Volume 23, Issue 4 (10-2024)
TB 2024, 23(4): 57-66 |
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Molaei A, Izadi S, Moghani F, Paknazar F, Mansori K, Hemmati H R. Survival Rate and Related Factors in Patients with COVID19 Undergoing Major Surgeries: A Cross-sectional study. TB 2024; 23 (4) :57-66
URL: http://tbj.ssu.ac.ir/article-1-3630-en.html
URL: http://tbj.ssu.ac.ir/article-1-3630-en.html
Amir Molaei 
, Shahrzad Izadi , Fatemeh Moghani , Fatemeh Paknazar , Kamyar Mansori , Hamid Reza Hemmati *
, Shahrzad Izadi , Fatemeh Moghani , Fatemeh Paknazar , Kamyar Mansori , Hamid Reza Hemmati *
Semnan University of Medical Sciences , dr.hhemmati@semums.ac.ir
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Survival Rate and Related Factors in Patients with COVID19 Undergoing Major Surgeries: A Cross-sectional study
Amir Molaei (M.D) 1, Shahrzad Izadi (M.D) 2, Fatemeh Moghani (M.D) 3, Fatemeh Paknazar (Ph.D.) 4, Kamyar Mansori 5, Hamid Reza Hemmati (M.D) 6
1.Assistant Professor of Plastic & Reconstructive Surgery, Department of Surgery, School of Medicine, Semnan University of Medical Sciences, Semnan, Iran
2.Assistant Professor of Surgery, Department of Surgery, School of Medicine , Semnan University of Medical Sciences, , Semnan, Iran
3.M.D , School of Medicine, Semnan University of Medical Sciences, Semnan, Iran
4.Assistant Professor of Biostatistics, Social Determinants of Health Research Center, Semnan University of Medical Sciences, Semnan, Iran
5.Assistant Professor of Epidemiology, Clinical Research Development Unit, Valiasr Hospital, Zanjan University of Medical Sciences, Zanjan, Iran
6.Corresponding Author:Associate Professor of Thoracic Surgery, Department of Surgery, School of Medicine, Semnan University of Medical Sciences, , Semnan, Iran
Email: dr.hhemmati@semums.ac.ir Tel: +989128321642
Abstract
Introduction: Surgery is one of the factors that may accelerate and intensify the progression of COVID-19. The present study was conducted with the aim of investigating the survival rate and related factors in patients with COVID19 undergoing a major surgery.
Methods: In this cross-sectional-analytical study, 43 patients with COVID-19 who underwent a major surgery in Kowsar Semnan Hospital were examined in 2021. The data collection tool was a checklist including demographic and clinical variables, which was extracted from the patients' files by referring to the medical records section. Survival of patients after surgery was also checked through telephone calls. The data was entered into Stata 14 software and Chi-squared test was used to check the relationship between variables with 6-month survival.
Results: The mean age (± S.D) of the patients age was 50/86 (± 23/14). . The mean (± standard deviation) age of male and female patients was 47.73 (± 20.89) and 55.65 (± 26.15), respectively.The survival rate 6 months after surgery was significantly lower in patients over 50 years old, who were admitted to the intensive care unit, and were suffering from an underlying disease, high body mass index, the presence of trauma and neurosurgery (P<0/05).
Conclusion: Almost only half of the patients with COVID19 survived 6 months after major surgery, and age over 50, hospitalization in the intensive care unit, underlying disease, high body mass index, and presence of trauma and neurosurgery were the most important factors determining this decrease in survival.
Keywords: COVID19, survival, major surgery
References
1-Giorgi PD, Villa F, Gallazzi E & et al. The management of emergency spinal surgery during the COVID-19 pandemic in Italy: a preliminary report. The Bone & Joint Journal, 2020. 102(6):671-676.
2-Emami A, Javanmardi F, Pirbonyeh N & et al. Prevalence of underlying diseases in hospitalized patients with COVID-19: a systematic review and meta-analysis. Archives of academic emergency medicine, 2020. 8(1): 192-98.
3-Onder G, Rezza G, Brusaferro S. Case-fatality rate and characteristics of patients dying in relation to COVID-19 in Italy. Jama. 2020 May 12;323(18):1775-6.
4-Doglietto F, Vezzoli M, Gheza F & et al. Factors associated with surgical mortality and complications among patients with and without coronavirus disease 2019 (COVID-19) in Italy. JAMA surgery, 2020. 155(8): 91-702.
