Print Get Citation Citation Disclaimer: These citations have been automatically generated based on the information we have and it may not be 100% accurate. Please consult the latest official manual style if you have any questions regarding the format accuracy. AMA Citation Dougherty B, Chan A. Dougherty B, & Chan A Dougherty, Brian, and Alex Chan. COVID-19 infection associated with increased risk of perioperative pulmonary and septic complications. 2 Minute Medicine, 4 January 2021. McGraw-Hill, 2021. AccessMedicine. https://accessmedicine.mhmedical.com/updatesContent.aspx?gbosid=555126§ionid=253165057APA Citation Dougherty B, Chan A. Dougherty B, & Chan A Dougherty, Brian, and Alex Chan. (2021). Covid-19 infection associated with increased risk of perioperative pulmonary and septic complications. (2021). 2 minute medicine. McGraw-Hill. https://accessmedicine.mhmedical.com/updatesContent.aspx?gbosid=555126§ionid=253165057.MLA Citation Dougherty B, Chan A. Dougherty B, & Chan A Dougherty, Brian, and Alex Chan. "COVID-19 infection associated with increased risk of perioperative pulmonary and septic complications." 2 Minute Medicine McGraw-Hill, 2021, https://accessmedicine.mhmedical.com/updatesContent.aspx?gbosid=555126§ionid=253165057. Download citation file: RIS (Zotero) EndNote BibTex Medlars ProCite RefWorks Reference Manager Mendeley © Copyright Clip Full Chapter Figures Only Tables Only Videos Only Supplementary Content Top COVID-19 infection associated with increased risk of perioperative pulmonary and septic complications by Brian Dougherty, Alex Chan Listen +Originally published by 2 Minute Medicine® (view original article). Reused on AccessMedicine with permission. +1. COVID-19 infected patients were found to be at an increased risk of postoperative pulmonary and septic complications compared with a matched, non-infected cohort. +Evidence Level Rating: 2 (Good) +Numerous reports have indicated high rates of significant post-operative complications among COVID-19 positive patients. Given the magnitude and severity of the ongoing pandemic, this propensity-matched analysis making use of the U.S. Veterans Health Administration (VA) records evaluated the contribution of COVID-19 infection to adverse postoperative outcomes, which may be used to inform decision making moving forward. The four primary outcomes were measured over 30 days and included mortality, readmission, reoperation, and hospital length of stay (LOS). Propensity matching resulted in final cohorts of 432 COVID-19 positive (mean [SD] age = 65.1 [12.7] years, 92.1% male) and 1,256 negative (mean [SD] age = 64.8 [12.3] years, 93.2% male) patients. After matching, COVID-19 positive patients demonstrated significantly longer median LOS (7 vs. 5 days, p < 0.001), but did not demonstrate a higher risk of mortality, reoperation, or readmission. However, it was found that infected patients had higher 30-day rates of pneumonia (20.6% vs. 6.0%, p < 0.001), postoperative mechanical ventilation (7.6% vs. 4.1%, p = 0.01), and ARDS (17.1% vs. 6.8%, p < 0.001). Furthermore, infected patients had higher rates of septic shock (13.7% vs. 6.8%, p < 0.001) and ischemic stroke (5.8% vs. 2.9%, p = 0.01). While propensity matching cannot control for all variables, COVID-19 positive patients undergoing surgery were found to be at an increased risk of pulmonary and septic complications in the postoperative period. These data underscore the importance of preprocedural screening for COVID-19 infection and suggest delaying surgery up to or beyond 30 days for patients with a high burden of risk. +Click to read the study in the American Journal of Surgery +©2020 2 Minute Medicine, Inc. All rights reserved. No works may be reproduced without expressed written consent from 2 Minute Medicine, Inc. Inquire about licensing here. No article should be construed as medical advice and is not intended as such by the authors or by 2 Minute Medicine, Inc.