Evidence map›Paper›PMID 33748925›Full record

ArticleWorld journal of surgery2021

Morbidity and Mortality in Patients with Perioperative COVID-19 Infection: Prospective Cohort in General, Gastroesophagic, Hepatobiliary, and Colorectal Surgery.

Martin Inzunza, Cecilia Romero, María Jesús Irarrázaval, Magdalena Ruiz-Esquide, Pablo Achurra, Nicolás Quezada, Fernando Crovari, Rodrigo Muñoz

Abstract read
In one paragraph

Article in World journal of surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Observational
  9. Article
  10. Article
  11. Article
  12. Article
  13. Observational
  14. Review
  15. Perioperative Pulmonary Support of the Elderly.Current geriatrics reports · 2021
    Review
  16. Postoperative multiple perforations of the small bowel in a patient with COVID-19 - case report.Romanian journal of morphology and embryology = Revue roumaine de morphologie et embryologie
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Martin InzunzaDepartment of Digestive Surgery, Pontificia Universidad Católica de Chile, Santiago, Chile.ORCID http://orcid.org/0000-0002-6267-1075
Cecilia RomeroDepartment of Digestive Surgery, Pontificia Universidad Católica de Chile, Santiago, Chile.
María Jesús IrarrázavalSchool of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.
Magdalena Ruiz-EsquideSchool of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.
Pablo AchurraDepartment of Digestive Surgery, Pontificia Universidad Católica de Chile, Santiago, Chile.
Nicolás QuezadaDepartment of Digestive Surgery, Pontificia Universidad Católica de Chile, Santiago, Chile.
Fernando CrovariDepartment of Digestive Surgery, Pontificia Universidad Católica de Chile, Santiago, Chile.
Rodrigo MuñozDepartment of Digestive Surgery, Pontificia Universidad Católica de Chile, Santiago, Chile. rmunozc@med.puc.cl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSevere acute respiratory syndrome due to coronavirus 2 has rapidly spread worldwide in an unprecedented pandemic. Patients with an ongoing COVID-19 infection requiring surgery have higher risk of mortality and complications. This study describes the mortality and morbidity in patients with perioperative COVID-19 infection undergoing elective and emergency surgeries.

methodsProspective cohort of consecutive patients who required a general, gastroesophageal, hepatobiliary, colorectal, or emergency surgery during COVID-19 pandemic at an academic teaching hospital. The primary outcome was 30-day mortality and major complications. Secondary outcomes were specific respiratory mortality and complications.

resultsA total of 701 patients underwent surgery, 39 (5.6%) with a perioperative COVID-19 infection. 30-day mortality was 12.8% and 1.4% in patients with and without COVID-19 infection, respectively (p < 0.001). Major surgical complications occurred in 25.6% and 6.8% in patients with and without COVID-19 infection, respectively (p < 0.001). Respiratory complications occurred in 30.8% and 1.4% in patients with and without COVID-19 infection, respectively (p < 0.001). Mortality due to a respiratory complication was 100% and 11.1% in patients with and without COVID-19 infection, respectively (p < 0.006).

conclusions30-day mortality and surgical complications are higher in patients with perioperative COVID-19 infection. Indications for elective surgery need to be reserved for non-deferrable procedures in order to avoid unnecessary risks of non-urgent procedures.

Indexed as

Biliary Tract Surgical ProceduresColorectal SurgeryCOVID-19FemaleHospital MortalityHumansMaleMorbidityPandemicsPreoperative PeriodProspective StudiesSARS-CoV-2Splenectomy

Identifiers

PMID33748925
PMCPMC7982273

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.