnosis, mortality was increased in patients having surgery within 0-2 weeks, 3-4 weeks and 5-6 weeks of the diagnosis (odds ratio (95%CI) 4.1 (3.3-4.8), 3.9 (2.6-5.1) and 3.6 (2.0-5.2), respectively). Adjusted 30-day mortality in patients without SARS-CoV-2 infection was 1.5% (95%CI 1.4-1.5). Among 140,231 patients (116 countries), 3127 patients (2.2%) had a pre-operative SARS-CoV-2 diagnosis. Logistic regression models were used to calculate adjusted 30-day mortality rates stratified by time from diagnosis of SARS-CoV-2 infection to surgery. The primary outcome measure was 30-day postoperative mortality. Surgical patients with pre-operative SARS-CoV-2 infection were compared with those without previous SARS-CoV-2 infection. This international, multicentre, prospective cohort study included patients undergoing elective or emergency surgery during October 2020. ![]() The aim of this study was to determine the optimal duration of planned delay before surgery in patients who have had SARS-CoV-2 infection. Peri-operative SARS-CoV-2 infection increases postoperative mortality. ![]()
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