Postoperative complications in patients infected with covid-19 (review of literature)
M. V. Timerbulatov,
M. V. Zabelin,
S. V. Timerbulatov,
A. R. Gafarova,
T. R. Nizamutdinov,
V. M. Timerbulatov https://doi.org/10.24884/0042-4625-2021-180-1-118-122
Abstract
The article provides an analysis of the literature on the frequency and nature of postoperative complications in patients infected with a new coronavirus infection – COVID-19. Risk factors for the development of postoperative complications and mortality are considered; the presence of SARS-CoV-2 is a leading risk factor for these complications and mortality, significant risk factors are also patients age ≥70 years, male gender, cancer surgery, severity of the patient’s condition before surgery (3–5 points on the ASA scale), performance emergency operations, a significant amount of surgical interventions. Postoperative complications in patients with COVID-19 develop in 50 %, the mortality rate is 2 times higher compared with patients without coronavirus infection.
About the Authors
M. V. Timerbulatov
Bashkir State Medical University
Russian Federation
Competing Interests:
Russian Federation
Timerbulatov Makhmud V. - Professor, Head of the Department of Faculty Surgery.
3, Lenin str., Ufa, 450008
Competing Interests:
not
M. V. Zabelin
Bashkir State Medical University
Russian Federation
Competing Interests:
Russian Federation
Zabelin Maksim V. - Dr. of Sci. (Med.), Professor of the Department of Hospital Surgery.
Ufa
Competing Interests:
not
S. V. Timerbulatov
Bashkir State Medical University
Russian Federation
Competing Interests:
Russian Federation
Timerbulatov Shamil V. - Dr. of Sci. (Med.), Professor of the Department of Surgery with the course of Endoscopy of the Institute of Additional Professional Education.
Ufa
Competing Interests:
not
A. R. Gafarova
Bashkir State Medical University
Russian Federation
Competing Interests:
Russian Federation
Gafarova Aigul R. - Postgraduate Student of the Department of Surgery with the course of Endoscopy of the Institute of Additional Professional Education.
Ufa
Competing Interests:
not
T. R. Nizamutdinov
Bashkir State Medical University
Russian Federation
Competing Interests:
Russian Federation
Nizamutdinov Timur R. - Postgraduate Student of the Department of Faculty Surgery.
Ufa
Competing Interests:
not
V. M. Timerbulatov
Bashkir State Medical University
Russian Federation
Competing Interests:
Russian Federation
Timerbulatov Vil M. - Corresponding Member of the Russian Academy of Sciences, Head of the Department of Surgery with the course of Endoscopy of the Institute of Additional Professional Education.
Ufa
Competing Interests:
not
References
1. Besnier E., Tuech J. J., Schwarz L. We asked the experts: COVID-19 outbreak: is there still a place for scheduled surgery? Reflection from pathophysiological data // World J Surg. 2020;(44):1695–1698.
2. Huang C., Wang Y., Li X. et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China // Lancet. 2020;(395):497–506.
3. Kirmeier E., Eriksson L., Lewald H. et al. Post anaesthesia pulmonary complications after use of muscle relaxants (POPULAR): a multicentre, prospective observational study // Lancet Respir Med: 2019;(7):129–140.
4. Neto A. S., da Costa L. G. V., Hemmes S. N. T. et al. The LAS VEGAS risk score for prediction of postoperative pulmonary complications: an observational study // Eur J Anaesthesiol. 2018;(35):691–701.
5. Tu R. H., Lin J. X., Li P. et al. Prognostic significance of postoperative pneumonia after curative resection for patients with gastric cancer // Cancer Med. 2017;(6):2757–2765.
6. NELA Project Team. Fourth patient report of the National Emergency Laparotomy Audit. Available at: https://www.hqip.org.uk/wp-content/uploads/2018/11/The-FourthPatient-Report-of-the-National-EmergencyLaparotomy-Audit-October-2018.pdf (accessed: 18.04.2020).
7. Coccolini F., Perrone G., Chiarugi M. et al. Surgery in COVID-19 patients: operational directives // World J Emerg Surg. 2020;(15):25.
8. Global guidance for surgical care during the COVID-19 pandemic // Br J Surg. 2020. Doi: 10.1002/bjs.11646.
9. Tao K. X., Zhang B. X., Zhang P. et al. Recommendations for general surgery clinical practice in novel coronavirus pneumonia situation // Zhonghua Wai Ke Za Zhi. 2020;(58):001.
10. Gote S. V., Revishvili A. S. H., Pushkar D. I. U. et al. Ekstrennaia khirurgicheskaia pomoshch v usloviiakh COVID-19. Moscow, 2020:14. (In Russ.).
11. Rosenbaum L. The untold toll- the pandemic`s effects on patients without COVID-19 // N Engl. J Med. 2020. Doi: 10.1056/NEJMmS2009984.
12. Baum A., Schwartz M. D. Admissions to Veterans Affairs Hospitals for Emergency Conditions During the COVID-19 Pandemic // JAMA. 2020. Doi: 10.1001/jama2020.9972.
