Safe resumption of elective surgery: a Latin American proposal

Ibarra, Pedro; Duarte, Juan C.

doi:10.1016/j.bjane.2021.03.028

Cited by 2 publications

(2 citation statements)

References 2 publications

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“…11 In Latin America, COVID-19 infection raises the morbidity and mortality rate to 20% in surgical patients. 12 In planning a good clinical management program in this population, the anesthesiology staff needs to know the clinical characteristics and prognosis of geriatric patients who receive anesthesia services. Unfortunately, in Indonesia, there is still a lack of su cient studies that determine the prevalence and survivability in geriatric patients receiving anesthesia services.…”

Section: Introductionmentioning

confidence: 99%

Impact of Comorbidities and COVID-19 on the Survival Rate of Geriatric Patients Receiving Anesthesia Services: A Prospective Cohort Study in Indonesia

Rehatta

Chandra

Sari

et al. 2021

Preprint

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Background As life expectancy increases, the worldwide population aged 60 years and older increases year by year. Consequently, more older people receive medical attention, especially those who undergo surgery. In addition, the COVID-19 pandemic has had a global impact on elderly patients, especially those undergoing surgery. This study aims to describe the characteristics and analyze the survival rate of elderly patients who receive anesthesia services, especially those with comorbidities and COVID-19. Methods A prospective cohort study at 14 central hospitals in Indonesia analyzed 1621 elderly patients (67.1 ± 6.2 years old). The variables that were recorded included patient characteristics, comorbidities, the COVID-19 status, and the survival rate, including 30-day mortality. Results The 30-day mortality was 4.4%. The most comorbidity was hypertension (30.0). Patients with a Charlson's Comorbidity Index Score of 3-4 had a higher death rate (15.3%). The highest mortality rates were in the patients who had dementia, rheumatologic disease, liver disease, previous myocardial infarction, and diabetes with chronic complications as comorbidities. The percent of patients with COVID-19 who died was 26.6%. Patients with several comorbidities and COVID-19 had a lower survival rate than those without (log-rank p<0.05) Conclusion Approximately four in ten elderly patients receiving anesthesia died, and the percent increased when the patients had comorbidities and COVID-19.

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Section: Introductionmentioning

confidence: 99%

Impact of Comorbidities and COVID-19 on the Survival Rate of Geriatric Patients Receiving Anesthesia Services: A Prospective Cohort Study in Indonesia

Rehatta

Chandra

Sari

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…A notice for not letting our guard down anytime soon. In this way, Ibarra & Duarte have proposed multiple evidence strategies to resume these services in Latin America and reverse the backlog, restraining the risks of contamination both from and to the patient [ 10 ] .…”

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confidence: 99%