Lancet: Patients with new coronary pneumonia infection during perioperative surgery have a higher risk of adverse prognosis
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Last Update: 2020-06-22
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Source: Internet
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Author: User
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Recently, researchers examined the 30-day mortality rate and lung complications in patients with SARS-CoV-2 infection during peroperative procedurestudy was conducted in 235 hospitals in 24 countries, including all patients who underwent surgery, and patients were confirmed to have SARS-CoV-2 infection 7 days before or 30 days after surgeryThe primary endpoint is 30 days after surgery, and the secondary endpoint is lung complications, defined as pneumonia, acute respiratory distress syndrome, or postoperative accidental ventilation1,128 patients participated in the study, of which 835 (74.0%) underwent emergency surgery and 280 (24.8%) underwent elective surgery294 cases (26o1%) were diagnosed with SARS-CoV-2 infection before surgeryThe 30-day mortality rate was 23.8 per cent (268 out of 1128)Of the 1,128 patients, 577 (51.2%) had lung complications, and the 30-day mortality rate was 38.0% (219/577), representing 82.6% (219/265) of all deathsIn the adjusted analysis, the 30-day mortality rate was related to male (1.75 vs1.75), seniority 70 years of age (2.30), American College of Anesthesiologists assessment of levels 3-5 (2.35), malignant diseases (1.55), emergency surgery (1.67) and major surgery (1.52)study found that half of patients with SARS-CoV-2 infection during peroperative surgery had postoperative lung complications and had a higher mortality rate
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