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http://hdl.handle.net/2445/181775
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DC Field | Value | Language |
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dc.contributor.author | Caballero Milán, Marta | - |
dc.contributor.author | Colomina Soler, M. J. (María José) | - |
dc.contributor.author | Marin Carcey, Leo A. | - |
dc.contributor.author | Viguera Fernández, Laura | - |
dc.contributor.author | Bayona Domenge, Roser | - |
dc.contributor.author | Garcia Ballester, Sara | - |
dc.contributor.author | López Farre, Albert | - |
dc.contributor.author | Ruiz Buera, Leticia | - |
dc.contributor.author | Sanz Iturbe, Maite | - |
dc.contributor.author | Álvarez Villegas, David | - |
dc.contributor.author | Jenssen Paz, Ely C. | - |
dc.contributor.author | Puig Sanz, Guillermo | - |
dc.contributor.author | Arcos Terrones, Aaron | - |
dc.contributor.author | Belmonte Cuenca, Carmen | - |
dc.contributor.author | Perelada Alonso, Elia | - |
dc.contributor.author | Blasco Blasco, Francho | - |
dc.contributor.author | Sabaté, Antoni | - |
dc.date.accessioned | 2021-12-13T11:50:06Z | - |
dc.date.available | 2021-12-13T11:50:06Z | - |
dc.date.issued | 2021-11-26 | - |
dc.identifier.uri | http://hdl.handle.net/2445/181775 | - |
dc.description.abstract | Background: During the COVID-19 crisis it was necessary to generate a specific care network and reconvert operating rooms to attend emergency and high-acuity patients undergoing complex surgery. The aim of this study is to classify postoperative complications and mortality and to assess the impact that the COVID-19 pandemic may have had on the results. Methods: this is a non-inferiority retrospective observational study. Two different groups of surgical patients were created: Pre-pandemic COVID and Pandemic COVID. Severity of illness was rated according to the Diagnosis-related Groups (DRG) score. Comparisons were made between groups and between DRG severity score-matched samples. Non-inferiority was set at up to 10 % difference for grade III to V complications according to the Clavien-Dindo classification, and up to 2 % difference in mortality. Results: A total of 1649 patients in the PreCOVID group and 763 patients in the COVID group were analysed; 371 patients were matched for DRG severity score 3-4 (236 preCOVID and 135 COVID). No differences were found in relation to re-operation (22.5 % vs. 21.5 %) or late admission to critical care unit (5.1 % vs. 4.5 %). Clavien grade III to V complications occurred in 107 patients (45.3 %) in the PreCOVID group and in 56 patients (41.5 %) in the COVID group, and mortality was 12.7 % and 12.6 %, respectively. During the pandemic, 3 % of patients tested positive for Covid-19 on PCR: 12 patients undergoing elective surgery and 11 emergency surgery; there were 5 deaths, 3 of which were due to respiratory failure following Covid-19-induced pneumonia. Conclusions: Although this study has some limitations, it has shown the non-inferiority of surgical outcomes during the COVID pandemic, and indicates that resuming elective surgery is safe. | - |
dc.format.extent | 10 p. | - |
dc.format.mimetype | application/pdf | - |
dc.language.iso | eng | - |
dc.publisher | Springer Science and Business Media LLC | - |
dc.relation.isformatof | Reproducció del document publicat a: https://doi.org/10.1186/s12871-021-01495-3 | - |
dc.relation.ispartof | BMC Anesthesiology, 2021, vol. 21, num. 1, p. 295 | - |
dc.relation.uri | https://doi.org/10.1186/s12871-021-01495-3 | - |
dc.rights | cc by (c) Caballero Milán, Marta et al., 2021 | - |
dc.rights.uri | http://creativecommons.org/licenses/by/3.0/es/ | * |
dc.source | Articles publicats en revistes (Ciències Clíniques) | - |
dc.subject.classification | Pandèmia de COVID-19, 2020- | - |
dc.subject.classification | Assaigs clínics | - |
dc.subject.classification | Cirurgia | - |
dc.subject.other | COVID-19 Pandemic, 2020- | - |
dc.subject.other | Clinical trials | - |
dc.subject.other | Surgery | - |
dc.title | Impact of the SARS-CoV-2 (COVID19) pandemic on the morbidity and mortality of high risk patients undergoing surgery: a non-inferiority retrospective observational study | - |
dc.type | info:eu-repo/semantics/article | - |
dc.identifier.idgrec | 717182 | - |
dc.date.updated | 2021-12-10T08:53:18Z | - |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | - |
dcterms.rights | cc by (c) Caballero Milán, Marta et al., 2021 | - |
dcterms.type | info:eu-repo/semantics/publishedVersion | - |
dc.identifier.pmid | 34836504 | - |
Appears in Collections: | Articles publicats en revistes (Ciències Clíniques) Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) |
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File | Description | Size | Format | |
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s12871-021-01495-3.pdf | 798.79 kB | Adobe PDF | View/Open |
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