5-Lei S, Jiang F, Su W& et al. Clinical characteristics and outcomes of patients undergoing surgeries during the incubation period of COVID-19 infection. EClinicalMedicine,2020. 9 (5): 225-32.
6-Aminian A, Safari S, Razeghian-Jahromi & et al. A COVID-19 outbreak and surgical practice: unexpected fatality in perioperative period. Annals of surgery, 2020. 8 (3): 105-112.
7-Asti E, Lovece A, Bonavina L. Bonavina, Gangrenous cholecystitis during hospitalization for SARS-CoV2 infection. Updates in Surgery, 2020. 72(3):917-919.
8-Gao Y, Xi H, Chen L. Emergency surgery in suspected COVID-19 patients with acute abdomen: case series and perspectives. Annals of surgery, 2020. 7(4):382-89.
9-Rodrigues-Pinto R, Sousa R, Oliveira A. Preparing to perform trauma and orthopaedic surgery on patients with COVID-19. The Journal of bone and joint surgery. 2020 Jun 3;102(11):946-50.
10-Cobianchi L, Pugliese L, Peloso A & et al. To a new normal: surgery and COVID-19 during the transition phase. Annals of Surgery. 2020.8 (2): 49-51.
11-Rondelli F, Avenia S, De Rosa M & et al. Efficacy of a transanal drainage tube versus diverting stoma in protecting colorectal anastomosis: a systematic review and meta-analysis. Surgery Today. 2023;53(2):163-73.
12-Sadat SA, Badruddoza M. Importance of Pre-Operative COVID 19 Screening of Asymptomatic Patients Undergoing Maxillofacial Surgery. Journal of Bangladesh College of Physicians & Surgeons. 2020.38 (4): 229-31.
13-Collaborative C, Morton D, Li E. Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection. surgery. 2020.5(7) : 188-196.
14-Nepogodiev, Xi H, Chen L & et al. Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study. The Lancet. 2020. 396(10243): 27-38.
15-Akbari H, Nasiri E, ChehrehGosha M & et al. Comparative Study of Surgical Outcomes in Patients with and without COVID-19 Undergoing Emergency Surgery. J Mazandaran Univ Med Sci .2022. 32 (212) :177-181.
16-Semmelmann A, Baar W, Haude HL & et al. Risk factors for postoperative pulmonary complications leading to increased morbidity and mortality in patients undergoing thoracic surgery for pleural empyema. Journal of Cardiothoracic and Vascular Anesthesia. 2023 Sep 1;37(9): 1659-67.
17-Arentz M, Yim E, Klaff L, & et al.Characteristics and outcomes of 21 critically ill patients with COVID-19 in Washington State. Jama. 2020;323(16):1612-4.
Amir Molaei (M.D) 1, Shahrzad Izadi (M.D) 2, Fatemeh Moghani (M.D) 3, Fatemeh Paknazar (Ph.D.) 4, Kamyar Mansori 5, Hamid Reza Hemmati (M.D) 6
1.Assistant Professor of Plastic & Reconstructive Surgery, Department of Surgery, School of Medicine, Semnan University of Medical Sciences, Semnan, Iran
2.Assistant Professor of Surgery, Department of Surgery, School of Medicine , Semnan University of Medical Sciences, , Semnan, Iran
3.M.D , School of Medicine, Semnan University of Medical Sciences, Semnan, Iran
4.Assistant Professor of Biostatistics, Social Determinants of Health Research Center, Semnan University of Medical Sciences, Semnan, Iran
5.Assistant Professor of Epidemiology, Clinical Research Development Unit, Valiasr Hospital, Zanjan University of Medical Sciences, Zanjan, Iran
6.Corresponding Author:Associate Professor of Thoracic Surgery, Department of Surgery, School of Medicine, Semnan University of Medical Sciences, , Semnan, Iran
Email: dr.hhemmati@semums.ac.ir Tel: +989128321642
Abstract
Introduction: Surgery is one of the factors that may accelerate and intensify the progression of COVID-19. The present study was conducted with the aim of investigating the survival rate and related factors in patients with COVID19 undergoing a major surgery.
Methods: In this cross-sectional-analytical study, 43 patients with COVID-19 who underwent a major surgery in Kowsar Semnan Hospital were examined in 2021. The data collection tool was a checklist including demographic and clinical variables, which was extracted from the patients' files by referring to the medical records section. Survival of patients after surgery was also checked through telephone calls. The data was entered into Stata 14 software and Chi-squared test was used to check the relationship between variables with 6-month survival.
