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  1. Article ; Online: Low-Molecular Weight Heparin is Superior to Unfractionated Heparin for Elderly Trauma Patients.

    Gaitanidis, Apostolos / Breen, Kerry A / Christensen, Mathias A / Saillant, Noelle N / Kaafarani, Haytham M A / Velmahos, George C / Mendoza, April E

    The Journal of surgical research

    2021  Volume 268, Page(s) 432–439

    Abstract: Background: Several studies have demonstrated that low-molecular weight heparin (LMWH) is superior to unfractionated heparin (UFH) in trauma patients. The superiority of either one has not been established for the elderly. In this study, we compared ... ...

    Abstract Background: Several studies have demonstrated that low-molecular weight heparin (LMWH) is superior to unfractionated heparin (UFH) in trauma patients. The superiority of either one has not been established for the elderly. In this study, we compared LMWH to UFH in elderly trauma patients.
    Methods: A retrospective analysis of the American College of Surgeons' Trauma Quality Improvement Program database was performed for patients aged ≥65 y. Propensity score matching was performed to minimize confounders between the two groups. Outcomes included venous thromboembolic (VTE) and bleeding events.
    Results: Overall, 93,987 patients were identified (mean age 77.1 ± 7.3 y, females 55,035 [58.6%]), of which 67,738 (72.1%) patients received LMWH and 26,249 (27.9%) received UFH. After Propensity score matching, LMWH was associated with a lower incidence of deep venous thrombosis (1.7% versus 2.1%, P = 0.007) and pulmonary embolisms (0.6% versus 1%, P< 0.001). LMWH was also associated with fewer bleeding complications (transfusions: 2.8% versus 3.5%, P< 0.001, procedures: 0.7% versus 0.9%, P = 0.007). Sub-analyses showed that differences in VTE rates were identified in patients with mild injuries (Injury Severity Score [ISS] <16, 0.6% versus 1.9%, P< 0.001). Differences in bleeding complications were identified in patients with injuries of mild (ISS <16, transfusions: 3% versus 3.8%, P< 0.001, surgeries: 0.3% versus 0.4%, P= 0.015) and moderate severity (ISS 16-24, transfusions: 1.9% versus 2.7%, P= 0.038, surgeries: 1% versus 1.7%, P= 0.013).
    Conclusion: LMWH prophylaxis is superior to UFH for VTE prevention among elderly trauma patients. LMWH prophylaxis is associated with fewer bleeding complications compared to UFH in patients with injuries of mild or moderate severity.
    MeSH term(s) Aged ; Aged, 80 and over ; Anticoagulants/adverse effects ; Female ; Heparin/adverse effects ; Heparin, Low-Molecular-Weight/adverse effects ; Humans ; Molecular Weight ; Retrospective Studies ; Venous Thromboembolism/epidemiology ; Venous Thromboembolism/etiology ; Venous Thromboembolism/prevention & control
    Chemical Substances Anticoagulants ; Heparin, Low-Molecular-Weight ; Heparin (9005-49-6)
    Language English
    Publishing date 2021-08-17
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80170-7
    ISSN 1095-8673 ; 0022-4804
    ISSN (online) 1095-8673
    ISSN 0022-4804
    DOI 10.1016/j.jss.2021.06.074
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Systolic Blood Pressure <110 mm Hg as a Threshold of Hypotension in Patients with Isolated Traumatic Brain Injuries.

    Gaitanidis, Apostolos / Breen, Kerry A / Maurer, Lydia R / Saillant, Noelle N / Kaafarani, Haytham M A / Velmahos, George C / Mendoza, April E

    Journal of neurotrauma

    2020  Volume 38, Issue 7, Page(s) 879–885

    Abstract: Hypotension is a known risk factor for poor neurologic outcomes after traumatic brain injury (TBI). Current guidelines suggest that higher systolic blood pressure (SBP) thresholds likely confer a mortality benefit. However, there is no consensus on the ... ...

    Abstract Hypotension is a known risk factor for poor neurologic outcomes after traumatic brain injury (TBI). Current guidelines suggest that higher systolic blood pressure (SBP) thresholds likely confer a mortality benefit. However, there is no consensus on the ideal perfusion pressure among different age groups (i.e., recommended SBP ≥100 mm Hg for patients age 50-69 years; ≥ 110 mm Hg for all other adults). We hypothesize that admission SBP ≥110 mm Hg will be associated with improved outcomes regardless of age group. A retrospective database review of the 2010-2016 Trauma Quality Improvement Program database was performed for adults (≥ 18 years) with isolated moderate-to-severe TBIs (head Abbreviated Injury Scale [AIS] ≥3; all other AIS <3). Sub-analyses were performed after dividing patients by SBP and age; comparison groups were matched with propensity score matching. Primary outcomes were early (6 h, 12 h, and 1 day) and overall in-hospital mortality. Overall, 154,725 patients met the inclusion criteria (mean age 62.8 ± 19.8 years, 89,431 [57.8%] males, Injury Severity Score13.9 ± 6.8). Multi-variate logistic regression showed that the risk of in-hospital mortality decreased with increasing SBP, plateauing at 110 mm Hg. Among patients of all ages, SBP ≥110 mm Hg was associated with improved mortality (SBP 110-129 vs. 90-109 mm Hg: 12 h 0.4% vs. 0.8%,
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Blood Pressure/physiology ; Brain Injuries, Traumatic/diagnosis ; Brain Injuries, Traumatic/mortality ; Brain Injuries, Traumatic/physiopathology ; Databases, Factual/trends ; Female ; Hospital Mortality/trends ; Humans ; Hypotension/diagnosis ; Hypotension/mortality ; Hypotension/physiopathology ; Male ; Middle Aged ; Multivariate Analysis ; Patient Admission/trends ; Retrospective Studies
    Language English
    Publishing date 2020-12-02
    Publishing country United States
    Document type Journal Article ; Multicenter Study
    ZDB-ID 645092-1
    ISSN 1557-9042 ; 0897-7151
    ISSN (online) 1557-9042
    ISSN 0897-7151
    DOI 10.1089/neu.2020.7358
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Intraoperative Deaths: Who, Why, and Can We Prevent Them?

    Dorken Gallastegi, Ander / Mikdad, Sarah / Kapoen, Carolijn / Breen, Kerry A / Naar, Leon / Gaitanidis, Apostolos / El Hechi, Majed / Pian-Smith, May / Cooper, Jeffrey B / Antonelli, Donna M / MacKenzie, Olivia / Del Carmen, Marcela G / Lillemoe, Keith D / Kaafarani, Haytham M A

    The Journal of surgical research

    2022  Volume 274, Page(s) 185–195

    Abstract: Introduction: Intraoperative deaths (IODs) are rare but catastrophic. We systematically analyzed IODs to identify clinical and patient safety patterns.: Methods: IODs in a large academic center between 2015 and 2019 were included. Perioperative ... ...

