Data di Pubblicazione:
2021
Abstract:
BACKGROUND: The COVIDSurg collaborative was an international multicenter prospective analysis of perioperative data from 235 hospitals in 24 countries. It found that perioperative COVID-19 infection was associated with a mortality rate of 24%. At the same time, the COVERstudy demonstrated similarly high perioperative mortality rates in vascular surgical patients undergoing vascular interventions even without COVID-19, likely associated with the high burden of comorbidity associated with vascular patients. This is a vascular subgroup analysis of the COVIDSurg cohort. METHODS: All patients with a suspected or confirmed diagnosis of COVID-19 in the 7 days prior to, or in the 30 days following a vascular procedure were included. The primary outcome was 30-day mortality. Secondary outcomes were pulmonary complications (adult respiratory distress syndrome, pulmonary embolism, pneumonia and respiratory failure). Logistic regression was undertaken for dichotomous outcomes. RESULTS: Overall, 602 patients were included in this subgroup analysis, of which 88.4% were emergencies. The most common operations performed were for vascular-related dialysis access procedures (20.1%, N.=121). The combined 30-day mortality rate was 27.2%. Composite secondary pulmonary outcomes occurred in half of the vascular patients (N.=275, 45.7%). CONCLUSIONS: Mortality following vascular surgery in COVID positive patients was significantly higher than levels reported pre-pandemic, and similar to that seen in other specialties in the COVIDSurg cohort. Initiatives and surgical pathways that ensure vascular patients are protected from exposure to COVID-19 in the peri-operative period are vital to protect against excess mortality.
Tipologia CRIS:
1.1 Articolo in rivista
Keywords:
COVID-19; Health care outcome assessment; Vascular surgical procedures
Elenco autori:
Hitchman, L.; Machin, M.; Ambler, G.; Benson, R.; Birmpili, P.; Blair, R.; Bosanquet, D.; Dattani, N.; Dovell, G.; Forsythe, R.; Gwilym, B.; Hitchman, L.; Machin, M.; Nandhra, S.; Onida, S.; Preece, R.; Salim, J. S.; Saratzis, T.; Shalhoub, ; Singh, A.; Argus, L.; Bhangu, A.; Chaudhry, D.; Dawson, B. E.; Glasbey, J. C.; Gujjuri, R. R.; Jones, C. S.; Kamarajah, S. K.; Khatri, C.; Keatley, J. M.; Lawday, S.; Li, E.; Mann, H.; Marson, E. J.; Mclean, K. A.; Nepogodiev, D.; Picciochi, M.; Siaw-Acheampong, K.; Simoes, J. F.; Taylor, E. H.; Tiwari, A.; Trout, I. M.; Venn, M. L.; Wilkin, R. J.; Abbott, T. E.; Abukhalaf, S.; Ademuyiwa, A.; Adil, A.; Agarwal, A.; Aigner, F.; Al Balushi, Z.; Al Naggar, H.; Alameer, E.; Albertsmeiers, M.; Alser, O.; Alshryda, S.; Arnaud, A.; Ataide, G.; Augestad, K. M.; Ayasra, F.; Azevedo, J.; Baiocchi, G.; Batista, S.; Blanco Colino, R.; Boccalatte, L.; Bonci, E. -A.; Brar, A.; Breen, K.; Brouk, P.; Buarque, I.; Calvache, J.; Caruna, E.; Chaar, M.; Chakrabortee, S.; Christensen, P.; Cox, D.; Cukier, M.; Cunha, M.; Dajti, I.; Danic