Clinical course of coronavirus disease 2019 in 11 patients after thoracic surgery and challenges in diagnosis

Peng, Shu; Huang, Liu; Zhao, Bo; Zhou, Shuai; Braithwaite, Irene; Ni, Zhaohui; Fu, Xiangning

doi:10.1016/j.jtcvs.2020.04.005

Cited by 70 publications

(79 citation statements)

References 13 publications

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“…Most concerning to practicing nurses is the evidence that there is considerable nosocomial spread of SARS‐CoV‐2 (Mi et al., 2020; Peng et al., 2020). Many COVID‐19 patients are presumed to have been infected in healthcare settings (Chan et al., 2020; McMichael et al., 2020; Mi et al., 2020; Peng et al., 2020; Wang, Liu, et al, 2020; Wei, Wang, Zhang, et al, 2020). Moreover, epidemiological trends indicated that 2.4%–8.2% of all COVID‐19 cases in China were also healthcare workers (Chen, Wu, et al, 2020; Li, Xu, et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

Clinical presentation and outcomes of hospitalized adults with COVID‐19: A systematic review

Keller

Reangsing

Schneider

2020

Journal of Advanced Nursing

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Aims The aims of this review were to: (a) determine the clinical presentation; and (b) outcomes of adult hospitalized patients with COVID‐19 to provide practicing nurses with a cogent and concise clinical impression of COVID‐19 patients. Design We conducted a systematic review of early published, peer‐reviewed, original research where researchers presented data from adult hospitalized COVID‐19 patients regarding their presenting signs, symptoms, and definitive survival outcomes. Data Sources We searched the databases PubMed, CINAHL, and Scopus for relevant articles published between 1 January 2020 ‐18 May 2020. Review Methods We extracted data from each study and synthesized them across primary sources using a literature matrix table to provide a global impression of this rapidly growing body of literature. Results We retrieved 97 mainly descriptive observational studies. SARS‐CoV‐2 is efficiently transmitted between humans, particularly those in close contact. Symptomatic COVID‐19 patients can present with a broad array of nonspecific symptoms. Fever and cough are the most commonly reported symptoms; some patients have atypical presentations. In patients with respiratory decompensation, disease progression can be rapid. Some patients experience mild symptoms that are self‐limited; others experience organ failure and death. Risk factors for poor outcomes include older age, chronic medical conditions, male gender, obesity, and presenting with signs of declining respiratory status. Conclusion Nurses can mitigate the spread of SARS‐CoV‐2 and sequelae of COVID‐19 with prompt and capable responses. Impact This study addresses the problem of the continued spread of SARS‐CoV‐2 while little is known about this virus. This review provides nurses with a summary of the most current evidence regarding the signs, symptoms, and outcomes of adult hospitalized COVID‐19 patients that they might identify COVID‐19 patients rapidly on presentation to medical care and be attuned to indicators of patient decompensation.

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Section: Discussionmentioning

confidence: 99%

Clinical presentation and outcomes of hospitalized adults with COVID‐19: A systematic review

Keller

Reangsing

Schneider

2020

Journal of Advanced Nursing

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“…Some studies showed that perioperative mortality of patients with COVID-19 was very high [30,32,46,[55][56][57] while some studies failed to identify signi cant mortality among patients with COVID-19 undergoing surgical procedures [28,54,58,59].…”

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confidence: 99%

Postoperative mortality among surgical patients with COVID-19: A systematic review and meta-analysis

Abate

Mantefardo

Basu

2020

Preprint

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Background: The coronavirus disease 2019 (COVID-19) pandemic puts perioperative providers and staff at risk of viral exposure to severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) during aerosol-generating procedures, particularly in asymptomatic carriers. However, the perioperative risk for adverse outcomes in SARS-CoV-2 infected patients remain uncertain and the topic of debate. The current study was designed to determine the postoperative mortality in COVID-19 patients based on a systematic review and meta-analysis of the global published peer-reviewed literature.Methods: A comprehensive search was conducted in PubMed/Medline; Science direct and LILACS from December 29, 2019, to August15, 2020, without language restriction. All observational studies reporting the prevalence of mortality were included while case reports and reviews were excluded. The data from each study were extracted with two independent authors with a customized format excel sheet and the disagreements were resolved by the third author. The methodological quality of included studies was evaluated using a standardized critical appraisal Tool adapted from the Joanna Briggs Institute.Results: A total of 715 articles were identified from different databases and 45 articles were selected for evaluation after the successive screening. Twenty-three articles with 2947 participants were included. The meta-analysis revealed a very high global rate of postoperative mortality among COVID-19 patients of 20% (95% CI: 15 to 26) and a postoperative ICU admission rate of 15% (95% confidence interval (CI):10 to 21). Conclusion: The unexpected high postoperative mortality rate in SARS-CoV-2 infected patients of 20% in the global literature mandates further scrutiny in assuring appropriate surgical indications and perioperative surgical safety measures in this vulnerable cohort of patientsRegistration: This systematic review and meta-analysis was registered in Prospero's international prospective register of systematic reviews (CRD42020203362) on August 10, 2020.

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“…Some studies showed that perioperative mortality of patients with COVID-19 was very high (23,25,39,(48)(49)(50) while some studies failed to identify signi cant mortality among patients with COVID-19 undergoing surgical procedures (21,47,51,52).…”

Section: Introductionmentioning

confidence: 99%

Global Prevalence of Perioperative Outcomes of Surgical Patients with COVID-19: A Systematic Review and Meta-Analysis

Abate¹,

Mantefardo²,

Basu³

2020

Preprint

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Background: Surgery during the COVID-19 pandemic is too challenging globally especially for low and middle-income countries in which the limping health care system is broken with low testing capacity, sub-optimal postoperative care, lack of anesthesia machine filters, and limited personal protective equipment. Body of evidence is lacking on the prevalence of perioperative outcomes of patients with COVID-19. Therefore, this study is aimed to provide the global prevalence of perioperative outcomes of patients with COVID-19.Methods: A comprehensive search was conducted in PubMed/Medline; Science direct and LILACS from December 2019 to August 2020 without language restriction. The Heterogeneity among the included studies was checked with forest plot, χ2 test, I2 test, and the p-values. All observational studies reporting the prevalence of mortality were included.Results: A total of 515 articles were identified from different databases and 50 articles were selected for evaluation after the successive screening. Twenty-three articles with 2947 participants were included. The Meta-Analysis revealed that the global prevalence of perioperative mortality among COVID-19 patients was 20% (95% CI: 15 to 26). The Meta-Analysis also revealed that the rate of postoperative ICU admission was 15% (95% confidence interval (CI):10 to 21).Conclusion: There is one death for every five COVID-19 patients undergoing surgical procedures which entails mitigating strategies to decrease perioperative mortality, provide less risky anesthetic techniques, and alternative management other than surgical procedures.Registration: This systematic review and meta-analysis was registered in Prospero's international prospective register of systematic reviews (CRD42020203362) on August 10, 2020.

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Clinical course of coronavirus disease 2019 in 11 patients after thoracic surgery and challenges in diagnosis

Cited by 70 publications

References 13 publications

Clinical presentation and outcomes of hospitalized adults with COVID‐19: A systematic review

Clinical presentation and outcomes of hospitalized adults with COVID‐19: A systematic review

Postoperative mortality among surgical patients with COVID-19: A systematic review and meta-analysis

Global Prevalence of Perioperative Outcomes of Surgical Patients with COVID-19: A Systematic Review and Meta-Analysis

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