    Abstract Introduction: Intraoperative deaths (IODs) are rare but catastrophic. We systematically analyzed IODs to identify clinical and patient safety patterns.
    Methods: IODs in a large academic center between 2015 and 2019 were included. Perioperative details were systematically reviewed, focusing on (1) identifying phenotypes of IOD, (2) describing emerging themes immediately preceding cardiac arrest, and (3) suggesting interventions to mitigate IOD in each phenotype.
    Results: Forty-one patients were included. Three IOD phenotypes were identified: trauma (T), nontrauma emergency (NT), and elective (EL) surgery patients, each with 2 sub-phenotypes (e.g., ELm and ELv for elective surgery with medical arrests or vascular injury and bleeding, respectively). In phenotype T, cardiopulmonary resuscitation was initiated before incision in 42%, resuscitative thoracotomy was performed in 33%, and transient return of spontaneous circulation was achieved in 30% of patients. In phenotype NT, ruptured aortic aneurysms accounted for half the cases, and median blood product utilization was 2,694 mL. In phenotype ELm, preoperative evaluation did not include electrocardiogram in 12%, cardiac consultation in 62%, stress test in 87%, and chest x-ray in 37% of patients. In phenotype ELv, 83% had a single peripheral intravenous line, and vascular injury was almost always followed by escalation in monitoring (e.g., central/arterial line), alert to the blood bank, and call for surgical backup.
    Conclusions: We have created a framework for IOD that can help with intraoperative safety and quality analysis. Focusing on interventions that address appropriateness versus futility in care in phenotypes T and NT, and on prevention and mitigation of intraoperative vessel injury (e.g., intraoperative rescue team) or preoperative optimization in phenotype EL may help prevent IODs.
    MeSH term(s) Cardiopulmonary Resuscitation ; Heart Arrest/etiology ; Heart Arrest/prevention & control ; Hemorrhage ; Humans ; Thoracotomy ; Vascular System Injuries
    Language English
    Publishing date 2022-02-15
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80170-7
    ISSN 1095-8673 ; 0022-4804
    ISSN (online) 1095-8673
    ISSN 0022-4804
    DOI 10.1016/j.jss.2022.01.007
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Corrigendum to: Direct Oral Anticoagulants Are a Potential Alternative to Low-Molecular-Weight Heparin for Thromboprophylaxis in Trauma Patients Sustaining Lower Extremity Fractures: [Journal of Surgical Research 258 (2020) 324-331].

    Nederpelt, Charlie J / Breen, Kerry A / El Hechi, Majed W / Krijnen, Pieta / Huisman, Menno V / Schipper, Inger B / Kaafarani, Haytham M A / Rosenthal, Martin G

    The Journal of surgical research

    2021  Volume 263, Page(s) 290

    Language English
    Publishing date 2021-05-27
    Publishing country United States
    Document type Published Erratum
    ZDB-ID 80170-7
    ISSN 1095-8673 ; 0022-4804
    ISSN (online) 1095-8673
    ISSN 0022-4804
    DOI 10.1016/j.jss.2021.03.019
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Abdominal Wall Thickness Predicts Surgical Site Infection in Emergency Colon Operations.

    Narueponjirakul, Natawat / Breen, Kerry A / El Hechi, Majed W / Kongkaewpaisan, Napaporn / Velmahos, George / King, David / Fagenholz, Peter / Saillant, Noelle / Tabrizi, Maryam / Mendoza, April E / Kaafarani, Haytham M A / Rosenthal, Martin G

    The Journal of surgical research

    2021  Volume 267, Page(s) 37–47

    Abstract: Background: Body mass index (BMI) does not reliably predict Surgical site infections (SSI). We hypothesize that abdominal wall thickness (AWT) would serve as a better predictor of SSI for patients undergoing emergency colon operations.: Methods: We ... ...

    Abstract Background: Body mass index (BMI) does not reliably predict Surgical site infections (SSI). We hypothesize that abdominal wall thickness (AWT) would serve as a better predictor of SSI for patients undergoing emergency colon operations.
    Methods: We retrospectively evaluated our Emergency Surgery Database (2007-2018). Emergency colon operations for any indication were included. AWT was measured by pre-operative CT scans at 5 locations. Only superficial and deep SSIs were considered as SSI in the analysis. Univariate then multivariable analyses were used to determine predictors of SSI.
    Results: 236 patients met inclusion criteria. The incidence of post-operative SSI was 25.8% and the median BMI was 25.8kg/m
    Conclusions: AWT is a better predictor of SSI than BMI. Preoperative imaging of AWT may direct intraoperative decisions regarding wound management. Future clinical outcomes research in emergency surgery should include abdominal wall thickness as an important patient variable.
    MeSH term(s) Abdominal Wall/anatomy & histology ; Abdominal Wall/diagnostic imaging ; Abdominal Wall/surgery ; Colon/surgery ; Digestive System Surgical Procedures ; Humans ; Retrospective Studies ; Risk Factors ; Surgical Wound Infection/diagnostic imaging ; Surgical Wound Infection/epidemiology ; Surgical Wound Infection/etiology
    Language English
    Publishing date 2021-06-12
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80170-7
    ISSN 1095-8673 ; 0022-4804
    ISSN (online) 1095-8673
    ISSN 0022-4804
    DOI 10.1016/j.jss.2021.04.038
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Implications of the national Stop the Bleed campaign: The swinging pendulum of prehospital tourniquet application in civilian limb trauma.

    Mikdad, Sarah / Mokhtari, Ava K / Luckhurst, Casey M / Breen, Kerry A / Liu, Betty / Kaafarani, Haytham M A / Velmahos, George / Mendoza, April E / Bloemers, Frank W / Saillant, Noelle

    The journal of trauma and acute care surgery

    2021  Volume 91, Issue 2, Page(s) 352–360

    Abstract: Background: Prehospital tourniquet (PHT) utilization has increased in response to mass casualty events. We aimed to describe the incidence, therapeutic effectiveness, and morbidity associated with tourniquet placement in all patients treated with PHT ... ...

    Abstract Background: Prehospital tourniquet (PHT) utilization has increased in response to mass casualty events. We aimed to describe the incidence, therapeutic effectiveness, and morbidity associated with tourniquet placement in all patients treated with PHT application.
    Methods: A retrospective observational cohort study was performed to evaluate all adults with a PHT who presented at two Level I trauma centers between January 2015 and December 2019. Medically trained abstractors determined if the PHT was clinically indicated (placed for limb amputation, vascular hard signs, injury requiring hemostasis procedure, or significant documented blood loss). Prehospital tourniquets were further designated as appropriately or inappropriately applied (based on PHT anatomic placement location, occurrence of a venous tourniquet, or ischemic time defined as >2 hours). Statistical analyses were performed to generate primary and secondary results.
    Results: A total of 147 patients met study inclusion criteria, of which 70% met the criteria for trauma registry inclusion. Total incidence of PHT utilization increased from 2015 to 2019, with increasing proportions of PHTs placed by nonemergency medical service personnel. Improvised PHTs were frequently used. Prehospital tourniquets were clinically indicated in 51% of patients. Overall, 39 (27%) patients had a PHT that was inappropriately placed, five of which resulted in significant morbidity.
    Conclusion: In summary, prehospital tourniquet application has become widely adopted in the civilian setting, frequently performed by civilian and nonemergency medical service personnel. Of PHTs placed, nearly half had no clear indication for placement and over a quarter of PHTs were misapplied with notable associated morbidity. Results suggest that the topics of clinical indication and appropriate application of tourniquets may be important areas for continued focus in future tourniquet educational programs, as well as future quality assessment efforts.
    Level of evidence: Epidemiological, level III; Therapeutic, level IV.
    MeSH term(s) Adult ; Amputation, Surgical/adverse effects ; Amputation, Surgical/statistics & numerical data ; Emergency Medical Services/standards ; Extremities/blood supply ; Extremities/injuries ; Female ; Hemorrhage/prevention & control ; Hemorrhage/therapy ; Humans ; Male ; Middle Aged ; Registries ; Retrospective Studies ; Tourniquets/adverse effects ; Tourniquets/statistics & numerical data ; Trauma Centers ; Vascular System Injuries/complications ; Young Adult
    Language English
    Publishing date 2021-04-09
    Publishing country United States
    Document type Journal Article ; Observational Study
    ZDB-ID 2651070-4
    ISSN 2163-0763 ; 2163-0755
    ISSN (online) 2163-0763
    ISSN 2163-0755
    DOI 10.1097/TA.0000000000003247
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Direct Oral Anticoagulants Are a Potential Alternative to Low-Molecular-Weight Heparin for Thromboprophylaxis in Trauma Patients Sustaining Lower Extremity Fractures.