Hadzibegovic, A.; Daraghmeh, M. A.; Demetriades, A.; Desai, A.; Drake, T. D.; Edwards, J. G.; Efetov, S.; Elhadi, M.; El-Hussuna, A.; Elmujtaba, M.; Emile, S. H.; Evans, J. P.; Fakhradiyev, I. R.; Fiore, M.; Ford, S.; Fotopoulou, C.; Gallo, G.; Ganly, I.; Ghosh, D.; Gjata, A.; Gohar, M.; Gomez, H.; Grecinos, G.; Griffiths, E.; Gulla, A.; Hailu, S.; Hoe, C. M.; Hossain, K.; Hutchinson, P.; Isik, A.; Jamal, M.; Jayarajah, U.; Jebril, W.; Jenkinson, M. D.; Jonker, P.; Kaafarani, H.; Kauppila, J.; Kembuan, G.; Kendall, B.; Khan, T.; Khosravi, M.; Klat, J.; Knight, S.; Kolias, A.; Kopjar, T.; Kronberger, I.; Kruijff, S.; Laukkarinen, J.; Lawani, I.; Lederhuber, H.; Leung, E.; Leventoglu, S.; Lincango, E.; Litvin, A.; Loffler, M.; Lorena, M. A.; Major, P.; Martin, J.; Martinez, L.; Mashbari, H.; Mazingi, D.; Mckay, S.; Mengesha, M. G.; Mersich, T.; Metallidis, S.; Mihanovic, J.; Minaya-Bravo, A.; Modolo, M. M.; Mohan, H. M.; Moore, R.; Mozafari, M.; Negoi, I.; Nhlabathi, N.; Noltes, M.; Norman, L.; Novysedlak, R.; Ntirenganya, F.; Olivos, M.; Osinaike, B.; Ots, R.; Outani, O.; Parreno-Sacdalan, M. D.; Pata, F.; Pejkova, S.; Pellino, G.; Perez Rivera, C. J.; Pockney, P.; Qureshi, A.; Radenkovic, D.; Raghavan, V.; Ramos De La Medina, A.; Roberts, K.; Roslani, A.; Rutegard, M.; Santos, I.; Satoi, S.; Sayyed, R.; Schache, A.; Seyi-Olajide, J.; Shaw, K.; Shaw, R.; Shu, S.; Slavchev, M.; Smart, N.; Soreide, K.; Steinkamp, P.; Stewart, G.; Sund, M.; Sundar, S.; Tabiri, S.; Tamiru, H.; Townend, P.; Tsoulfas, G.; Van Der Plas, W.; Van Ramshorst, G.; Vasquez, X.; Vimalchandran, D.; Wettstein, D.; Wickramasinghe, D.; Williams, E.; Wright, N.; Xiang, F. K.; Yong, J. N.; Zarour, A.; Zmora, O.; Aawsaj, Y.; Abad-Gurumeta, A.; Abad-Motos, A.; Abas, S.; Abassy, J.; Abate, E.; Abatini, C.; Abba, J.; Abbadessa, F.; Abbas, A. M.; Abbas, F.; Abbas, F. M.; Abbas, A.; Abbasov, A.; Abd Elazeem, H. A.; Abd Kahar, N. N.; Abdalaziz, H.; Abdalla, M.; Abdallah, E. A.; Abdallah, M.; Abdeh, L.; Abdel Al, S.; Abdel Jalil, R.; Abdelaal, S. A.; Abdelaziem Mustafa, S.; Abdelbari, M.; Abdelkareem, M.; Abd-Elkarem, M. M.; Abd-Elkariem, A. Y.; Abdelkarim, M.; Abdelmajeed, A.; Abdelrahman, A.; Abdelrhman, S.; Abdelsaid, K.; Abd-Elsalam, S.; Abdelsamed, A.; Abdou, H.; Abdul Maei, N.; Abdulfattah, F.; Abdul-Jabar, H.; Abdullahi, I. H.; Abdulwahed, E.; Abdur-Rahman, L.; Abel, M. K.; Abelevich, A.; Abellan, M.; Abiyere, O. H.; Aboelkassem Ibrahim, A.; Abood, A.; Abosamak, N. E.; Abou Chaar, M. K.; Abouassi, A.; Abou-Foul, A. K.; Abou-Khalil, J.; Aboulkassem, H.; Abramowicz, S.; Abrate, A.; Abreu Da Silva, A.; Abu Hamra'a, M.; Abu Zanouneh, F. J.; Abualjadayel, M.; Abual-Rub, Z.; Abubakar, M.; Abukhalaf, S. A.; Abu-Nayla, I.; Abuown, A.; Abutaka, A.; Acebes Garcia, F.; Achalandabaso Boira, M.; Acharya, M.; Acikgoz, A. S.; Acosta Merida, M. A.; A'Court, J.; Adamec, A.; Adamina, M.; Adamoli, L.; Addae-Boateng, E.; Addissie, A.;
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