COVID-19 in Post-Operative Patients: Imaging Findings

Molière, Sébastien; Veillon, F.

doi:10.1089/sur.2020.169

Cited by 15 publications

(18 citation statements)

References 9 publications

(12 reference statements)

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“…Very few studies have linked history of surgery to severe hypoxemia. Molière et al reported a risk of severe COVID-19 in the early postoperative periods (Moliere and Veillon, 2020). Indeed, the risk of nosocomial contamination of COVID-19 is greater in the immediate postoperative periods.…”

Section: Discussionmentioning

confidence: 99%

Predictors of severe hypoxemia among COVID-19 patients in Burkina Faso (West Africa): Findings from hospital based cross-sectional study

Diendéré¹,

Sondo²,

Ouédraogo³

et al. 2021

International Journal of Infectious Diseases

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Introduction COVID-19 is one of the world's major health crises. The objective of this study was to determine the predictive factors of severe hypoxemia in patients hospitalized in COVID-19 health facilities in Burkina Faso. Patients and method This study was a hospital-based cross-sectional study. The data collected relate to the period of the first wave of the epidemic (March 9 to June 30, 2020). All patients hospitalized for COVID-19 in the requisitioned health facilities of Ouagadougou were included in this study. Predictors of severe hypoxemia were identified using multivariate logistic regression model. Results During the study period, 442 patients were included representing 45.7% of the total number of positive patients in the whole country. The most common co-morbidities were diabetes (55; 12.4%), arterial hypertension (97; 21.9%). Severe hypoxemia (SpO2 < 90%) was observed in 64 patients (14.5%). Age over 65 years (OR = 8.24; 95% CI: 2.83 - 24.01) and diabetes (OR = 2.43; 95% CI: 1.17 - 5.06) were the predictors with the occurrence of severe hypoxemia in multivariate analysis. Conclusion The predictive factors of COVID-19 are similar in African and Caucasian populations. The surveillance of COVID-19 in risk groups should be strengthened to reduce their morbidity and mortality.

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Section: Discussionmentioning

confidence: 99%

Predictors of severe hypoxemia among COVID-19 patients in Burkina Faso (West Africa): Findings from hospital based cross-sectional study

Diendéré¹,

Sondo²,

Ouédraogo³

et al. 2021

International Journal of Infectious Diseases

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“…This included peripheral ground glass changes or shadowing on chest radiograph or CT chest as has been reported in the literature. 9 , 10 …”

Section: Methodsmentioning

confidence: 99%

30-day mortality following trauma and orthopaedic surgery during the peak of the COVID-19 pandemic

et al. 2020

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Aims Now that we are in the deceleration phase of the COVID-19 pandemic, the focus has shifted to how to safely reinstate elective operating. Regional and speciality specific data is important to guide this decision-making process. This study aimed to review 30-day mortality for all patients undergoing orthopaedic surgery during the peak of the pandemic within our region. Methods This multicentre study reviewed data on all patients undergoing trauma and orthopaedic surgery in a region from 18 March 2020 to 27 April 2020. Information was collated from regional databases. Patients were COVID-19-positive if they had positive laboratory testing and/or imaging consistent with the infection. 30-day mortality was assessed for all patients. Secondly, 30-day mortality in fracture neck of femur patients was compared to the same time period in 2019. Results Overall, 496 operations were carried out in 484 patients. The overall 30-day mortality was 1.9%. Seven out of nine deceased patients underwent surgery for a fractured neck of femur. In all, 27 patients contracted COVID-19 in the peri-operative period; of these, four patients died within 30 days (14.8%). In addition, 21 of the 27 patients in this group had a fractured neck of femur, 22 were over the age of 70 years (81.5%). Patients with American Society of Anesthesiologists (ASA) grade > 3 and/or age > 75 years were at significantly higher risk of death if they contracted COVID-19 within the study period. Conclusion Overall 30-day postoperative mortality in trauma and orthopaedic surgery patients remains low at 1.9%. There was no 30-day mortality in patients ASA 1 or 2. Patients with significant comorbidities, increasing age, and ASA 3 or above remain at the highest risk. For patients with COVID-19 infection, postoperative 30-day mortality was 14.8%. The reintroduction of elective services should consider individual patient risk profile (including for ASA grade). Effective postoperative strategies should also be employed to try and reduce postoperative exposure to the virus. Cite this article: Bone Joint Open 2020;1-7:392–397.

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“…The oversight of not undertaking consent discussions on COVID-19 infection could have medicolegal implications, particularly in cases where non-operative management or postponement of surgery may be considered. In cases where operative management is pursued, the incidence of COVID-19 post-operatively is suggested to be as high as 17% when COVID-19 was more prevalent during the peak of the pandemic [ 9 ]. Therefore, it is a significant risk that all patients undergoing surgery should be consented for.…”

Section: Discussionmentioning

confidence: 99%

Surgical consent during the COVID-19 pandemic

Rotimi

Beatson

Aderombi

et al. 2020

Annals of Medicine and Surgery

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Background and aims During the COVID-19 pandemic, surgical practice may deviate with operative and non-operative management considered. Appropriate discussion of options with patients is paramount to quality surgical care. Intercollegiate and EAES guidelines recommend discussing and documenting risk of COVID-19 exposure in the consent process for patients undergoing surgery. Materials and methods Closed-loop audit of consent forms for patients undergoing emergency and elective surgical procedures. Interventions implemented included education of wider surgical teams. Data was collected during a one-week period for each cycle and analysed using Chi-squared test. Results In cycle 1, 6/17 (35.3%) case notes documented discussion of COVID-19 risk. Following intervention, compliance improved to 23/29 (79.3%) cases in cycle 2 and 33/45 (73.3%) cases in cycle 3. Conclusion Pre-intervention, our consenting practice was non-compliant. Our interventions led to significant and sustained improvements in practice. We recommend provision of wider surgical team education to facilitate good consenting practice.

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COVID-19 in Post-Operative Patients: Imaging Findings

Cited by 15 publications

References 9 publications

Predictors of severe hypoxemia among COVID-19 patients in Burkina Faso (West Africa): Findings from hospital based cross-sectional study

Predictors of severe hypoxemia among COVID-19 patients in Burkina Faso (West Africa): Findings from hospital based cross-sectional study

30-day mortality following trauma and orthopaedic surgery during the peak of the COVID-19 pandemic

Surgical consent during the COVID-19 pandemic

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