Early respiratory outcomes following cardiac surgery in patients with COVID-19.
Betacoronavirus
COVID-19
Cardiac Surgical Procedures
/ adverse effects
Comorbidity
Coronavirus Infections
/ diagnosis
Female
Heart Diseases
/ epidemiology
Hospital Mortality
Humans
Iran
/ epidemiology
Male
Middle Aged
Pandemics
Pneumonia, Viral
/ diagnosis
Postoperative Complications
/ diagnosis
Respiratory Function Tests
Retrospective Studies
Risk Factors
SARS-CoV-2
Survival Rate
/ trends
Tidal Volume
/ physiology
COVID-19
cardiac surgery
outcomes
respiratory
Journal
Journal of cardiac surgery
ISSN: 1540-8191
Titre abrégé: J Card Surg
Pays: United States
ID NLM: 8908809
Informations de publication
Date de publication:
Oct 2020
Oct 2020
Historique:
received:
09
05
2020
revised:
13
06
2020
accepted:
21
06
2020
pubmed:
14
8
2020
medline:
23
10
2020
entrez:
14
8
2020
Statut:
ppublish
Résumé
Both coronavirus disease (COVID-19) and cardiac surgery have a negative impact on pulmonary function. This study aimed to determine the postoperative respiratory outcomes of patients with COVID-19 who underwent cardiac surgery. In this retrospective study, we reviewed and analyzed the patient characteristics and clinical data of 25 asymptomatic patients with COVID-19 who underwent urgent or emergency cardiac surgery at Tehran Heart Center Hospital, Iran, between 29 February and 10 April 2020. The mean age, EuroSCORE, and body mass index were 57.3 ± 15.1 years, 6.65 ± 1.29, and 25.7 ± 3.7 kg/m Although early respiratory outcomes of asymptomatic COVID-19 patients who underwent early cardiac surgery appeared to be satisfactory, compared to the propensity-scored matched non-COVID group, the postoperative outcomes were worse, especially in the ICU readmitted patients. We suggest postponing cardiac operations unless the patient requires emergency surgery.
Sections du résumé
BACKGROUND
BACKGROUND
Both coronavirus disease (COVID-19) and cardiac surgery have a negative impact on pulmonary function. This study aimed to determine the postoperative respiratory outcomes of patients with COVID-19 who underwent cardiac surgery.
METHODS
METHODS
In this retrospective study, we reviewed and analyzed the patient characteristics and clinical data of 25 asymptomatic patients with COVID-19 who underwent urgent or emergency cardiac surgery at Tehran Heart Center Hospital, Iran, between 29 February and 10 April 2020.
RESULTS
RESULTS
The mean age, EuroSCORE, and body mass index were 57.3 ± 15.1 years, 6.65 ± 1.29, and 25.7 ± 3.7 kg/m
CONCLUSIONS
CONCLUSIONS
Although early respiratory outcomes of asymptomatic COVID-19 patients who underwent early cardiac surgery appeared to be satisfactory, compared to the propensity-scored matched non-COVID group, the postoperative outcomes were worse, especially in the ICU readmitted patients. We suggest postponing cardiac operations unless the patient requires emergency surgery.
Identifiants
pubmed: 32789988
doi: 10.1111/jocs.14915
pmc: PMC7436810
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2479-2485Informations de copyright
© 2020 Wiley Periodicals LLC.
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