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Early postoperative outcomes among patients with delayed surgeries after preoperative positive test for SARS‐CoV‐2: A case‐control study from a single institution

2021; Wiley; Volume: 123; Issue: 4 Linguagem: Inglês

10.1002/jso.26377

1096-9098

Glauco Baiocchi, Samuel Aguiar, João Pedreira Duprat Neto, Felipe José Fernández Coimbra, Fabiana B. Makdissi, José Guilherme Vartanian, Stênio de Cássio Zéqui, Jefferson Luiz Gross, Suely Akiko Nakagawa, Guilherme Yazbek, Thiago Pereira Diniz, Bruna Tirapelli Gonçalves, Charles Edouard Zurstrassen, Heloisa Galvão do Amaral Campos, Eduardo Henrique Giroud Joaquim, Ivan A. França e Silva, Luiz Paulo Kowalski,

Trauma and Emergency Care Studies

Abstract Background There are limited data on surgical complications for patients that have delayed surgery after severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) infection. We aimed to analyze the surgical outcomes of patients submitted to surgery after recovery from SARS‐CoV‐2 infection. Methods Asymptomatic patients that had surgery delayed after preoperative reverse‐transcription polymerase chain reaction (RT‐PCR) for SARS‐CoV‐2 were matched in a 1:2 ratio for age, type of surgery and American Society of Anesthesiologists to patients with negative RT‐PCR for SARS‐CoV‐2. Results About 1253 patients underwent surgical procedures and were subjected to screening for SARS‐CoV‐2. Forty‐nine cases with a delayed surgery were included in the coronavirus disease (COVID) recovery (COVID‐rec) group and were matched to 98 patients included in the COVID negative (COVID‐neg) group. Overall, 22 (15%) patients had 30‐days postoperative complications, but there was no statistically difference between groups –16.3% for COVID‐rec and 14.3% for COVID‐neg, respectively (odds ratio [OR] 1.17:95% confidence interval [CI] 0.45–3.0; p = .74). Moreover, we did not find difference regarding grades more than or equal to 3 complication rates – 8.2% for COVID‐rec and 6.1% for COVID‐neg (OR 1.36:95%CI 0.36‐5.0; p = .64). There were no pulmonary complications or SARS‐CoV‐2 related infection and no deaths within the 30‐days after surgery. Conclusions Our study suggests that patients with delayed elective surgeries due to asymptomatic preoperative positive SARS‐CoV‐2 test are not at higher risk of postoperative complications.