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Covid‐19 positivity affects outcome of cardiac surgical patients
Author(s) -
Katsiampoura Anastasia,
Perozo Cesar,
Varkaris Andreas,
Vellayappan Sandhya,
Tam Ming Zhen,
Vellayappan Usha,
Agnihotri Arvind,
Tam Stanley
Publication year - 2020
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.14982
Subject(s) - medicine , covid-19 , outcome (game theory) , intensive care medicine , virology , cardiology , disease , outbreak , infectious disease (medical specialty) , mathematics , mathematical economics
In this report we describe the clinical presentation, laboratory findings and outcomes of four patients that were referred for urgent cardiothoracic intervention and tested positive for COVID‐19. Methods The St. Elizabeth's Medical Center Institutional Review Board exempted the study from review (waived review). In each case, verbal informed consent was obtained by the study participant or health care proxy. Results The majority of the patients undergoing surgery had low Society of Thoracic Surgeons score and uneventful operating time. The mortality was very high and driven primarily by the viral syndrome. Laboratory markers that have been associated with disease severity in the general population were also prognostic in our population. Conclusion Our study shows that these patients have very high mortality, whereas prevention and preoperative screening is required in preventing nosocomial spreading of the disease.