Postoperative Respiratory Complications in SARS-CoV-2 Positive Pediatric Patients Across 20 United States Hospitals: A Cohort Study

Reiter, Audra J.; Ingram, Michael; Raval, Mehul V.; García, Elisa; Hill, M J; Aranda, Arturo; Chandler, Nicole M.; González, Raquel; Born, Kristen; Mack, Shale J.; Lamoshi, Abdulraouf; Lipskar, Aaron M.; Han, Xiaoyue; Fialkowski, Elizabeth; Spencer, Brianna L.; Kulaylat, Afif N.; Barde, Amrene; Shah, Ami N.; Adoumie, Maeva; Gross, Erica R.; Mehl, Steven C.; López, Mónica E.; Polcz, Valerie; Mustafa, Moiz M.; Gander, Jeffrey W.; Sullivan, Travis M.; Sulkowski, Jason P.; Ghani, Owais; Huang, Eunice Y.; Rothstein, David H.; Muenks, E. Pete; Peter, Shawn D. St.; Fisher, Jason C.; Levy-Lambert, Dina; Reichl, Allison; Ignacio, Romeo C.; Slater, Bethany J.; Tsao, Kuo Jen; Berman, Loren

doi:10.1016/j.jpedsurg.2022.10.048

Cited by 5 publications

(5 citation statements)

References 23 publications

(27 reference statements)

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“…The results of multivariate logistic regression conducted by us prove that the risk of complications is connected with patient physical status and duration of the procedure, which is obvious for anaesthesia risk in children [ 19 , 20 ]. Our observations are consistent with other published observations of local experience [ 14 , 21 ]. It is worth noting that risk of anaesthesia in children is connected with anaesthesiologist’s experience [ 19 ].…”

Section: Discussionsupporting

confidence: 94%

“…Of course, the limitation of our study was the size of the study group, but at the same time authors who reported greater numbers of patients had to organise multi-centre studies; e.g. Reiter et al [14] reported 266 procedures requiring anaesthesia in SARS-CoV-2 infected children in 20 (!) American hospitals performed from March to October 2020.…”

Section: Discussionmentioning

confidence: 98%

“…Reiter et al . [ 14 ] reported 266 procedures requiring anaesthesia in SARS-CoV-2 infected children in 20 (!) American hospitals performed from March to October 2020.…”

Section: Discussionmentioning

confidence: 99%

“…Meanwhile, there are interesting data from analysis of children admitted to the hospital for the purpose of general anaesthesia [ 10 ]. Safety of general anaesthesia in children infected with SARS-CoV-2 is also a matter of concern [ 11 – 14 ]. Single reports concerning anaesthetic complications in small groups of SARS-CoV-2 infected children suggest that although the rate of asymptomatic cases is quite high (63–92%) even the asymptomatic patients are still at higher risk of anaesthetic respiratory complications [ 15 , 16 ].…”

mentioning

confidence: 99%

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Anaesthesia in SARS-CoV-2 infected children – single-centre experience. A case-control study

Jarymowicz,

Baranowski,

Pietrzyk

et al. 2023

ait

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The severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) pandemic has caused a unique burden on healthcare facilities and a substantial organisational challenge. Due to the extremely high contagiousness of the disease, governments and healthcare authorities face the problem of limiting spread of the infection in the society, especially in healthcare workers. The problem has particularly impacted perioperative medicine, especially anaesthesiology due to the potential risk for patients and threat of staff contamination during aerosol generating procedures [1][2][3][4]. Children represent 1-5% of total coronavirus disease 2019 (COVID-19) cases [1,5].

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Section: Discussionsupporting

confidence: 94%

Section: Discussionmentioning

confidence: 98%

“…Reiter et al . [ 14 ] reported 266 procedures requiring anaesthesia in SARS-CoV-2 infected children in 20 (!) American hospitals performed from March to October 2020.…”

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Anaesthesia in SARS-CoV-2 infected children – single-centre experience. A case-control study

Jarymowicz,

Baranowski,

Pietrzyk

et al. 2023

ait

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“…Previous studies have shown that the incidence of pulmonary complications after general anesthesia in children with URTI ranges from 24–30% [ 9 , 22 ]. For children who still exhibit significant active symptoms of COVID-19 infection, general anesthesia should be avoided [ 9 , 23 ].…”

Section: Discussionmentioning

confidence: 99%

Timing of general anesthesia for pediatric patients recovering from COVID-19: a prospective cohort study

Zhao,

Liu,

Zhang

et al. 2024

BMC Anesthesiol

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Objective To explore the timing of general anesthesia for pediatric patients who have recovered from novel coronavirus infection and summarize anesthesia-related complications. Methods We summarized the perioperative management of children under 14 years of age who underwent general anesthesia in our hospital according to national epidemic prevention and control requirements. We compared the incidence of postoperative pulmonary complications within 2 weeks (Group A), 3–4 weeks (Group B), and 5–6 weeks (Group C) after COVID-19 recovery. Results There were differences among the three groups in terms of decreased blood oxygen saturation (< 94%), secretions, and coughing during the PACU period. The risk of low blood oxygen saturation during PACU decreased as the time of COVID-19 recovery extended in the three groups. Compared to Group A, the risk of low blood oxygen saturation was lower in Group B. The presence of respiratory symptoms and a body temperature above 40℃ increased the risk of decreased blood oxygen saturation. The proportion of children aged 11–14 years and children with high fever experiencing decreased blood oxygen saturation during PACU was higher in Groups A and B. Among the three groups, children with respiratory symptoms and longer illness duration had a higher proportion of decreased blood oxygen saturation during PACU. Conclusion Pediatric patients who have recovered from COVID-19 for more than 2 weeks have a lower risk of postoperative complications after general anesthesia. For children with respiratory system symptoms or high fever, there is a higher risk of transient blood oxygen saturation decrease during PACU. For older children, those with high fever, respiratory system symptoms, or longer illness duration, it is recommended to appropriately extend the time from COVID-19 recovery to surgery.

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Postoperative outcomes of pediatric patients with perioperative COVID-19 infection: a systematic review and meta-analysis of observational studies

Gong,

Huang,

Zhang

et al. 2023

J Anesth

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Postoperative Respiratory Complications in SARS-CoV-2 Positive Pediatric Patients Across 20 United States Hospitals: A Cohort Study

Cited by 5 publications

References 23 publications

Anaesthesia in SARS-CoV-2 infected children – single-centre experience. A case-control study

Anaesthesia in SARS-CoV-2 infected children – single-centre experience. A case-control study

Timing of general anesthesia for pediatric patients recovering from COVID-19: a prospective cohort study

Postoperative outcomes of pediatric patients with perioperative COVID-19 infection: a systematic review and meta-analysis of observational studies

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