ArticlePatient safety in surgery2020
Postoperative mortality among surgical patients with COVID-19: a systematic review and meta-analysis.
Article in Patient safety in surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers.
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Who cites it
41 citing papers in PubMed, 86 citations in OpenAlex.
- Does a prior COVID-19 infection affect lung dynamics during thoracic anesthesia?BMC anesthesiology · 2026Article
- Hospital-acquired COVID-19 and its effect on length of stay and mortality in orthopedic admissions: A matched cohort study.Journal of orthopaedics · 2025Article
- Determinants of waiting times for surgery in older patients with hip fractures: a two-center retrospective study in Japanese acute care hospitals.BMC geriatrics · 2025Article
- Association Between Preoperative COVID-19 Infection and Postoperative Outcomes in Patients with Obstructive Sleep Apnea Undergoing Metabolic Surgery: A Retrospective Analysis.Obesity surgery · 2025Article
- The impact of the COVID-19 pandemic on the surgical care continuum in Ethiopia: a national survey.BMC health services research · 2025Article
- Influence of SARS-CoV2 Pandemic on Colorectal Cancer Diagnosis, Presentation, and Surgical Management in a Tertiary Center: A Retrospective Study.Diagnostics (Basel, Switzerland) · 2025Article
- Digestive and breast cancer patients managed during the first wave of COVID-19 pandemic: Short and middle term outcomes.World journal of methodology · 2024Article
- Emergency laparotomy and perioperative COVID-19: a single-center retrospective cohort study.Updates in surgery · 2024Article
- Observational
- Does COVID-19 Infection within 1 Week after Total Knee Arthroplasty Affect Patients' Early Clinical Outcomes? A Matched Case-Control Study.Journal of clinical medicine · 2023Article
- Evaluating the status of the Lancet Commission on Global Surgery indicators for India.The Lancet regional health. Southeast Asia · 2023Review
- Epidemiology of multidrug-resistant organisms before and during COVID-19 in Hong Kong.Infection prevention in practice · 2023Article
- Impact of COVID-19 pandemic on surgical outcomes after hepatopancreatobiliary (HPB) surgery.Global health & medicine · 2023Article
- Editorial: The impact of COVID-19 on immune system-related complications in surgical patients.Frontiers in surgery · 2023Article
- COVID-19 free pathways decrease postoperative complications in patients undergoing elective colorectal surgery.Surgery in practice and science · 2022Article
- American Society of Anesthesiologists (ASA) classification of the post-COVID patients: Separate sub-class needed?Indian journal of anaesthesia · 2022Article
- Cancer surgery during COVID increased the patient mortality and the transmission risk to healthcare workers: results from a retrospective cohort study (NCT05240378).World journal of surgical oncology · 2022Article
- Impacts of severity of Covid-19 infection on the morbidity and mortality of surgical patients.Annals of medicine and surgery (2012) · 2022Article
- When to operate after SARS-CoV-2 infection? A review on the recent consensus recommendation of the DGC/BDC and the DGAI/BDA.Langenbeck's archives of surgery · 2022Review
- Outcome of percutaneous drainage for septic complications coexisted with COVID-19.World journal of radiology · 2022Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe coronavirus disease 2019 (COVID-19) pandemic puts perioperative providers and staff at risk of viral exposure to severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) during aerosol-generating procedures, particularly in asymptomatic carriers.However, the perioperative risk for adverse outcomes in SARS-CoV-2 infected patients remain uncertain and the topic of debate. The current study was designed to determine the postoperative mortality in COVID-19 patients based on a systematic review and meta-analysis of the global published peer-reviewed literature.
methodsA comprehensive search was conducted in PubMed/Medline; Science direct and LILACS from December 29, 2019, to August15, 2020, without language restriction. All observational studies reporting the prevalence of mortality were included while case reports and reviews were excluded. The data from each study were extracted with two independent authors with a customized format excel sheet and the disagreements were resolved by the third author. The methodological quality of included studies was evaluated using a standardized critical appraisal Tool adapted from the Joanna Briggs Institute.
resultsA total of 715 articles were identified from different databases and 45 articles were selected for evaluation after the successive screening. Twenty-three articles with 2947 participants were included. The meta-analysis revealed a very high global rate of postoperative mortality among COVID-19 patients of 20% (95% CI: 15 to 26) and a postoperative ICU admission rate of 15% (95% confidence interval (CI):10 to 21).
conclusionThe unexpected high postoperative mortality rate in SARS-CoV-2 infected patients of 20% in the global literature mandates further scrutiny in assuring appropriate surgical indications and perioperative surgical safety measures in this vulnerable cohort of patients. REGISTRATION: This systematic review and meta-analysis was registered in Prospero's international prospective register of systematic reviews (CRD42020203362) on August 10, 2020.
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