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Year 2022, Volume: 25 Issue: 2, 122 - 126, 20.08.2022

Abstract

References

  • 1. Dursun R, Mermutluoglu C, Aktar F, Tekin R, Kuyumcu M, Yildiz İ, et al. Which COVID-19 patients die in intensive care unit (icu) in Turkey. Dicle Tıp Derg 2022;49(1),85-91. [Crossref]
  • 2. Boyuk B, Akin S, Aladag N, Isik A, Erman H, Ozgur Y, et al. COVID-19 pneumonia in patients with impaired fasting glucose, newly diagnosed diabetes and pre-existing diabetes: A tertiary center experience. J Investig Med 2022;2:jim-2022-002363. [Crossref]
  • 3. Mohamed Abdel Shafi A, Hewage S, Harky A. The impact of COVID-19 on the provision of cardiac surgical services. J Card Surg 2020;35:1295-7. [Crossref]
  • 4. Ferguson ND, Fan E, Camporota L, Antonelli M, Anzueto A, Beale R, et al. The Berlin definition of ARDS: An expanded rationale, justification, and supplementary material. Intensive Care Med 2012;38:1573-82. [Crossref]
  • 5. Fernández-Pérez ER, Sprung J, Afessa B, Warner DO, Vachon CM, Schroeder DR,et al. Intraoperative ventilator settings and acute lung injury after elective surgery: A nested case control study. Thorax 2009;64:121-7. [Crossref]
  • 6. Bonalumi G, Pilozzi Casado A, Barbone A, Garatti A, Colli A, Giambuzzi I, et al. Prognostic value of SARS-CoV-2 on patients undergoing cardiac surgery. J Card Surg 2021;30. [Crossref]
  • 7. Knisely A, Zhou ZN, Wu J, Huang Y, Holcomb K, Melamed A, et al.Perioperative morbidity and mortality of patients with COVID-19 who undergo urgent and emergent surgical procedures. Ann Surg 2021;273:34-40. [Crossref]
  • 8. Sanders J, Akowuah E, Cooper J, Kirmani BH, Kanani M, Acharya M,et al. Cardiac surgery outcome during the COVID-19 pandemic: A retrospective review of the early experience in nine UK centres. J Cardiothorac Surg 2021;16(1):43. [Crossref]
  • 9. COVIDSurg Collaborative. Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: An international cohort study. Lancet 2020;396:27-38. [Crossref]
  • 10. Rong LQ, Di Franco A, Gaudino M. Acute respiratory distress syndrome after cardiac surgery. J Thorac Dis 2016;8(10):E1177-E1186. [Crossref]
  • 11. Chikwe J, Gaudino M, Hameed I, Robinson NB, Bakaeen FG, Menicanti L, et al. Committee recommendations for resuming cardiac surgery activity in the SARS-CoV-2 era: Guidance from an international cardiac surgery consortium. Ann Thorac Surg 2020;110:725-32. [Crossref]

An Evaluation of the Impact of COVID-19 on Cardiovascular Surgery

Year 2022, Volume: 25 Issue: 2, 122 - 126, 20.08.2022

Abstract

Introduction: We aimed to describe the impact of COVID-19 among the patients who had cardiac surgery, with particular emphasis on pulmonary complications and 30-day mortality.

Patients and Methods: From March 2020 to June 2021, a total of 2267 patients underwent cardiovascular surgery at Koşuyolu High Specialization Training and Research Hospital.. Patients who tested SARSCoV-2-positive by PCR perioperatively (seven days before or 30 days after surgery), despite testing negative at admission, were included. The primary endpoint of the study was 30-day mortality following surgery. The secondary endpoint was the development of pulmonary complications including acute respiratory distress syndrome (ARDS) or respiratory failure, which were defined according to the Berlin definition, and the need for mechanical ventilation for >48 h after the operation or the need for re-intubation after extubation.

Results: Eleven patients out of 2267 (0.48%) had a positive PCR test for COVID-19. In the postoperative period, seven patients were diagnosed with COVID-19 in the clinical wards, of whom three patients were readmitted to the ICU. Nine patients had radiological pulmonary involvement. Five patients (45.5%) developed ARDS within four to seven days after a positive PCR test. Eight patients (72.7%) developed respiratory failure and required re-intubation, of whom two could not be extubated. Five patients (45.5%) died within 30 days, and seven (63.6) died during their hospital stay.

