Increased risk of post operative deaths

Risque accru de décès postopératoire

Patients who undergo surgery after being infected with the coronavirus have a significantly increased risk of death post-surgery, reveals a new global study published in The Lancet.

The researchers found that for hiv-infected patients who have undergone a surgical intervention, the mortality rates are similar to those of the sickest patients admitted to the intensive care unit after contracting the virus in the community.

The researchers examined data from 1128 patients of 235 hospitals. In total, 24 countries participated, mainly in Europe.

Even in minor surgery

According to experts from the University NIH of Birmingham (United Kingdom), hiv-infected patients who are undergoing surgery have postoperative outcome significantly lower than those expected for similar patients who do not suffer from the COVID-19.

The overall mortality at 30 days in the study was 23.8 %.

The mortality was disproportionately high in all sub-groups, including elective surgery (18.9 %), emergency surgery (25.6 per cent), minor surgery such as appendectomy or hernia repair (16.3 %) and the major surgery such as hip surgery or cancer surgery of the colon (26.9 per cent).

Men more at risk

The study has identified that mortality rates were higher in men (28.4 percent) than among women (18.2 %) and in patients aged 70 years or older (33.7 percent) compared to those aged less than 70 years (13.9 per cent).

In addition to age and sex, the risk factors of post operative deaths included pre-existing medical conditions serious cancer surgery, procedures in major and emergency surgery. Among the findings, the study reveals that the surgery for non-critical should be deferred during outbreaks of COVID-19.

Share Button