    Nederpelt, Charlie J / Breen, Kerry A / El Hechi, Majed W / Krijnen, Pieta / Huisman, Menno V / Schipper, Inger B / Kaafarani, Haytham M A / Rosenthal, Martin G

    The Journal of surgical research

    2020  Volume 258, Page(s) 324–331

    Abstract: Background: Trauma patients are at a significant risk of venous thromboembolism (VTE), with lower extremity fractures (LEF) being independent risk factors. Use of direct oral anticoagusants (DOACs) for VTE prophylaxis is effective in elective orthopedic ...

    Abstract Background: Trauma patients are at a significant risk of venous thromboembolism (VTE), with lower extremity fractures (LEF) being independent risk factors. Use of direct oral anticoagusants (DOACs) for VTE prophylaxis is effective in elective orthopedic surgery, but currently not approved for trauma patients. The primary objective of this study was to compare the effectiveness and safety of thromboprophylaxis of DOACs with low-molecular-weight heparin (LMWH) in trauma patients sustaining LEF.
    Materials and methods: We included adult trauma patients admitted to trauma quality improvement program participating trauma centers (between 2013 and 2016), who sustained LEF and were started on DOACs or LMWH for thromboprophylaxis after admission. Propensity score matching was performed to compare symptomatic VTE and bleeding control interventions between the groups.
    Results: Of 1,009,922 patients in trauma quality improvement program, 167,640 met inclusion criteria (165,009 received LMWH and 2631 received DOACs). After propensity score matching, 2280 predominantly elderly (median age: 67 y) isolated femur fracture patients (median ISS: 10) were included in each group (4560 patients in total). Symptomatic VTE occurred in 1.4% of patients in both matched groups (P = 0.992). Bleeding control interventions occurred less often in the DOAC group, albeit statistically insignificant (5.8% versus 6.0%, P = 0.772).
    Conclusions: This study found similar rates of VTE and bleeding control measures for thromboprophylaxis with DOACs or LMWH in matched trauma patients with LEF. Further prospective research is warranted to consolidate the safety of DOAC thromboprophylaxis in trauma patients with LEF. Favorable oral administration and likely increased adherence could benefit this high-risk population.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Anticoagulants/therapeutic use ; Bones of Lower Extremity/injuries ; Female ; Fractures, Bone/complications ; Heparin, Low-Molecular-Weight/therapeutic use ; Humans ; Male ; Middle Aged ; Retrospective Studies ; Venous Thromboembolism/prevention & control
    Chemical Substances Anticoagulants ; Heparin, Low-Molecular-Weight
    Language English
    Publishing date 2020-11-11
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80170-7
    ISSN 1095-8673 ; 0022-4804
    ISSN (online) 1095-8673
    ISSN 0022-4804
    DOI 10.1016/j.jss.2020.10.009
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Multisystem outcomes and predictors of mortality in critically ill patients with COVID-19: Demographics and disease acuity matter more than comorbidities or treatment modalities.

    Alser, Osaid / Mokhtari, Ava / Naar, Leon / Langeveld, Kimberly / Breen, Kerry A / El Moheb, Mohamad / Kapoen, Carolijn / Gaitanidis, Apostolos / Christensen, Mathias A / Maurer, Lydia R / Mashbari, Hassan / Bankhead-Kendall, Brittany / Parks, Jonathan / Fawley, Jason / Saillant, Noelle / Mendoza, April / Paranjape, Charudutt / Fagenholz, Peter / King, David /
    Lee, Jarone / Farhat, Maha R / Velmahos, George C / Kaafarani, Haytham M A

    The journal of trauma and acute care surgery

    2021  Volume 90, Issue 5, Page(s) 880–890

    Abstract: Background: We sought to describe characteristics, multisystem outcomes, and predictors of mortality of the critically ill COVID-19 patients in the largest hospital in Massachusetts.: Methods: This is a prospective cohort study. All patients admitted ...

    Abstract Background: We sought to describe characteristics, multisystem outcomes, and predictors of mortality of the critically ill COVID-19 patients in the largest hospital in Massachusetts.
    Methods: This is a prospective cohort study. All patients admitted to the intensive care unit (ICU) with reverse-transcriptase-polymerase chain reaction-confirmed severe acute respiratory syndrome coronavirus 2 infection between March 14, 2020, and April 28, 2020, were included; hospital and multisystem outcomes were evaluated. Data were collected from electronic records. Acute respiratory distress syndrome (ARDS) was defined as PaO2/FiO2 ratio of ≤300 during admission and bilateral radiographic pulmonary opacities. Multivariable logistic regression analyses adjusting for available confounders were performed to identify predictors of mortality.
    Results: A total of 235 patients were included. The median (interquartile range [IQR]) Sequential Organ Failure Assessment score was 5 (3-8), and the median (IQR) PaO2/FiO2 was 208 (146-300) with 86.4% of patients meeting criteria for ARDS. The median (IQR) follow-up was 92 (86-99) days, and the median ICU length of stay was 16 (8-25) days; 62.1% of patients were proned, 49.8% required neuromuscular blockade, and 3.4% required extracorporeal membrane oxygenation. The most common complications were shock (88.9%), acute kidney injury (AKI) (69.8%), secondary bacterial pneumonia (70.6%), and pressure ulcers (51.1%). As of July 8, 2020, 175 patients (74.5%) were discharged alive (61.7% to skilled nursing or rehabilitation facility), 58 (24.7%) died in the hospital, and only 2 patients were still hospitalized, but out of the ICU. Age (odds ratio [OR], 1.08; 95% confidence interval [CI], 1.04-1.12), higher median Sequential Organ Failure Assessment score at ICU admission (OR, 1.24; 95% CI, 1.06-1.43), elevated creatine kinase of ≥1,000 U/L at hospital admission (OR, 6.64; 95% CI, 1.51-29.17), and severe ARDS (OR, 5.24; 95% CI, 1.18-23.29) independently predicted hospital mortality.Comorbidities, steroids, and hydroxychloroquine treatment did not predict mortality.
    Conclusion: We present here the outcomes of critically ill patients with COVID-19. Age, acuity of disease, and severe ARDS predicted mortality rather than comorbidities.
    Level of evidence: Prognostic, level III.
    MeSH term(s) Acute Kidney Injury/virology ; Adult ; Age Factors ; Aged ; Aged, 80 and over ; Antimalarials/therapeutic use ; Boston/epidemiology ; COVID-19/complications ; COVID-19/mortality ; COVID-19/physiopathology ; COVID-19/therapy ; Comorbidity ; Creatine Kinase/blood ; Critical Care ; Critical Illness ; Extracorporeal Membrane Oxygenation ; Female ; Gastrointestinal Diseases/virology ; Hospital Mortality ; Humans ; Hydroxychloroquine/therapeutic use ; Length of Stay ; Male ; Middle Aged ; Neuromuscular Blockade ; Organ Dysfunction Scores ; Patient Acuity ; Pneumonia, Bacterial/virology ; Pressure Ulcer/etiology ; Prone Position ; Prospective Studies ; Respiratory Distress Syndrome/physiopathology ; Respiratory Distress Syndrome/virology ; Risk Factors ; SARS-CoV-2 ; Shock/virology ; Steroids/therapeutic use ; Survival Rate ; Thromboembolism/virology ; Treatment Outcome
    Chemical Substances Antimalarials ; Steroids ; Hydroxychloroquine (4QWG6N8QKH) ; Creatine Kinase (EC 2.7.3.2)
    Language English
    Publishing date 2021-04-18
    Publishing country United States
    Document type Journal Article ; Observational Study
    ZDB-ID 2651070-4
    ISSN 2163-0763 ; 2163-0755
    ISSN (online) 2163-0763
    ISSN 2163-0755
    DOI 10.1097/TA.0000000000003085
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Multi-Organ System Outcomes and Predictors of Mortality in Critically Ill Patients with COVID-19

