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Created January 20, 2022, last updated almost 3 years ago.
Collection: 150, Score: 771, Trend score: 0, Read count: 1195, Articles count: 4, Created: 2022-01-20 07:46:30 UTC. Updated: 2022-01-28 03:21:32 UTC.Notes
In 2020 the COVID Surg Collaborative demonstrated a shockingly-increased post-operative mortality among patients undergoing surgery during an active COVID infection.
This naturally led to questions regarding timing of elective surgery after COVID-19 recovery.
Although data is scant, the COVID Surg Collaborative again leads the way with a large multicenter study showing increased 30 day mortality even when surgery is delayed 5-6 weeks after COVID infection.
Various guidelines and recommendations exist, but summarising:
Surgery should be delayed for at least 7 weeks after COVID, although those with persistent COVID symptoms will still have more than twice the 30-day mortality than those without. (COVID Surg Collaborative 2021)
After recovery from SARS-CoV-2 infection, minor surgery should be delayed 4 weeks and major surgery delayed 8-12 weeks. (Kovoor 2021)
Elective surgery should not be scheduled within 7 weeks of a SARS-CoV-2 infection. (El-Boghdadly 2021)
Several studies note that these periods are minimum recommended delays, and that patients with persisting symptoms still experience higher 30-day mortality even after delaying seven weeks. El-Boghdadly et al. suggests that this period should be used for functional prehabilitation for these patients.
Daniel Jolley
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Collected Articles
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Multicenter Study
Timing of surgery following SARS-CoV-2 infection: an international prospective cohort study.
Surgery should be delayed for at least 7 weeks after COVID, although those with persistent COVID symptoms will still have more than twice the 30-day mortality than those without.
pearl -
After recovery from SARS-CoV-2 infection, minor surgery should be delayed 4 weeks and major surgery delayed 8-12 weeks.
pearl -
Elective surgery should not be scheduled within 7 weeks of a SARS-CoV-2 infection.
pearl -
Multicenter Study
Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study.
Post-operative mortality in patients with SARS-CoV-2 infection having surgery is extremely high, even among low-risk patient or surgical groups, or those initially asymptomatic.
pearl