Conclusion: COVID-19 has a severe negative impact on the postoperative course of cardiac surgery patients in terms of cardiovascular outcomes, pulmonary complications, and mortality. Given the dramatic impact of COVID-19 infection on postoperative outcomes, it appears that deferring cardiovascular surgeries may be more suitable if COVID-19 positivity is detected.

References

  • 1. Dursun R, Mermutluoglu C, Aktar F, Tekin R, Kuyumcu M, Yildiz İ, et al. Which COVID-19 patients die in intensive care unit (icu) in Turkey. Dicle Tıp Derg 2022;49(1),85-91. [Crossref]
  • 2. Boyuk B, Akin S, Aladag N, Isik A, Erman H, Ozgur Y, et al. COVID-19 pneumonia in patients with impaired fasting glucose, newly diagnosed diabetes and pre-existing diabetes: A tertiary center experience. J Investig Med 2022;2:jim-2022-002363. [Crossref]
  • 3. Mohamed Abdel Shafi A, Hewage S, Harky A. The impact of COVID-19 on the provision of cardiac surgical services. J Card Surg 2020;35:1295-7. [Crossref]
  • 4. Ferguson ND, Fan E, Camporota L, Antonelli M, Anzueto A, Beale R, et al. The Berlin definition of ARDS: An expanded rationale, justification, and supplementary material. Intensive Care Med 2012;38:1573-82. [Crossref]
  • 5. Fernández-Pérez ER, Sprung J, Afessa B, Warner DO, Vachon CM, Schroeder DR,et al. Intraoperative ventilator settings and acute lung injury after elective surgery: A nested case control study. Thorax 2009;64:121-7. [Crossref]
  • 6. Bonalumi G, Pilozzi Casado A, Barbone A, Garatti A, Colli A, Giambuzzi I, et al. Prognostic value of SARS-CoV-2 on patients undergoing cardiac surgery. J Card Surg 2021;30. [Crossref]
  • 7. Knisely A, Zhou ZN, Wu J, Huang Y, Holcomb K, Melamed A, et al.Perioperative morbidity and mortality of patients with COVID-19 who undergo urgent and emergent surgical procedures. Ann Surg 2021;273:34-40. [Crossref]
  • 8. Sanders J, Akowuah E, Cooper J, Kirmani BH, Kanani M, Acharya M,et al. Cardiac surgery outcome during the COVID-19 pandemic: A retrospective review of the early experience in nine UK centres. J Cardiothorac Surg 2021;16(1):43. [Crossref]
  • 9. COVIDSurg Collaborative. Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: An international cohort study. Lancet 2020;396:27-38. [Crossref]
  • 10. Rong LQ, Di Franco A, Gaudino M. Acute respiratory distress syndrome after cardiac surgery. J Thorac Dis 2016;8(10):E1177-E1186. [Crossref]
  • 11. Chikwe J, Gaudino M, Hameed I, Robinson NB, Bakaeen FG, Menicanti L, et al. Committee recommendations for resuming cardiac surgery activity in the SARS-CoV-2 era: Guidance from an international cardiac surgery consortium. Ann Thorac Surg 2020;110:725-32. [Crossref]
There are 11 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Original Investigations
Authors

Şirin Menekşe This is me 0000-0003-3908-0135

Mehmet Emirhan Işık This is me 0000-0002-0699-8890

Duygu Sağlam This is me 0000-0001-9939-4369

Halide Oğuş This is me 0000-0002-6541-957X

Adile Ece Altınay This is me 0000-0002-8648-1196

Aytaç Polat This is me 0000-0002-0268-1036

Mehmet Kaan Kırali This is me 0000-0003-0044-4691

Publication Date August 20, 2022
Published in Issue Year 2022 Volume: 25 Issue: 2

Cite

Vancouver Menekşe Ş, Işık ME, Sağlam D, Oğuş H, Altınay AE, Polat A, Kırali MK. An Evaluation of the Impact of COVID-19 on Cardiovascular Surgery. Koşuyolu Heart Journal. 2022;25(2):122-6.