    Alser, Osaid / Mokhtari, Ava / Naar, Leon / Breen, Kerry A. / El Moheb, Mohamad / Kapoen, Carolijn / Gaitanidis, Apostolos / Christensen, Mathias A. / Maurer, Lydia R. / Mashbari, Hassan / Bankhead-Kendall, Brittany / Parks, Jonathan / Fawley, Jason / Saillant, Noelle / Mendoza, April / Paranjape, Charudutt / Fagenholz, Peter / King, David / Lee, Jarone /
    Farhat, Maha R. / Velmahos, George / Kaafarani, Haytham

    SSRN Electronic Journal ; ISSN 1556-5068

    2020  

    Keywords covid19
    Language English
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    DOI 10.2139/ssrn.3622410
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  10. Article ; Online: Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection

    Nepogodiev, Dmitri / Glasbey, James C / Li, Elizabeth / Omar, Omar M / Simoes, Joana FF / Abbott, Tom EF / Alser, Osaid / Arnaud, Alexis P / Bankhead-Kendall, Brittany K / Breen, Kerry A / Cunha, Miguel F / Davidson, Giana H / Di Saverio, Salomone / Gallo, Gaetano / Griffiths, Ewen A / Gujjuri, Rohan R / Hutchinson, Peter J / Kaafarani, Haytham MA / Lederhuber, Hans /
    Löffler, Markus W / Mashbari, Hassan N / Minaya-Bravo, Ana / Morton, Dion G / Moszkowicz, David / Pata, Francesco / Tsoulfas, George / Venn, Mary L / Bhangu, Aneel / Cox, Daniel / Roslani, April C / Alakaloko, Felix / de Vries, Jean-Paul PM / Aaraj, Mahmoud A / Abbott, Sarah J / Abdalla, Mutwakil OM / Abdelaal, Ahmed S / Ademuyiwa, Adesoji O / Aherne, Thomas M / Ali, Osman M / Alkadeeki, Ghadah Z / Almeida, Ana C / Alrahawy, Mahmoud M / Ambler, Graeme K / Alameer, Ehab / Andreani, Stefano M / De Andrés-Asenjo, Beatriz / Antonanzas, Leyre Lopez / Aoun, Salah G / Ashoush, Fouad M / Augestad, Knut Magne / Avellana, Rocio B / Ayeni, Funbi A / Ayorinde, John OO / Babu, Bheemanakone H / Baig, Mirza MAS / Bajomo, Oreoluwa M / Baker, Olivia J / Baker, Markus P / Baldwin, Alexander J / Ban, Vin Shen / Baron, Ryan D / Barranquero, Alberto G / Barry, Conor P / DI Bartolomeo, Alessandro / Bass, Gary A / Bath, Michael F / Batjer, H Hunt / Beamish, Andrew J / Belgaumkar, Ajay P / Bence, Matthew N / Benson, Ruth A / Bernal-Sprekelsen, Juan Carlos / Bhama, Anuradha R / Bhavaraju, Avi V / Biffl, Walter L / Blundell, Chris M / Boddy, Alexander P / Borgstein, Alexander BJ / Bosanquet, David C / Bosch, Karen D / Bouhuwaish, Ahmad EM / Bozkurt, Mehmet A / Brathwaite, Collin EM / Brown, Benjamin C / Brown, Oliver D / Brown, Allison K / Buarque, Igor Lima / Bueno-Cañones, Alejandro D / Bulugma, Mustafa R / Burke, Joshua R / Byrne, Matthew HV / Cagigal-Ortega, Elima P / Callcut, Rachael A / DI Candido, Francesca / Canova, Michaela E / Carlos, William J / Caruana, Edward J / Cato, Liam D / Catton, Andrew B / Ceretti, Andrea Pisani / Chase, Thomas JG / Chiara, Francesco Di / Chowdhury, Abeed H / Chung, Eric A / Cicerchia, Pierfranco M / Clough, Ethan CS / Coleman, Natasha L / Collins, Chris G / Collins, Michelle L / Colonna, Emily T / Comini, Lara V / Connolly, Tara M / Coughlin, Patrick A / Cruzado, Laura Fernández-Gomez / Davidson, Brian R / Davies, Richard J / Davies, Emma J / Davis, Niall F / Dawson, Brett E / Dean, Benjamin JF / Delgado, Maria Garcia-Conde / Diaz, Jose J / Dickson, Kathryn E / Diez-Alonso, Manuel M / Dixon, Jan R / Doe, Matthew J / Drake, Thomas D / Drake, Frederick T / Duffy, John P / Dunne, Declan FJ / Dunne, Naomi JM / Durán-Muñoz-Cruzado, Virginia M / Durst, Alexander ZE / Eardley, Nicola J / Edwards, John G / Elfallal, Ahmed H / Elfiky, Mahmoud MA / Elliott, Jessie A / Emile, Sameh H / Emslie, Katy M / Endorf, Frederick W / Engel, Jamie L / Enjuto, Diego T / Etchill, Eric W / Evans, Jonathan P / Fahey, Brian A / Faria, Carlos S / Feo, Carlo V / Ferguson, Henry JM / Fernandez, Beatriz Dieguez / Fernandez, Andres Garcia / Fernández, Antonio J / Fernández-Pacheco, Borja Camacho / Fitzgerald, J Edward / Fonsi, Giovanni B / Font, Roser Farré / Fowler, Amy L / Franco, Gregorio Di / Fretwell, Kenneth R / Fructuoso, Lorena Sanchon / Fusai, Giuseppe K / Garcia, Miguel Hernandez / Garcia-Ureña, Miguel Angel / Gill, Charn K / Gisbertz, Suzanne S / Del Giudice, Roberto / Giuffrida, Maria Carmela / Di Giuseppe, Matteo / Gómez, María Fanjul / González, Javier Serrano / Guariglia, Claudio A / Hainsworth, Alison J / Hall, Bria J / Hall, James RW / Hammond, John S / Haqqani, Maha H / Harrison, Ewen M / Hazelton, Joshua P / van Heinsbergen, Maarten / Hill, Arnold DK / Hing, Caroline B / Hirji, Sameer A / Ho, Michael WS / Holbrook, Charlotte M / Holme, Thomas J / Hopkins, James C / Hopkinson, David N / Hossain, Fahad S / Hudson, Victoria E / Hughes, Jane L / Hwang, E. Shelley / Ibrahim, Mohamed AH / Isolani, Simone M / Jara, Pablo Galindo / Jenkinson, Michael D / Jenny, Hillary E / Jeyaretna, Deva S / Jones, Robert P / Jones, Andrew P / Jonker, Pascal KC / Jönsson, Maria L / Joyce, Doireann P / Kalkwarf, Kyle J / Kamarajah, Sivesh K / El Kassas, Mohamed / Kavanagh, Dara O / Keatley, James M / Khalefa, Mohamed A / Khan, Jim S / Kirmani, Bilal H / Kisiel, Aaron P / Kouris, Spyros Marinos / Kowal, Mikolaj R / Labib, Peter L / Larkin, John O / Lauscher, Johannes C / Leclercq, Wouter KG / Ledesma, Frances SJ / Leite-Moreira, André M / Leung, Elaine YL / Lewis, Sophia E / Lima, Maria João / Lin, Daniel J / Liu, Helen H / Lowery, Aoife J / Lozano, Saida Martel / Luney, Catriona R / Maia, Mariana Magalhães / Mariani, Nicolò M / Marino, Marco V / Marra, Angelo A / Marsh, Christopher L / Martin, Robert CG / McCluney, Simon J / McIntyre, Robert C / Mckay, Siobhan C / McKevitt, Kevin L / Meagher, Ashley D / Mehdi, Mohammad Q / Mehigan, Brian J / Gonzalez-De Miguel, Melania / De Miguel-Ardevines, Maria-Carmen / Miguel-Mendez, Carlos San / Mills, Sarah J / Mohan, Helen M / Moir, John AG / Monson, John RT / Monteiro, Joana M / Montella, Maria T / Montesinos, Cristina Soto / Morgom, Marwa M / Moura, Francisco S / Muguerza, Jose M / Murphy, Suzanne H / De Nardi, Paola / Naumann, David N / Neary, Paul C / Neely, David TA / Ng-Kamstra, Joshua S / Ngu, Albert WT / Nguyen, Truong A / Nita, George E / Nunes, Quentin M / Nygaard, Rachel M / O'Meara, Lindsay B / O'Neill, John R / Okafor, Barbara U / Olson, Steven A / Oo, Aung Y / Ormazabal, Pablo Collera / Osorio, Alexander L / Pachl, Max J / Parry, James T / Patel, Panna K / Pérez, David Díaz / Pérez, Carolina Martínez / Pérez-Sánchez, Luis E / Pevidal, Ana Nogues / Pezzuto, Anna P / Philp, Matthew M / Pinkney, Thomas D / Pollok, Joerg M / Povey, Meical G / Poza, Alfredo Alonso / Rajgor, Amarkumar D / Rao, Jagan N / Raptis, Dimitri A / Rice, Henry E / Ridgway, Paul F / Rivas, Ana Munoz / Rodriguez-Sanjuan, Juan C / Rogers, Luke J / Da Roit, Anna / Rollett, Rebecca A / Romera, Jose L / Rooney, Siobhan M / Roxo, Vanessa I / Le Roy, Bertrand / Rubio, Eduardo E / Ruiz, Carolina Castro / Ruiz, Manuel Losada / Ryan, Éanna J / Saad, Abdel Rahman / Saeed, Samerah A / Salama, Hiba A / Salamah, Abdulrauf A / Samaniego, María Gutiérrez / Sampietro, Gianluca M / Sarma, Diwakar R / Schaffer, Kathryn B / Schnitzbauer, Andreas A / Scurrah, Rachel J / Serevina, Olivia L / Serralheiro, Pedro A / Sewards, Joseph M / Shackcloth, Michael J / Shaw, Abigail V / Sheel, Andrea RG / Sica, Giuseppe S / De Simone, Veronica / Singh, Aminder A / Singh, Rabindra P / Skelly, Brendan L / Smith, Henry G / Sohail, Amir H / Spalding, Duncan R / Springford, Laurie R / Ssentongo, Anna E / Steinkamp, Pieter J / Stevens, Kent A / Stewart, Grant D / Stylianides, Nicholas A / Sullivan, Tom BB / Taher, Ahmed SA / Tamimy, Muhammad S / Tang, Alethea M / Tebala, Giovanni D / Tejero-Pintor, Francisco J / Thaha, Mohamed A / Thomas, Amy J / De Toma, Giorgio / La Torre, Filippo / Torres, Antonio J / Townshend, David N / Trout, Isobel M / Tucker, Sarah C / Ubhi, Harmony K / Vega, Viviana A / Velmahos, George C / Velopulos, Catherine G / Viswanath, Yirupaiahgari KS / Vivas, Alfredo A / Wade, Ryckie G / Wadley, Martin S / Wall, Joshua JS / Walters, Andrew M / Warren, Oliver J / Weerasinghe, Chamindri K / Wilkin, Richard JW / Williams, Katherine J / Winter, Stuart C / Wormald, Justin CR / Wright, Franklin L / Xyda, Souzana E / Young, Alastair L / Youssef, Mina MG / Yousuf, Farhat B / El Youzouri, Hanan / Zappa, Marco A / Abate, Emmanuele / Abdalaziz, Hossam / Abdelkarim, Mostafa / Abdou, Hossam / Aboelkassem-Ibrahim, Ahmad / Abuown, Ala / Acebes-Garcia, Fernando / Acharya, Metesh / Adamina, Michel / Addae-Boateng, Emmanuel / Aftab, Raiyyan / Agarwal, Arnav / Aguilar, José / Ahmed, Yousra / Aitken, Emma / Al-Azzawi, Marwa / Al-Embideen, Somya / Al-Masri, Mahmoud / Al-Najjar, Hani / Al-Sukaini, Ahmad / Alam, Ruhina / Alderson, Derek / Aliyeva, Zumrud / Aljanadi, Firas / Almasri, Murad / Alonso-Ortuño, Paula / Altintoprak, Fatih / Amira, Gamal / Amjad, Rabbia / Anania, Gabriele / Andabaka, Tatjana / Angelou, Dimitrios / Annamalai, Seethalakshmi / Annessi, Valerio / Anthoney, James / Anwar, Sibtain / Anwer, Mariyah / Aragon-Chamizo, Juan / Ardito, Antonella / Arigoni, Michele / Armao, Teodora / Arminio, Armando / Armstrong, Lara / Arnaud, Alexis / Asaad, Peter / Ashcroft, James / Ashmore, Christopher / Asqalan, Ahmad / Asti, Emanuele / Aubry, Emmanuelle / Aytac, Erman / Ayuso-Herrera, Esther / Baeza, Melody / Bailon-Cuadrado, Martin / Bakmaz, Bernarda / Baldi, Caterina / Baldini, Edoardo / Baldo, Stefano / Ballabio, Michele / Baloyiannis, Ioannis / Baltazar, Gerard / Bàmbina, Fabrizio / Bandiera, Alessandro / Barlow, Emma / Barmasse, Roberto / Barmpagianni, Christina / Baronio, Gianluca / Barra, Fabio / Bartsch, Anne-Marie / Basgaran, Amedra / Basha, Amr / Bashkirova, Varvara / Bastazza, Marco / Baumber, Rachel / Belcher, Elizabeth / Belvedere, Angela / Benítez-Linero, Inmaculada / Bergeat, Damien / Bernasconi, Matteo / Bhalla, Ashish / Bhutiani, Neal / Bianco, Federica / Bisagni, Pietro / Blake, Iain / Blanco-Colino, Ruth / Blazquez-Martin, Alma / Boal, Matthew / Bonavina, Luigi / Bonavina, Giulia / Bond-Smith, Giles / Booth, Karen / Borges, Filipe / Borghi, Felice / Bouchagier, Konstantinos / Bourke, Grainne / Boyle, Emily / Brachini, Gioia / Brain, Jessie / Brar, Amanpreet / Breckles, Lisa / Bretagnol, Frédéric / Brixton, Genevieve / Bruzzaniti, Placido / Bueser, Teofila / Burnside, Nathan / Caballero, Albert / Calcerrada-Alises, Enrique / Callahan, Miriam / Camarero, Enrique / Campagnaro, Tommaso / Campanelli, Michela / Candiani, Massimo / Cannoletta, Marina / Cantalejo-Diaz, Miguel / Cao, Han / Capelli, Patrizio / Capizzi, Vita / Carcano, Giulio / Carissimi, Francesca / Carlini, Massimo / Carlucci, Michele / Carmichael, Heather / Carrasco, Milagros / Carrillo, Mariana / Carvello, Michele / Casati, Massimiliano / Castoro, Carlo / Catalan, Vanesa / Cavaleiro, Salomé / Cellerino, Paola / Centinaio, Giovanna / Cernei, Cristina / Cerro, Cristina / Cervellera, Maurizio / Chakrabortee, Sohini / Chamberlain, Stephanie / Chan, Jeffrey / Chang, Grace / Chaudhry, Dauod / Chebaro, Alexandre / Chen, David / Chetty, Govind / Chia, Zoe / Chiappini, Ambra / Chiarugi, Massimo / Chidambaram, Swathikan / Chiozza, Matteo / Cholewa, Hanna / Chong, Clara / Choolani-Bhojwani, Ekta / Christoforidis, Dimitri / Chui, Karen / Chung, Choyin / Cirillo, Bruno / Citterio, Davide / Clermidi, Pauline / Coccolini, Federico / Colletti, Gaia / Compagnoni, Bruno / Concepción-Martín, Vanesa / Confalonieri, Marco / Connolly, Hannah / Conso, Christel / Conti, Luigi / Cooper, Zara / Corbellin, Carlo / Cordera, Fernando / Corral, Javier / Costa, Marta / Costanzi, Andrea / Cotsoglou, Christian / Cozza, Valerio / Cuming, Tamzin / Curtis, Miles / Cuschieri, Joseph / D'Agruma, Michele / D'Andrea, Giancarlo / Daliya, Prita / Dare, Oliver / Darko, Ebenezer / Day, Andrew / Dehal, Ahmed / Dehart, Dustin / Delgado-Oliver, Eduardo / Denning, Max / Desai, Anant / Desender, Liesbeth / Dester, Sara / Díaz-García, Alberto / Diaz-Peña, Patricia / Dousset, Bertrand / Doussot, Alexandre / Duchateau, Nicolas / Duff, Sarah / Dunning, Joel / Duque-Mallen, Victoria / Dziakova, Jana / Egan, Bridget / Egan, Richard / El-Ali, Abess / Elfeki, Hossam / Elhadi, Muhammed / Eljareh, Mohammed / Elkadi, Hannah / Elkady, Ramy / Elkhafeefi, Fatimah / Elmore, Ugo / Elmoslemany, Tarek / Emmerson, Oliver / Enemosah, Ibrahim / English, Camilla / English, William / Ereidge, Simon / Escartin, Jorge / Estaire-Gomez, Mercedes / Evans, Luke / Evans, Jessica / Exley, Rebecca / Fabbri, Nicoló / Falco, Giuseppe / Familiari, Pietro / Fancellu, Alessandro / Farik, Shebani / Farrell, Tony / Fehervari, Matyas / Fell, Adam / Fernandez-Camuñas, Angel / Fernández-Marín, Reyes / Fernández-Martínez, María / Ferrara, Francesco / Ferrari, Guglielmo / Ferrero, Simone / Findlay, Laura / Fiore, Marco / Fiori, Enrico / Flatman, Michael / Flindall, Ian / Flor, Blas / Fontana, Tommaso / Ford, Samuel / Ford, David / Forlani, Stefano / Francone, Elisa / Frattaruolo, Colomba / Frio, Federico / Gagliano, Annalisa / Gagliardi, Filippo / Gahunia, Sukhpreet / Gaino, Francesca / Gala, Tanzeela / Galfrascoli, Elisa / Galimberti, Luca / Gallagher, Phoebe / Galleano, Raffaele / Galván-Pérez, Armando / Gammeri, Emanuele / Ganau, Mario / Garcés-García, Raúl / Garulli, Gianluca / Gascon-Ferrer, Isabel / Gattolin, Andrea / Gaujoux, Sebastien / Gentilli, Sergio / Georgiades, Fanourios / Ghanbari, Amir / Ghosh, Dhruv / Giacometti, Marco / Giblin, Anna-Victoria / Gilbert, Catherine / Giménez, Clara / Giorgakis, Emmanouil / Gipponi, Manuel / Glen, Paul / Goatly, Giles / Gobatti, Davide / Godbole, Chintamani / Gohil, Kajal / Gómez, Marcos / Gomez-Rosado, Juan-Carlos / Gonullu, Emre / Gonzalez-Gonzalez, Enrique / Gordini, Luca / Gracia, Isabel / Gracia-Roche, Carlos / Granieri, Stefano / Green, Susanna / Grivon, Manuela / Grove, Thomas / Guaglio, Marcello / Guaitoli, Eleonora / Guglielmi, Alfredo / Guha, Soumya / Gustavino, Claudio / Habeeb, Amir / Hagger, Robert / Hakmi, Hazim / Halkias, Constantine / Hall, Claire / Hampton, Matthew / Handa, Siddhartha / Hansen, Laura / Haq, Iram / Harky, Amer / Harries, Rhiannon / Harrison, Joseph / Hasan, Raashad / Hawari, Mohammad / Hawkin, Paul / Hebblethwaite, Bethany / Henriques, Susana / Heritage, Emily / Hernandez-Juara, Pilar / Herrero-Lopez, Maria / Hervieux, Erik / Heyd, Bruno / Higgs, Simon / Hitchman, Louise / Ho, Beatrice / Hogan, Aisling / Hölzle, Frank / Hossain, Tanvir / Houston, Roy / Hurt, Libor / Hutchinson, Peter / Iacob, Giulio / Iannone, Immacolata / Ibrahim, Sherif / Iovino, Domenico / Isik, Arda / Jafarova, Sevda / Jamil, Tahir / Jayaraju, Ullas / Jenner, Edward / Jimenez-Higuera, Elisa / Jimeno, Jaime / Johnstone, Jack / Jones, Mark / Judkins, Nicholas / Kalavrezos, Nicholas / Kalidindi, Venugopala / Kalkat, Maninder / Kamal, Mona / Kamphues, Carsten / Kang, Chong / Kara, Yasin / Karam, Edward / Karim, Ahmed / Kashora, Florence / Kearney, David / Khajuria, Apoorva / Khan, Umul / Khan, Azam / Khatri, Chetan / Kinnaman, Gabriel / Kinross, James / Kler, Aaron / Klimopoulos, Serafeim / Kocataş, Ali / Kolias, Angelos / Königsrainer, Alfred / Konsten, Joop / Kontovounisios, Christos / Kourdouli, Amar / Krishnan, Emily / Kristinsson, Sverrir / Kruijff, Schelto / Kudsk-Iversen, Søren / Kufeji, Dorothy / Kugler, Nadav / Kulkarni, Rugved / Kurihara, Hayato / Laface, Letizia / Lakkis, Zaher / Lami, Mariam / Landaluce-Olavarria, Aitor / Lapolla, Pierfrancesco / Lawani, Ismail / Lawday, Samuel / Lázaro, André / Lecolle, Katia / Leventoglu, Sezai / Li, Zoe / Liew, Ignatius / Lisi, Giorgio / Lizzi, Vincenzo / Lo, Terence / Lomiento, Daniele / Longhi, Marco / Lostis, Emilie / Lostoridis, Eftychios / Loubani, Mahmoud / Lowy-Benoliel, Alejandro / Lucianetti, Alessandro / Luke, Louis / Lunevicius, Raimundas / Luraghi, Marco / Lye, George / Mabrouk, Islam / Macchi, Alberto / MacDonald, Luisa / Machairas, Nikolaos / Madonini, Marco / Magowan, Drew / Maisonneuve, Emeline / Majkowska, Agata / Majkowski, Lawrence / Mak, Jason / Malabarba, Stefano / Malerba, Michele / Mannan, Syed / Manson, Joanna / Mansuri, Ahmer / Mantoglu, Baris / Manu, Nichola / Maqsood, Afnan / Marano, Alessandra / Marchbank, Adrian / Marcos-Santos, Pablo / Marrano, Enrico / Martin, Janet / Martin, Emmeline / Martin, Guy / Martin-Albo, Lorena / Martín-Román, Lorena / Martinelli, Fabio / Martínez-dePaz, Fernando / Martinez-German, Antonio / Martinez-Pinedo, Carlos / Martins, Ricardo / Marwan, Hisham / Marzi, Federica / Mateos-Sierra, Olga / Mathieu, Pierre / Matute-Najarro, Maria-Soledad / Maw, Andrew / Mazingi, Dennis / Mazzaferro, Vincenzo / McCanny, Andrew / McKenzie, Katherine / McLarty, Nicola / McPherson, Iain / Medina, Esther / Mediratta, Saniya / Medone, Marzia / Mehra, Gautam / Mele, Simone / Melero-Cortés, Lidia / Mendoza-Moreno, Fernando / Meneghini, Simona / Mercante, Giuseppe / Merdrignac, Aude / Merola, Stephen / Metallidis, Symeon / Michel, Martin / Migliore, Marco / Mihanovic, Jakov / Miller, Douglas / Mingoli, Andrea / Minto, Gary / Mirabella, Antonello / Misra, Nikhil / Mitrasinovic, Stefan / Miu, Victor / Moawad, Nader / Mochet, Sylvie / Modabber, Ali / Mohammad, Adam / Mohan, Midhun / Moliner-Sánchez, Carmen / Mongelli, Francesco / Monteleone, Michela / Montuori, Mauro / Moore, Rachel / Mora-Guzmán, Ismael / Morales, Xavier / Morales, Dieter / Morelli, Luca / Morelli, Lucia / Morgan, Richard / Morris, Chris / Mortini, Pietro / Mosca, Angelo / Motter, Dema / Moug, Susan / Mukherjee, Samrat / Najdy, Manhal / Nakas, Apostolos / Namazov, Ilgar / Naredla, Pradyumna / Nasef, Emmhamed / Nassa, Heeam / Nath, Rahul / Navarro-Sánchez, Antonio / Nazarian, Scarlet / Negri, Giampiero / Nehra, Deepika / Neil-Dwyer, Jason / Neri, Jacopo / Newton, Katy / Nikaj, Herald / Niquen, Milagros / Nobile, Sara / Nogueiro, Jorge / Ntirenganya, Faustin / Nugent, Michael / Núñez, Jordi / Ocaña, Juan / Okechukwu, Valentine / Oliva-Mompean, Fernando / Oliveira, Ana / Ollat, Didier / Onos, Lavinia / Osagie-Clouard, Liza / Osman, Khabab / Ottolina, Jessica / Ourieff, Jared / Outani, Oumaima / Oyewole, Bankole / Ozben, Volkan / Pacheco-Sanchez, David / Padilla-Valverde, David / Pai, Madhava / Paiella, Salvatore / Paisley, Samuel / Palini, Gianmarco / Palmeri, Matteo / Panahi, Pedram / Parente, Alessandro / Parlanti, Daniele / Parmar, Chetan / Pascual, Angela / Patel, Mahul / Pathak, Abhijit / Patil, Sangram / Pattyn, Piet / Peckham-Cooper, Adam / Pedrazzani, Corrado / Pellino, Gianluca / Peluso, Chiara / Pereira, André / Pereira-Neves, António / Perez-Diaz, Md / Pérez-González, Marta / Pérez-Saborido, Baltasar / Perivoliotis, Konstantinos / Perkins, Clare / Peros, Georgios / Perotto, Ornella / Perra, Teresa / Petrone, Patrizio / Phenix, George / Picazo, Sara / Picon-Rodriguez, Rafael / Piloni, Martina / Pingarrón-Martín, Lorena / Pinotti, Enrico / Pisanu, Adolfo / Pizzini, Paolo / Pockney, Peter / Podda, Mauro / Podolsky, Dina / Poggioli, Gilberto / Pompili, Cecilia / Pontari, Michael / Porcu, Alberto / Potter, Ryan / Price, Claire / Pruvot, François-René / Pujol-Muncunill, Roger / Puppo, Andrea / Quante, Markus / Quintana-Villamandos, Begoña / Qureshi, Ali / Radenkovic, Dejan / Rakvin, Ivan / Ramallo-Solís, Irene / Ramcharan, Sean / Ramos, Diego / Ramos-Bonilla, Antonio / Ramzi, Joussi / Rathinam, Sridhar / Rausa, Emanuele / Ravaioli, Matteo / Ravindran, Sharanya / Raymond, Thomas / Razik, Aisha / Redfern, Jennifer / Reguera-Rosal, Julio / Rela, Mariam / Rey-Biel, Juan / Rey-Valcarcel, Cristina / Ribolla, Marta / Richards, Tomos / Richmond, Michael / Righini, Erminio / Rio-Gomez, Javier / Riyat, Harjoat / Rizvi, Sana / Roberts, Keith / Roberts, Matthew / Robertson, Stuart / Robertson, Ronald / Robin-Valle, Alvaro / Rochon, Melissa / Rojo, Mikel / Rolli, Luigi / Romano, Silvio / Ross, Elizabeth / Ross, Howard / Rossborough, Catherine / Rottoli, Matteo / Ruiz, Miguel / Ruiz-Grande, Fernando / Ruiz-Martin, Irene / Ruiz-Soriano, María / Ruzzenente, Andrea / Ryska, Ondrej / Saez, Carlos / Sagnotta, Andrea / Sahnan, Kapil / Sahni, Arun / Salim, Ali / Sallam, Ibrahim / Salvia, Roberto / Samadov, Elgun / Sammarco, Giuseppe / Sampaio-Alves, Mafalda / Sánchez-Arteaga, Alejandro / Sanchez-Fuentes, Maria-Nieves / Sanchez-Pelaez, Daniel / Sanchez-Perez, Coral / Sanchez-Rubio, Maria / Sancho-Muriel, Jorge / Sanders, Julie / Santero-Ramirez, Maria-Pilar / Santora, Thomas / Santoro, Antonio / Santos, Irene / Santos-Sousa, Hugo / Sapienza, Paolo / Sartarelli, Lodovico / Sarveswaran, Janahan / Sasia, Diego / Saudemont, Alain / Saudi-Moro, Sef / Saxena, Shobhit / Saxena, Dolly / Sayasneh, Ahmad / Scalabre, Aurelien / Schache, Andrew / Schiavina, Riccardo / Schineis, Christian / Schreckenbach, Teresa / Scorza, Antonella / Scott, Lucy / Seegert, Sara / Seguin-Givelet, Agathe / Senent-Boza, Ana / Seymour, Keith / Shabana, Amanda / Shah, Karishma / Shah, Jigar / Shah, Preena / Shah, Sujay / Shakir, Taner / Shalaby, Mostafa / Shankar, Sushma / Shaw, Richard / Shehata, Sameh / Shenfine, Amy / Sheridan, Kelda / Sherief, Ahmed / Sherief, Mohamed / Sherif, Mohamed / Shinkwin, Michael / Shu, Sebastian / Siaw-Acheampong, Kwabena / Sileri, Pierpaolo / Singh, Abhinav / Singh, Shailendra / Sinha, Sanjay / Sinha, Deepti / Siragusa, Leandro / Sivaprakasam, Rajesh / Sivayoganathan, Sriharan / Smillie, Robert / Smith, Claire / Smith, Andrew / Smith, Christopher / Sochorova, Dana / Soggiu, Fiammetta / Sohrabi, Catrin / Solari, Francesca / Solli, Piergiorgio / Soreide, Kjetil / Spinelli, Antonino / Spoletini, Domenico / Spriano, Giuseppe / Sravanam, Sanskrithi / Ssentongo, Paddy / Stanger, Sophie / Stavroulias, Dionisios / Steel, Ben / Stella, Marco / Stewart, Robbie / Stringer, Sally / Sulen, Nina / Sundar, Sudha / Sundhu, Matthew / Suri, Avni / Syed, Arooj / Szatmary, Peter / Tabiri, Stephen / Tadross, Daniel / Taglietti, Lucio / Tansey, Rosamond / Tartaglia, Dario / Tawheed, Ahmed / Tayeh, Salim / Teles, Tobias / Testa, Valentina / Tewari, Nilanjana / Thoenissen, Philipp / Thomas, Kane / Thomin, Anne / Thrush, Jessica / Tierney, Sean / Tiwari, Abhinav / Toh, Simon / Toledo, Enrique / Tonini, Valeria / Torkington, Jared / Torquati, Alfonso / Torzilli, Guido / Totty, Joshua / Tourountzi, Paraskevi / Tousidonis, Manuel / Townend, Philip / Townsend, Catherine / Trompeter, Alex / Trotta, Francesco / Truant, Stéphanie / Trujillo-Díaz, Jeancarlos / Tsoulfas, Georgios / Turco, Celia / Turrado-Rodriguez, Victor / Turri, Giulia / Tustin, Harry / Tyler, Jayne / Tzedakis, Stylianos / Tzovaras, George / Uittenbogaart, Martine / Ullah, Ramzan / Urban, Shane / Urbani, Alessia / Usai, Antonella / Vaccarella, Gianpaolo / Valdes-Hernandez, Javier / Valsecchi, Luca / Vashisht, Rajiv / Vázquez-Fernández, Andrea / Venkatesan, Gowtham / Venn, Mary / Vera-Mansilla, Cristina / Vergari, Roberto / Vescio, Giuseppina / Vidya, Raghavan / Vieira, Paula / Vijay, Vardhini / Vimalachandran, Dale / Violante, Tommaso / Volpe, Anita / Vovola, Fernanda / Vulliamy, Paul / Wall, Rosemary / Wallwork, Kate / Ward, Alex / Warwick, David / Waseem, Saima / Weaver, Helen / Wells, Fiona / Wen, Jiaxin / West, Raha / Whitehall, Emma / Wild, Laura / Wilkins, Alex / Williams, Gethin / Williams, Matthew / Winnand, Philipp / Wong, Ken / Worku, Dawit / Wright, Naomi / Yalamanchili, Seema / Yershov, Danylo / Yildiz, Alp / Young, Richard / Yurttas, Can / Zadegan, Frederic / Zafar, Noman / Zakaria, Rasheed / Zambon, Martina / Zanini, Nicola / Zarate, Alba / Zerbib, Philippe / Zizzo, Maurizio / Zmora, Oded / Zonta, Sandro / van Berge Henegouwen, Mark I / van der Plas, Willemijn Y / Ali, Inthekab Ali Mohamed / Bakri, Nur Amalina Che / Bartolomé, Miguel Ángel Hernández / Bauset, Juan Carlos Catalá / Abou Chaar, Mohamad K / Marino Cosentino, Luigi MP / Gómez Díaz, Carlos J / Garcia Galocha, Jose L / de Gheldere, Charles A / Ataíde Gomes, Gustavo Mendonça / Beltrán de Heredia, Juan / Blazer, Dan G / Nugent, William C / Ali karar, Ali A / Borja De Lacy, F / Blas Laina, Juan luis / Shane Lester, Madan Jha / Liyanage, Aloka S D / Al Maadany, Faraj S / De Marchi, Joshua A / Ramos-De la Medina, Antonio / Mithany, Reda H M / Sanchez del Pueblo, Cristina / van Ramshorst, Gabrielle H / De Salas, Maria Marqueta / De Souza, Anthony C / Dolores Del Toro, M

