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Early postoperative outcomes among patients with delayed surgeries after preoperative positive test for SARS‐CoV‐2: A case‐control study from a single institution
Author(s) -
Baiocchi Glauco,
Aguiar Samuel,
Duprat Joao P.,
Coimbra Felipe J. F.,
Makdissi Fabiana B.,
Vartanian José G.,
Zequi Stenio de C.,
Gross Jefferson L.,
Nakagawa Suely A.,
Yazbek Guilherme,
Diniz Thiago P.,
Gonçalves Bruna T.,
Zurstrassen Charles E.,
Campos Heloisa G. do A.,
Joaquim Eduardo H. G.,
França e Silva Ivan A.,
Kowalski Luiz P.
Publication year - 2021
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.26377
Subject(s) - medicine , asymptomatic , odds ratio , confidence interval , surgery , covid-19 , complication , severity of illness , disease , infectious disease (medical specialty)
Background There are limited data on surgical complications for patients that have delayed surgery after severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) infection. We aimed to analyze the surgical outcomes of patients submitted to surgery after recovery from SARS‐CoV‐2 infection. Methods Asymptomatic patients that had surgery delayed after preoperative reverse‐transcription polymerase chain reaction (RT‐PCR) for SARS‐CoV‐2 were matched in a 1:2 ratio for age, type of surgery and American Society of Anesthesiologists to patients with negative RT‐PCR for SARS‐CoV‐2. Results About 1253 patients underwent surgical procedures and were subjected to screening for SARS‐CoV‐2. Forty‐nine cases with a delayed surgery were included in the coronavirus disease (COVID) recovery (COVID‐rec) group and were matched to 98 patients included in the COVID negative (COVID‐neg) group. Overall, 22 (15%) patients had 30‐days postoperative complications, but there was no statistically difference between groups –16.3% for COVID‐rec and 14.3% for COVID‐neg, respectively (odds ratio [OR] 1.17:95% confidence interval [CI] 0.45–3.0; p = .74). Moreover, we did not find difference regarding grades more than or equal to 3 complication rates – 8.2% for COVID‐rec and 6.1% for COVID‐neg (OR 1.36:95%CI 0.36‐5.0; p = .64). There were no pulmonary complications or SARS‐CoV‐2 related infection and no deaths within the 30‐days after surgery. Conclusions Our 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.