13. SHavaleev R. F., Krasilnikov D. M., Mikkullin M. M. et al. Restruktizaciya raboty priemno-diagnosticheskogo otdeleniya mnogoprofilnoj bolnicy dlya okazaniya ekstrennoj hirurgicheskoj pomoshchi v usloviyah pandemii koronavirusnoj infekcii COVID-19. Kazan, 2020:3. (In Russ.).
14. Australian Health Protection Principal Committee. Australian Health Protection Principal Committee (AHPPC) statement on restoration of elective surgery. Available at: https://www.health.gov.au/news/australian-health-protection-principal-committee-ahppc-statement-on-restoration-of-elective-surgery (accessed: 21.05.2020).
15. Royal College of Surgeons of England. Recovery of surgical services during and after COVID-19. 2020. Available at: https://www.rcseng.ac.uk/coronavirus.recovery-of-surgical-services/ (accessed: 21.05.2020).
16. Jessop Z. M., Dobbs T. D., Ali S. R. et al. Personal protective equipment (PPE) for surgeons during COVID-19 pandemic: a systematic review of availability, usage, and rationing // Br. 2020. Doi: 10.1002/bjs.11750.
17. Cheeyandira A. The effects of COVID-19 pandemic on the provision of urgent surgery: a perspective from the USA // J Surg Case Rep. 2020:109.
18. Kandel N., Chungong S., Omaar A., Xing J. Health security capacities in the context of COVID-19 outbreak: an analysis of International Health Regulations annual report data from 182 countries // Lancet 2020;(395):1047–53.
19. Lapolla P., Mingoli A., Lee R. Deaths from COVID-19 in healthcare workers in Italy- what can we learn? // Infect Control Hosp Epidemiol. 2020. Doi: 10.1017/ice.2020.241.
20. Raurel-Torre da M., Martinez-Estalella G., Frade-Mera M. J., Carrasco Rodríguez-Rey L. F., Romero de San Pio E. Reflections arising from the COVID-19 pandemic. Enferm Intensiva 2020;(31):90–93 (in Spanish). The Lancet. COVID-19: protecting health-care workers // Lancet 2020; (395):922.
21. Stahel P. F. Howto risk-stratify elective surgery during the COVID-19 pandemic? // Patient Samsung 2020;(14):8.
22. COVID Surg Collaborative. Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an internationa 55555555552, 01l cohortstudy // Lancet. 2020. Doi: 10.1016/50140-6736(20)31182-X.
23. Myles P. S., Maswime S. Mitigating the risks of surgery during the COVID19 Pandemic // Lancet. 2020. Doi: 10.1016/s0140-6736(20)31256-3.
24. Guan W. J., Na Z. Y., Hu Y. et al. Clinical characteristics of coronavirus disease 2019 in China // N. Engl. Med. 2020;(382):1708–20.
25. Pearse R. M., Moreno R. P., Bauer P. et al. Mortality after surgery in Europe: a 7 day cohort study // Lancet 2012;(380):1059–1065.
26. Lin E. E., Blumberg T. J., Adler A. C., Fazal F. Z., Talur D., Ellingsen K., Shah A. S. Incidence of COVID-19 in Pediatric Surgical Patents Among 3 US Children`s Hospitals // JAMA. 2020. Doi: 10.1001/jamasurg.2020.2588.
27. Wu Z., Mc Googan J. M. Characteristics of and important lessons from the coronavirus disease 2019 (COVID-19) outbreak in China: summary of a report of 72314 cases from the Chinese Center for Disease Control and Prevention // JAMA. 2020. Doi: 10.1001/jama.2020.2648.
28. American College of Surgeons COVID-19: guidance for triage of nonemergent surgical procedures. Available at: https://www. facs.org/covid19/clinical-guidance/triage (accessed: 17.03.2020).
29. NELA Project Team Fifth patient report of the National Emergency Laparotomy Audit. Available at: https://www.nela.org.uk/downloads/EMBARG04620-9020The4620Fitth%20Patient4620Report9620of9620the*20NELA%2020199620-412027-11-19.pdf (accessed: 18.04.2020).
30. GlobalSurg Collaborative Mortality of emergency abdominal surgery in high-, middle- and low-income countries // Br. Surg. 2016;(103): 971–988.
31. Intensive Care National Audit & Research Centre ICNARC report on COVID-19 in critical care. Available at: https://www.icnarc.org/DataServices/Attachments/Download/b5l59585-5870-eal1-9124-00505601089b (accessed: 27.03.2020).
32. Biccard B. M., Madiba T. E., Kluyts H. L. et al. Perioperative patient outcomes in the African Surgical Outcomes Study: a 7-day prospective observational cohort study // Lancet. 2018; (391):1589–1598.
33. Fernandez-Bustamante A., Friend G., Sprung J. et al. Postoperative pulmonary complications, early mortality, and hospital stay following noncardiothoracic surgery: a multicenter study by the perioperative research network investigators // JAMA Surg. 2017;(152):157–166.
Supplementary files
Review
For citations:
Timerbulatov M.V., Zabelin M.V., Timerbulatov S.V., Gafarova A.R., Nizamutdinov T.R., Timerbulatov V.M. Postoperative complications in patients infected with covid-19 (review of literature). Grekov's Bulletin of Surgery. 2021;180(1):118-122. (In Russ.) https://doi.org/10.24884/0042-4625-2021-180-1-118-122
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