ArticleThe Journal of thoracic and cardiovascular surgery2020
Clinical course of coronavirus disease 2019 in 11 patients after thoracic surgery and challenges in diagnosis.
Article in The Journal of thoracic and cardiovascular surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 4 of them syntheses that pooled it.
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44 citing papers in PubMed, 4 syntheses or guidelines pooled it, 79 citations in OpenAlex.
- Asthma and risk of infection, hospitalization, ICU admission and mortality from COVID-19: Systematic review and meta-analysis.The Journal of asthma : official journal of the Association for the Care of Asthma · 2022Pooled it
- Gastroenterology manifestations and COVID-19 outcomes: A meta-analysis of 25,252 cohorts among the first and second waves.Journal of medical virology · 2021Pooled it
- Committee Recommendations for Resuming Cardiac Surgery Activity in the SARS-CoV-2 Era: Guidance From an International Cardiac Surgery Consortium.The Annals of thoracic surgery · 2020Guideline
- Global prevalence and pathogenesis of headache in COVID-19: A systematic review and meta-analysis.F1000Research · 2020Pooled it
- Comparison between use of a pleural drainage system with flutter valve and a conventional water-seal drainage system after lung resection: a randomized prospective study.Sao Paulo medical journal = Revista paulista de medicina · 2024Trial
- The Role of Surgery in Patients with COVID-19-Related Thoracic Complications.Frontiers in surgery · 2022Article
- Cardiac Surgery Outcomes in an Epicenter of the COVID-19 Pandemic.Seminars in thoracic and cardiovascular surgery · 2022Article
- COVID-19 After Lung Resection in Northern Italy.Seminars in thoracic and cardiovascular surgery · 2022Article
- Commentary: SARS-CoV-2 and Esophagectomy for Esophageal Cancer: Timely Operations and Good Outcomes.Seminars in thoracic and cardiovascular surgery · 2022Article
- Commentary: Lessons From Covid-19 in Italy: Past Experiences Should Inform the Present.Seminars in thoracic and cardiovascular surgery · 2022Article
- Impact of the SARS-CoV-2 Epidemic on Lung Cancer Surgery in France: A Nationwide Study.Cancers · 2021Article
- Pulmonary lesion subtypes recognition of COVID-19 from radiomics data with three-dimensional texture characterization in computed tomography images.Biomedical engineering online · 2021Article
- Clinical features and prognosis of patients with COVID-19 after lung surgery: A retrospective clinical study.Asia-Pacific journal of clinical oncology · 2021Article
- Surgical complications in COVID-19 patients in the setting of moderate to severe disease.World journal of gastrointestinal surgery · 2021Review
- Automatic diagnosis of coronavirus (COVID-19) using shape and texture characteristics extracted from X-Ray and CT-Scan images.Biomedical signal processing and control · 2021Article
- A year in general thoracic surgery published in the Journal of Thoracic and Cardiovascular Surgery: 2020.The Journal of thoracic and cardiovascular surgery · 2021Article
- Cardiovascular considerations for anesthesiologists during the COVID-19 pandemic.Journal of anesthesia · 2021Article
- Maintaining Surgical Treatment of Non-Small Cell Lung Cancer During the COVID-19 Pandemic in Paris.The Annals of thoracic surgery · 2021Article
- A Systematic Review and Meta-Analysis of Clinical Characteristics and Outcomes in Patients With Lung Cancer with Coronavirus Disease 2019.JTO clinical and research reports · 2021Review
- Fatal Covid-19 vasoplegic shock in a recipient few hours before double lung transplantation in high emergency.Transplant infectious disease : an official journal of the Transplantation Society · 2021Article
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Authors and funding
7 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo illustrate the clinical course and difficulties in early diagnosis of coronavirus disease 2019 (COVID-19) in patients after thoracic surgery.
methodsWe retrospectively analyzed the clinical course of the first 11 patients diagnosed with COVID-19 after thoracic surgery in early January 2020. Postoperative clinical, laboratory, and radiologic records and the time line of clinical course were summarized. Potential prognostic factors were evaluated.
resultsIn the 11 confirmed cases (3 female, 8 male), median days from symptom onset to case detection was 8. Insidious symptom onset and misinterpreted postoperative changes on chest computed tomography (CT) resulted in delay in diagnosis. There were 3 fatalities due to respiratory failure, whereas 4 severe and 4 mild cases recovered and were discharged. All patients had once experienced leukocytosis and eosinopenia. Remittent fever and resected lung segments ≥5 were associated with fatality.
conclusionsThe case fatality rate of postsurgical patients subsequently diagnosed with COVID-19 was 27.3%. Insidious symptom onset, postoperative leukocytosis with lymphopenia, and postsurgical CT changes overshadowed the early signs of viral pneumonia. Dynamic symptom monitoring, serial chest CTs, and tests for viral RNA and serum antibody improve the chance for prompt detection of COVID-19. Consideration should be given to preadmission and preoperative screening and strict contact isolation during the postoperative period.
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