Results: The mean age (± S.D) of the patients age was 50/86 (± 23/14). . The mean (± standard deviation) age of male and female patients was 47.73 (± 20.89) and 55.65 (± 26.15), respectively.The survival rate 6 months after surgery was significantly lower in patients over 50 years old, who were admitted to the intensive care unit, and were suffering from an underlying disease, high body mass index, the presence of trauma and neurosurgery (P<0/05).
Conclusion: Almost only half of the patients with COVID19 survived 6 months after major surgery, and age over 50, hospitalization in the intensive care unit, underlying disease, high body mass index, and presence of trauma and neurosurgery were the most important factors determining this decrease in survival.
Keywords: COVID19, survival, major surgery
References
1-Giorgi PD, Villa F, Gallazzi E & et al. The management of emergency spinal surgery during the COVID-19 pandemic in Italy: a preliminary report. The Bone & Joint Journal, 2020. 102(6):671-676.
2-Emami A, Javanmardi F, Pirbonyeh N & et al. Prevalence of underlying diseases in hospitalized patients with COVID-19: a systematic review and meta-analysis. Archives of academic emergency medicine, 2020. 8(1): 192-98.
3-Onder G, Rezza G, Brusaferro S. Case-fatality rate and characteristics of patients dying in relation to COVID-19 in Italy. Jama. 2020 May 12;323(18):1775-6.
4-Doglietto F, Vezzoli M, Gheza F & et al. Factors associated with surgical mortality and complications among patients with and without coronavirus disease 2019 (COVID-19) in Italy. JAMA surgery, 2020. 155(8): 91-702.
5-Lei S, Jiang F, Su W& et al. Clinical characteristics and outcomes of patients undergoing surgeries during the incubation period of COVID-19 infection. EClinicalMedicine,2020. 9 (5): 225-32.
6-Aminian A, Safari S, Razeghian-Jahromi & et al. A COVID-19 outbreak and surgical practice: unexpected fatality in perioperative period. Annals of surgery, 2020. 8 (3): 105-112.
7-Asti E, Lovece A, Bonavina L. Bonavina, Gangrenous cholecystitis during hospitalization for SARS-CoV2 infection. Updates in Surgery, 2020. 72(3):917-919.
8-Gao Y, Xi H, Chen L. Emergency surgery in suspected COVID-19 patients with acute abdomen: case series and perspectives. Annals of surgery, 2020. 7(4):382-89.
9-Rodrigues-Pinto R, Sousa R, Oliveira A. Preparing to perform trauma and orthopaedic surgery on patients with COVID-19. The Journal of bone and joint surgery. 2020 Jun 3;102(11):946-50.
10-Cobianchi L, Pugliese L, Peloso A & et al. To a new normal: surgery and COVID-19 during the transition phase. Annals of Surgery. 2020.8 (2): 49-51.
11-Rondelli F, Avenia S, De Rosa M & et al. Efficacy of a transanal drainage tube versus diverting stoma in protecting colorectal anastomosis: a systematic review and meta-analysis. Surgery Today. 2023;53(2):163-73.
12-Sadat SA, Badruddoza M. Importance of Pre-Operative COVID 19 Screening of Asymptomatic Patients Undergoing Maxillofacial Surgery. Journal of Bangladesh College of Physicians & Surgeons. 2020.38 (4): 229-31.
13-Collaborative C, Morton D, Li E. Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection. surgery. 2020.5(7) : 188-196.
14-Nepogodiev, Xi H, Chen L & et al. Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study. The Lancet. 2020. 396(10243): 27-38.
15-Akbari H, Nasiri E, ChehrehGosha M & et al. Comparative Study of Surgical Outcomes in Patients with and without COVID-19 Undergoing Emergency Surgery. J Mazandaran Univ Med Sci .2022. 32 (212) :177-181.
16-Semmelmann A, Baar W, Haude HL & et al. Risk factors for postoperative pulmonary complications leading to increased morbidity and mortality in patients undergoing thoracic surgery for pleural empyema. Journal of Cardiothoracic and Vascular Anesthesia. 2023 Sep 1;37(9): 1659-67.
17-Arentz M, Yim E, Klaff L, & et al.Characteristics and outcomes of 21 critically ill patients with COVID-19 in Washington State. Jama. 2020;323(16):1612-4.
Type of Study: Research |
Subject:
medicine
Received: 2024/05/17 | Accepted: 2024/09/18 | Published: 2024/11/18
Received: 2024/05/17 | Accepted: 2024/09/18 | Published: 2024/11/18
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