Risk Of 30-Day Mortality And Cardiopulmonary Complications In Patients Undergoing Emergency Surgery With Perioperative Sars-Cov-2 Infection

You have accessJournal of UrologyHealth Services Research: Quality Improvement & Patient Safety IV (MP58)1 Sep 2021MP58-09 RISK OF 30-DAY MORTALITY AND CARDIOPULMONARY COMPLICATIONS IN PATIENTS UNDERGOING EMERGENCY SURGERY WITH PERIOPERATIVE SARS-COV-2 INFECTION Akshay Sood, Mohit Butaney, Jacob Keeley, Chandler Bronkema, Nicholas Corsi, Nikola Rakic, Ziad Affas, Guillaume Farah, Michael Chien, Renee Hanna, Stephen Wertheimer, Maxwell Stricker, Steven Chang, Amarnath Rambhatla, Hans Stricker, James Peabody, Mani Menon, Craig Rogers, and Firas Abdollah Akshay SoodAkshay Sood More articles by this author , Mohit ButaneyMohit Butaney More articles by this author , Jacob KeeleyJacob Keeley More articles by this author , Chandler BronkemaChandler Bronkema More articles by this author , Nicholas CorsiNicholas Corsi More articles by this author , Nikola RakicNikola Rakic More articles by this author , Ziad AffasZiad Affas More articles by this author , Guillaume FarahGuillaume Farah More articles by this author , Michael ChienMichael Chien More articles by this author , Renee HannaRenee Hanna More articles by this author , Stephen WertheimerStephen Wertheimer More articles by this author , Maxwell StrickerMaxwell Stricker More articles by this author , Steven ChangSteven Chang More articles by this author , Amarnath RambhatlaAmarnath Rambhatla More articles by this author , Hans StrickerHans Stricker More articles by this author , James PeabodyJames Peabody More articles by this author , Mani MenonMani Menon More articles by this author , Craig RogersCraig Rogers More articles by this author , and Firas AbdollahFiras Abdollah More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002088.09AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Continued vigilance of operative outcomes of COVID-19 patients is important given the relative novelty of the SARS-CoV-2 infection. We here sought to evaluate the 30-day mortality and cardiopulmonary adverse event rates in patients undergoing emergency surgery with perioperative COVID-19 infection, in comparison to a control group of medically managed COVID-19 patients that did not require surgical intervention. METHODS: A retrospective review of electronic medical data from a single tertiary-care center in Michigan was undertaken. Patients who had tested positive for SARS-CoV-2 infection either 7 days before or within 30 days after surgery during March-May 2020 were included in the study (n=52). Propensity score matched (1:6) patients who had been positive for SARS-CoV-2 infection during this time-period but did not undergo surgery were used as controls (n=314, Figure 1). The primary endpoint was 30-day mortality. Secondary endpoints included cardiac and pulmonary complications. Multivariable logistic regression analyses were utilized to account for baseline differences. A p-value <0.05 was considered significant. RESULTS: The 30-day mortality (17.3% vs 13.1%, p=0.408) and cardiac (28.9% vs 19.1%, p=0.107) and pulmonary complication (55.8% vs 49.4%, p=0.392) rates were similar in patients in the surgical versus non-surgical group, respectively. Multivariable analyses confirmed that an emergency surgical intervention was not associated with increased odds for any of the studied adverse events (p >0.10 for all 3 endpoints). CONCLUSIONS: Patients undergoing emergency surgery with a co-diagnosis of SARS-CoV-2 infection in the perioperative period do not have an increased risk for short-term mortality or cardiopulmonary complications compared to the medically treated COVID-19 patients. Source of Funding: N/A © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206 Issue Supplement 3 September 2021 Page: e991-e991 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.Metrics Author Information Akshay Sood More articles by this author Mohit Butaney More articles by this author Jacob Keeley More articles by this author Chandler Bronkema More articles by this author Nicholas Corsi More articles by this author Nikola Rakic More articles by this author Ziad Affas More articles by this author Guillaume Farah More articles by this author Michael Chien More articles by this author Renee Hanna More articles by this author Stephen Wertheimer More articles by this author Maxwell Stricker More articles by this author Steven Chang More articles by this author Amarnath Rambhatla More articles by this author Hans Stricker More articles by this author James Peabody More articles by this author Mani Menon More articles by this author Craig Rogers More articles by this author Firas Abdollah More articles by this author Expand All Advertisement PDF downloadLoading ...