    an international cohort study

    2020  

    Abstract: Background: The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and ... ...

    Abstract Background: The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and pulmonary complication rates in patients with perioperative SARS-CoV-2 infection. Methods: This international, multicentre, cohort study at 235 hospitals in 24 countries included all patients undergoing surgery who had SARS-CoV-2 infection confirmed within 7 days before or 30 days after surgery. The primary outcome measure was 30-day postoperative mortality and was assessed in all enrolled patients. The main secondary outcome measure was pulmonary complications, defined as pneumonia, acute respiratory distress syndrome, or unexpected postoperative ventilation. Findings: This analysis includes 1128 patients who had surgery between Jan 1 and March 31, 2020, of whom 835 (74·0%) had emergency surgery and 280 (24·8%) had elective surgery. SARS-CoV-2 infection was confirmed preoperatively in 294 (26·1%) patients. 30-day mortality was 23·8% (268 of 1128). Pulmonary complications occurred in 577 (51·2%) of 1128 patients; 30-day mortality in these patients was 38·0% (219 of 577), accounting for 82·6% (219 of 265) of all deaths. In adjusted analyses, 30-day mortality was associated with male sex (odds ratio 1·75 [95% CI 1·28-2·40], p<0·0001), age 70 years or older versus younger than 70 years (2·30 [1·65-3·22], p<0·0001), American Society of Anesthesiologists grades 3-5 versus grades 1-2 (2·35 [1·57-3·53], p<0·0001), malignant versus benign or obstetric diagnosis (1·55 [1·01-2·39], p=0·046), emergency versus elective surgery (1·67 [1·06-2·63], p=0·026), and major versus minor surgery (1·52 [1·01-2·31], p=0·047). Interpretation: Postoperative pulmonary complications occur in half of patients with perioperative SARS-CoV-2 infection and are associated with high mortality. Thresholds for surgery during the COVID-19 pandemic should be higher than during normal practice, particularly in men aged 70 years and older. Consideration should be given for postponing non-urgent procedures and promoting non-operative treatment to delay or avoid the need for surgery. Funding: National Institute for Health Research (NIHR), Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, NIHR Academy, Sarcoma UK, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research.
    Keywords covid19
    Subject code 610 ; 616
    Language English
    Publishing country it
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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